Level of Physical Activity in the Week Preceding an Ischemic Stroke

Krarup, Lars-Henrik; Truelsen, Thomas; Pedersen, Anders Degn; Lerke, Hanne; Lindahl, Marianne Pia; Hansen, Lotte; Schnohr, Peter; Boysen, Gudrun

doi:10.1159/000105683

Cited by 37 publications

(27 citation statements)

References 38 publications

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“…It is also known that the PA levels of stroke patients are low in acute stroke wards (12,30). We found similar results for ambulatory stroke survivors in the early phase, although we included patients with an FAC level of >4 to except patients with moderate to severe motor deficits.…”

Section: Discussionsupporting

confidence: 57%

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Hüseyinsinoğlu

Aslan

Tarakçı

et al. 2017

Arch Neuropsychiatr

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Introduction: Physical inactivity is an important risk factor for stroke and stroke recurrence. There is insufficient knowledge about the physical activity (PA) level in stroke patients who are ambulatory in the subacute phase. Our aim was to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate neuropsychological factors that could affect the PA level in the same stroke group.Methods: Eighty-five subacute stroke patients and 58 healthy subjects were included. Patients' demographic features, disease-related features, and comorbidities were recorded. The PA level was assessed by the International Physical Activity Questionnaire-Short Version and a pedometer (OMRON Walking style II). The Apathy Rating Scale was applied to determine the apathy level. Depression level was investigated by the Geriatric Depression Scale. The standardized Mini-mental State Examination was performed to assess the cognitive status.Results: The PA level was significantly higher in the healthy group than in the stroke group (p<0.001).Step count and walking distance were significantly higher in healthy group (p=0.001 and p=0.04, respectively). The PA level of men was significantly higher than that of women (p=0.03). Participants who were classified as level 4 had a lower PA level than those who were classified as level 5 according to the Functional Ambulation Category. There was no relationship between the PA level and the apathy, cognitive, and depression levels in the stroke patients (p>0.05). Conclusion:Subacute stroke patients have a lower PA level than healthy subjects. This is not related to neuropsychological factors. The reasons for minor deficits related to ambulation should be researched further while developing strategies for increasing the PA level of subacute stroke patients.Keywords: Stroke, apathy, depression, cognition, physical activity ABSTRACT 155level cannot be explained only by loss of motor function, psychological and cognitive factors have been proposed to analyze (13,14). In light of these findings, we aimed to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate the demographic features and disease-related and neuropsychological factors that could affect the PA level in the same stroke group. We hypothesized that the PA level of ambulatory subacute stroke patients would be less than that of healthy subjects. We further hypothesized that the PA level would be affected by neuropsychological factors in the same population.

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Section: Discussionsupporting

confidence: 57%

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Hüseyinsinoğlu

Aslan

Tarakçı

et al. 2017

Arch Neuropsychiatr

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“…Some studies suggest that physical activity, besides reducing stroke risk 21 , promotes increased blood flow and decreased neurological injury during brain ischemia…”

mentioning

confidence: 99%

Validation of the Frenchay activity index on stroke victims

Monteiro

Maso

Sasaki

et al. 2017

Arq. Neuro-Psiquiatr.

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Purpose To evaluate the inter-rater reliability and predictive validity of the Frenchay Activities Index (FAI) in patients after stroke. Methods One hundred sixty-one patients were selected for consecutive application of the FAI and National Institutes of Health Stroke Scale (NIHSS). Spearman’s test was used for correlation between different scales. The FAI and NIHSS association was evaluated using ordinal logistic regression. Additionally, 36 patients underwent FAI rating on the same day by two independent evaluators. Results A negative correlation between the FAI and the NIHSS scores (p = 0.017 r = -0.22) was found. Adjusting all variables with possible association with the NIHSS, ordinal logistic regression showed that the FAI had a significant association with NIHSS scores (OR 0.93, 95% CI 0.87 to 0.99, p: 0.033). The inter-rater agreement was considered good, k = 0.66 (0.54 to 0.78), p < 0.001. Conclusions The FAI is a valid and useful method to assess instrumental activities before acute stroke in a Brazilian population.

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“…Current measurement tools include direct observation (Sjoholm et al, 2014;West and Bernhardt, 2012;Kuys et al, 2006), self-report questionnaires (Krarup et al, 2007;Washburn et al, 2002;Sallis and Saelens, 2000), pedometers (Macko et al, 2002) and accelerometers. These tools collect measures of ambulation activity duration , energy expenditure (Rand et al, 2010), steps (Manns et al, 2010;Manns and Baldwin, 2009;Michael and Macko, 2007;Michael et al, 2005), activity bouts (Roos et al, 2012;Manns and Baldwin, 2009;Shaughnessy et al, 2005) and activity counts (Alzahrani et al, 2011).…”

Section: Capturing Ambulation Activity After Stroke -Tools For Measurmentioning

confidence: 99%

“…Most stroke survivors report low levels of activity prior to stoke onset (Ricciardi et al, 2014;Baert et al, 2012;Krarup et al, 2007). Low activity prior to stroke may also contribute to increased severity of stroke (Ricciardi et al, 2014); reduced early re-canalisation (Ricciardi et al, 2014); reduced independence and functional recovery after stroke (Ricciardi et al, 2014;Baert et al, 2012;Stroud et al, 2009;Krarup et al, 2008;Wendel-Vos et al, 2004).…”

Section: Pre-stroke Activitymentioning

confidence: 99%

“…PASE scores have been validated in elderly samples, and are associated with measures of energy expenditure by doubly 110 labelled water, and demographic health status characteristics (Washburn et al, 1993). The scale has also been used in a number of studies as a measure of physical activity after stroke (Danielsson et al, 2011;Krarup et al, 2008;Krarup et al, 2007).…”

Section: Personal Factorsmentioning

confidence: 99%

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Ambulation recovery after stroke

Mahendran¹

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Most stroke survivors regard successful independent ambulation important. However, ambulation recovery is limited following stroke. Historically, limited availability of objective tools and measures to characterise free-living ambulation recovery has restricted investigation of this outcome after survivors return home. However, commercially available devices, including accelerometers and portable global positioning systems, are now available. Thus, this thesis aimed to characterise free-living ambulation recovery over the first six months after stroke survivors returned home from hospital and determine what factors at discharge contributed to ambulation recovery across this time.The first study of this thesis investigated the concurrent validity and retest reliability of accelerometers (ActivPAL TM and Sensewear Pro 2 Armband) and global positioning systems (GPS) (Garmin forerunner 405CX) to measure free-living ambulation after stroke. Measures of step counts, time spent walking, energy expenditure, distance and location were taken during walking tasks that impose demands similar to those encountered when walking in the community as well as free-living community ambulation over four days. This study determined that the ActivPAL TM was valid and reliable for measuring ambulation after stroke. The GPS was valid and reliable for all measures except distance, whereas the Sensewear Pro 2 Armband recorded with high error during all walking tests.The second study aimed to characterise ambulation activity after stroke across the first six months following discharge from hospital and investigate how ambulation activity changed across this time period. Free-living ambulation activity was measured over four days using the ActivPAL TM accelerometer at one, three and six months after stroke survivors left hospital. Measures of volume (daily step counts and time spent walking, sitting/lying, standing and upright), frequency (total number of ambulation bouts; number of bouts and total time spent in short, medium and long duration ambulation bouts) and intensity (number of bouts and total time per day spent in low, moderate and high intensity ambulation bouts) of ambulation activity were collected. This study highlighted that volume of ambulation activity was low across the first six months following hospital discharge, with a majority of ambulation bouts short and low in intensity. Stroke survivors rarely engaged in long duration and high intensity ambulation bouts across the first six months.Daily volume of ambulation activity increased from one month to both three and six months after iv discharge from hospital through an increase in medium duration and moderate intensity ambulation only.The third study aimed to determine what factors at discharge were related to and predicted ambulation activity outcomes over the first six months following hospital discharge in stroke.Factors including age, fatigue, mood, executive function, gait speed, gait endurance, perceived stroke recovery, pre-stroke physical activity, ambulat...

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Level of Physical Activity in the Week Preceding an Ischemic Stroke

Cited by 37 publications

References 38 publications

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Validation of the Frenchay activity index on stroke victims

Ambulation recovery after stroke

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