Poststroke Physical Activity Levels No Higher in Rehabilitation than in the Acute Hospital

详细信息    查看全文

• 作者：Anna Å ; strand ; PT^* ; ¹ ; Charlie Saxin ; PT^* ; ¹ ; Anna Sjö ; holm ; PT^* ; Monica Skarin ; PT^* ; Thomas Linden ; MD ; PhD^* ; Agneta Stoker ; RN^&dagger ; ; Sassa Roshandel ; RN^&dagger ; ; Å ; sa Dedering ; PT ; PhD^&Dagger ; ; ^§ ; ; Marie Halvorsen ; PT ; PhD^&Dagger ; ; ^§ ; ; Julie Bernhardt ; PT ; PhD^‖ ; Toby Cumming ; BBSc ; PhD^‖ ; ^{toby.cumming@florey.edu.au" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Cerebrovascular disease ; exercise ; behavioral mapping ; inactivity
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：25
• 期：4
• 页码：938-945
• 全文大小：211 K

文摘

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.