Physical Activity in Community‐Dwelling Stroke Survivors and a Healthy Population Is Not Explained by Motor Function Only

Danielsson, Anna; Meirelles, Cristiane; Willén, Carin; Sunnerhagen, Katharina Stibrant

doi:10.1016/j.pmrj.2013.08.593

Cited by 25 publications

(29 citation statements)

References 20 publications

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“…As the results of recent studies, we indicated that some neuropsychological factors, such as depression or cognition status, might be the reasons for the decrease in the PA level (11,14,33). Cognitive impairment appears in approximately two-thirds of stroke patients in an acute setting (34).…”

Section: Discussionmentioning

confidence: 61%

“…To our knowledge, although the presence and frequency of these symptoms after stroke have been researched in the literature, there are few studies investigating their effects on PA level in subacute, community-dwelling stroke patients (2,11,12). Furthermore, it has been suggested to study why the PA level of independent ambulatory patients is less than that of a population of the same age.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

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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“…* FMA-LE, Fugl-Meyer Assessment 0–34 (a higher score indicates better function)** PASE, Physical activity scale for the elderly*** Percentage of PASE age and sex matched reference values, in cohorts 40–79 years [33]…”

Section: Resultsmentioning

confidence: 99%

“…Each interview began with asking the participants to fill in a questionnaire; the Physical Activity Scale for the Elderly (PASE) [32, 33] reporting their physical activities performed during the last week. Then, they were asked to describe the event of their injury, allowing researchers to obtain the context from which that personal experience and perceptions derived.…”

Section: Methodsmentioning

confidence: 99%

Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

2017

Self Cite

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BackgroundPhysical activity has been established as being highly beneficial for health after stroke. There are considerable global efforts to find rehabilitation programs that encourage increased physical activity for persons with stroke. However, many persons with stroke or acquired brain injury do not reach recommended levels of physical activity and increased knowledge about why is needed. We aimed to explore views and experiences of physical activity and walking among persons with stroke or acquired brain injury.MethodA qualitative study was conducted, among persons with stroke (n = 8) or acquired brain injury (n = 2) from a rehabilitation unit at Sahlgrenska University Hospital in Sweden. Semi-structured in-depth interviews were held about perceptions and experiences of walking and physical activity in general. Data were analyzed using qualitative content analysis, with categories that were determined inductively.ResultsPhysical activity in general and walking ability more specifically were considered very important by the participants. However, physical activity was, regardless of exercising habits pre-injury, associated with different kinds of negative feelings and experiences. Commonly reported internal barriers in the current study were; fatigue, fear of falling or getting hurt in traffic, lack of motivation and depression. Reported external barriers were mostly related to walking, for example; bad weather, uneven ground, lack of company or noisy or too busy surroundings.ConclusionPersons with stroke or acquired brain injury found it difficult to engage in and sustain an eligible level of physical activity. Understanding individual concerns about motivators and barriers surrounding physical activity may facilitate the work of forming tailor-made rehabilitation for these groups, so that the levels of physical activity and walking can increase.

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“…Still, the mean PASE score was 98 ± 65, which is approximately 61% of that in a healthy population. [45] In the current study, exercise intensity was related to the individual's capacity and was performed with low-to-moderate intensity with >10 repetitions of each exercise, progressively increasing Table 4. Within-group and between-group differences of nutritional status and cardio-metabolic risk markers at the start of intervention and after 3 months a .…”

Section: Discussionmentioning

confidence: 96%

Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial

Vahlberg

Lindmark

Zetterberg

et al. 2016

Disability and Rehabilitation

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Three-month progressive resistance and balance training was associated with reduced fat mass, which was related to improvements in walking capacity in older adults approximately one year after stroke. Implications for rehabilitation This three-month PRB group exercise program supported by motivational discussions and daily home-based exercises indicate the following: • Improved walking capacity was associated with a reduction in fat mass. • IGF-1 is reduced, possibly indicating improved insulin sensitivity.

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Physical Activity in Community‐Dwelling Stroke Survivors and a Healthy Population Is Not Explained by Motor Function Only

Cited by 25 publications

References 20 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?

Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial

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