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A mapping study on physical activity in stroke rehabilitation: Establishing the baseline

Journal article
Authors Monica Skarin
Anna Sjöholm
Åsa Lundgren Nilsson
Michael Nilsson
J. Bernhardt
Thomas Lindén
Published in Journal of Rehabilitation Medicine
Volume 45
Issue 10
Pages 997-1003
ISSN 1650-1977
Publication year 2013
Published at Institute of Neuroscience and Physiology
Pages 997-1003
Language en
Links dx.doi.org/10.2340/16501977-1214
https://gup.ub.gu.se/file/123953
Keywords stroke, rehabilitation, physical activity, observation, INTENSIVE-CARE-UNIT, OCCUPATIONAL THERAPISTS, CEREBRAL INFARCTION, NIH, STROKE, TIME USE, SCALE, VALIDITY, CENTERS, PHYSIOTHERAPISTS, RELIABILITY
Subject categories Neuroscience

Abstract

Objective: To establish physical activity level, environment and social interaction in routine stroke rehabilitation practice. Methods: Patients at 4 hospital stroke rehabilitation units in Sweden at least 7 days post-stroke were observed over 1 week-day at 10 min intervals between 08.00 h and 17.00 h. At each observation, physical activity, location and people present were ascertained. Results: Patients (n=104) had a mean age of 70.3 (standard deviation (SD) 14.4) years. Median time since stroke was 19 (range 7-142) days. Patients were alone for 52% of the day, during this time 7% was spent in standing/walking activities. While with a physiotherapist patients were standing/walking for 43% of the time. Using median regression it was found that the median percentage of time spent in standing/walking was associated with gait independence and age. Gait independence increased the median percentage of time spent in standing/walking by 16.5% (95% confidence interval (CI) 12.1-20.9, p<0.001), while an increase of 1 year of age reduced the median percentage of time spent in standing/walking by 0.16% (95% CI -0.31 to -0.01, p < 0.05). Conclusion: Patients had low levels of physical activity and social interaction. This study suggests that there is a huge potential to increase patients' activity level and augment social interaction above current levels.

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