Christel Vanroy1, Dirk Vissers1, Yves Vanlandewijck2, Hilde Feys2, Steven Truijen1, Marc Michielsen3, Patrick Cras4. 1. a Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy , University of Antwerp , Antwerp , Belgium. 2. b Department of Rehabilitation Sciences , University of Leuven , Leuven , Belgium. 3. c Campus St.- Ursula , Jessa Hospital , Herk-de-Stad , Belgium. 4. d Faculty of Medicine and Health Sciences, Department of Neurology, Born-Bunge Institute, Translational Neurosciences , University of Antwerp , Antwerp , Belgium.
Abstract
BACKGROUND: Despite confirmed reduced physical activity (PA) after stroke in various stages of recovery, the type of activities stroke patients executed and the time spent at different activity levels have not been sufficiently verified with stroke-validated assessment tools. DESIGN: Observational study. OBJECTIVE: To determine PA of sub-acute stroke patients hospitalized in a rehabilitation centre (HOS) compared to chronic home-living stroke patients (HOM) using objective and self-reported measures during 2 weekdays and 1 weekend day. METHODS: Fifteen HOS and 15 HOM patients wore a Sense Wear Pro 2 accelerometer (METs*minutes/24 h) and a knee-worn pedometer Yamax Digi Walker SW 200 (steps) and filled in a coded activity diary (kcal/24 h; METs*minutes/24 h) during three consecutive days. RESULTS: In HOM significantly more steps (stepstotal HOM = 18722.6 ± 10063.6; stepstotal HOS = 7097.8 ± 5850.5) and higher energy expenditure (EE) levels (EEtotal HOM = 7759.34 ± 2243.04; EEtotal HOS = 5860.15 ± 1412.78) were measured. In this group less moderate activity (≥3-6 ≤ METs) was performed on a weekday (pday1 = 0.006; pday2 = 0.027) and in total (p = 0.037). Few therapy hours (physical, occupational and speech therapy, and psychological support) were provided in HOM compared to HOS (p < 0.001). Vigorous activities were only seen in HOM. In both groups few patients executed sport activities. CONCLUSIONS: In HOM significantly more steps were performed and higher EE values were measured. However, participation in moderate activities and time spent on therapy were less in HOM. Evaluating PA with quantitative measures is feasible in both chronic home-living and sub-acute hospitalized patients with stroke.
BACKGROUND: Despite confirmed reduced physical activity (PA) after stroke in various stages of recovery, the type of activities strokepatients executed and the time spent at different activity levels have not been sufficiently verified with stroke-validated assessment tools. DESIGN: Observational study. OBJECTIVE: To determine PA of sub-acute strokepatients hospitalized in a rehabilitation centre (HOS) compared to chronic home-living strokepatients (HOM) using objective and self-reported measures during 2 weekdays and 1 weekend day. METHODS: Fifteen HOS and 15 HOM patients wore a Sense Wear Pro 2 accelerometer (METs*minutes/24 h) and a knee-worn pedometer Yamax Digi Walker SW 200 (steps) and filled in a coded activity diary (kcal/24 h; METs*minutes/24 h) during three consecutive days. RESULTS: In HOM significantly more steps (stepstotal HOM = 18722.6 ± 10063.6; stepstotal HOS = 7097.8 ± 5850.5) and higher energy expenditure (EE) levels (EEtotal HOM = 7759.34 ± 2243.04; EEtotal HOS = 5860.15 ± 1412.78) were measured. In this group less moderate activity (≥3-6 ≤ METs) was performed on a weekday (pday1 = 0.006; pday2 = 0.027) and in total (p = 0.037). Few therapy hours (physical, occupational and speech therapy, and psychological support) were provided in HOM compared to HOS (p < 0.001). Vigorous activities were only seen in HOM. In both groups few patients executed sport activities. CONCLUSIONS: In HOM significantly more steps were performed and higher EE values were measured. However, participation in moderate activities and time spent on therapy were less in HOM. Evaluating PA with quantitative measures is feasible in both chronic home-living and sub-acute hospitalized patients with stroke.
Authors: Pim Brandenbarg; Femke Hoekstra; Leonie A Krops; Bregje L Seves; Florentina J Hettinga; Trynke Hoekstra; Rienk Dekker; Lucas H V van der Woude Journal: BMJ Open Date: 2022-06-15 Impact factor: 3.006
Authors: Natalie A Fini; Anne E Holland; Julie Bernhardt; Angela T Burge Journal: Int J Environ Res Public Health Date: 2022-01-21 Impact factor: 3.390