Anna Åstrand1, Charlie Saxin1, Anna Sjöholm1, Monica Skarin1, Thomas Linden1, Agneta Stoker2, Sassa Roshandel2, Åsa Dedering3, Marie Halvorsen3, Julie Bernhardt4, Toby Cumming5. 1. Centre of Brain Research and Rehabilitation, Gothenburg University, Gothenburg, Sweden. 2. Department of Neurology, Karolinska Institute, Stockholm, Sweden. 3. Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden. 4. Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria, Australia. 5. Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria, Australia. Electronic address: toby.cumming@florey.edu.au.
Abstract
BACKGROUND: Returning to physical activity is a common goal for stroke survivors undergoing rehabilitation, and higher levels of activity have been linked to better gait and greater independence in activities of daily living. Our aim was to determine if inpatient rehabilitation settings promoted higher levels of physical activity in stroke survivors than an acute stroke unit setting. METHODS: Stroke survivors were recruited from the inpatient rehabilitation wards of 4 different hospitals in southern Sweden and from the acute stroke unit at Karolinska University Hospital in Stockholm. Participants were observed for 1 minute every 10 minutes from 8:00 a.m. to 5:00 p.m. At each observation, the person's highest level of physical activity, location, and other people present were recorded. RESULTS: We collected data from 190 stroke survivors (104 rehabilitation, 86 acute). Contrary to our hypothesis, there was no significant difference between the groups in the amount of time spent in moderate-to-high physical activity (rehabilitation median 24%, acute median 23%; adjusted P = .74). Compared to those in the acute setting, participants in the rehabilitation setting spent less time lying in bed, more time sitting supported out of bed, less time in their bedroom, and more time with a therapist (all adjusted P < .001). CONCLUSION: In the context of stroke, the inpatient rehabilitation environment does not appear to promote higher levels of physical activity than the acute hospital environment.
BACKGROUND: Returning to physical activity is a common goal for stroke survivors undergoing rehabilitation, and higher levels of activity have been linked to better gait and greater independence in activities of daily living. Our aim was to determine if inpatient rehabilitation settings promoted higher levels of physical activity in stroke survivors than an acute stroke unit setting. METHODS:Stroke survivors were recruited from the inpatient rehabilitation wards of 4 different hospitals in southern Sweden and from the acute stroke unit at Karolinska University Hospital in Stockholm. Participants were observed for 1 minute every 10 minutes from 8:00 a.m. to 5:00 p.m. At each observation, the person's highest level of physical activity, location, and other people present were recorded. RESULTS: We collected data from 190 stroke survivors (104 rehabilitation, 86 acute). Contrary to our hypothesis, there was no significant difference between the groups in the amount of time spent in moderate-to-high physical activity (rehabilitation median 24%, acute median 23%; adjusted P = .74). Compared to those in the acute setting, participants in the rehabilitation setting spent less time lying in bed, more time sitting supported out of bed, less time in their bedroom, and more time with a therapist (all adjusted P < .001). CONCLUSION: In the context of stroke, the inpatient rehabilitation environment does not appear to promote higher levels of physical activity than the acute hospital environment.
Authors: Carmen E Capo-Lugo; Robert L Askew; Kathryn Muldoon; Matthew Maas; Eric Liotta; Shyam Prabhakaran; Andrew Naidech Journal: Arch Phys Med Rehabil Date: 2019-12-23 Impact factor: 3.966
Authors: Alicen A Whitaker; Madison L Henry; Allegra Morton; Jaimie L Ward; Sarah M Eickmeyer; Michael G Abraham; Sandra A Billinger Journal: Cardiopulm Phys Ther J Date: 2022-03-25
Authors: Carol L Richards; Francine Malouin; Sylvie Nadeau; Joyce Fung; Line D'Amours; Claire Perez; Anne Durand Journal: Physiother Can Date: 2018 Impact factor: 1.037
Authors: Liam P Kelly; Augustine J Devasahayam; Arthur R Chaves; Elizabeth M Wallack; Jason McCarthy; Fabien A Basset; Michelle Ploughman Journal: Front Physiol Date: 2017-10-26 Impact factor: 4.566
Authors: Liam P Kelly; Augustine J Devasahayam; Arthur R Chaves; Marie E Curtis; Edward W Randell; Jason McCarthy; Fabien A Basset; Michelle Ploughman Journal: J Clin Med Date: 2021-05-30 Impact factor: 4.241