Predicting Home and Community Walking Activity in People With Stroke

Fulk, George; Reynolds, Chelsea; Mondal, Sumona; Deutsch, Judith E.

doi:10.1016/j.apmr.2010.07.005

Cited by 159 publications

(198 citation statements)

References 38 publications

Supporting

Mentioning

177

Contrasting

Order By: Relevance

“…In contrast, the correlations between scores on the 6MWT and BBS and physical activity in the current study were substantially weaker than previous estimates [6][7][8]11] and non-significant. In four previous studies, [6][7][8]11] participants were younger and participants' walking ability was either better (two studies) or worse (one study) compared to individuals in the current study. Moreover, the time period over which the accelerometer was worn, the placement of the accelerometer (ankle vs. thigh), and the parameter used to estimate physical activity (step/activity counts vs. time spent upright) varied across studies making it difficult to compare results.…”

contrasting

confidence: 55%

“…These associations suggest that as balance self-efficacy and walking speed improve, daily physical activity and participation after stroke also tend to improve. Results support the clinical relevance of using the ABC scale and the 5mWT to make inferences about an individual's expected physical activity and participation level on returning home.The correlation between comfortable gait speed and physical activity in the current study was similar to values reported previously [6,7,11]. In contrast, the correlations between scores on the 6MWT and BBS and physical activity in the current study were substantially weaker than previous estimates [6][7][8]11] and non-significant.…”

contrasting

confidence: 54%

See 1 more Smart Citation

10.4172/2165-7025.1000182

Salbach¹,

Brooks²,

Romano³

et al. 2013

J Nov Physiother

View full text Add to dashboard Cite

IntroductionPhysical rehabilitation post-stroke aims to optimize balance; mobility and gait function so that people can be physically active and participate in meaningful activities [1,2]. Physical activity is important to maintaining health and reducing the risk of cardiovascular disease and recurrent stroke [3,4]. Self-report measures of physical activity, while simple and affordable, may overestimate levels determined on objective testing [5]. The use of accelerometers provides an alternative method to objectively quantify physical activity [6][7][8]. Participation encompasses physical activity as it denotes the involvement of individuals in activities, including relationships, community activities, work, recreation and leisure, that bring meaning to life [9]. Investigation of the relationship between physical rehabilitation outcomes and physical activity has been primarily restricted to motor, balance and walking capacity. For example, physical activity measured using an accelerometer has been found to correlate with scores on the Berg balance scale [10] (BBS) (r=0.54-0.58) [7,11], self-selected gait speed [12] (r=0.55-0.65) [6,7,11], and 6-minute walk test [13] (6MWT) performance (r=0.67-0.73) [6][7][8]. Examination of relationships between physical activity and motor function and broader outcomes such as social participation and health-related quality of life has been limited to one study of people with mild gait deficits post-stroke (mean self-selected gait speed 1.01 meters/second (m/s)) in which no correlations were observed [7]. In addition, although balance selfefficacy has been recognized as a predictor of self-reported physical function and perceived health status [14], its association with physical activity directly measured using accelerometry is unknown. Balance self-efficacy refers to perceptions of ability to perform everyday activities without losing balance or becoming unsteady [15]. Selfefficacy is considered a modifiable outcome [16] that could be targeted through physical rehabilitation to influence physical activity and participation. Increasing understanding of the relative influence of physical rehabilitation outcomes on physical activity and participation can help to guide treatment planning, the selection of appropriate goals during rehabilitation after stroke, and inferences about potential to function in the community. Although predictors of participation have been previously investigated [17,18], the comparative influence of physical rehabilitation outcomes on both daily physical activity and participation has received little attention. Thus, the objective of this study was to examine the extent to which daily physical activity and social participation are associated with clinical measures of motor function, balance, balance self-efficacy, functional mobility, and walking speed and distance in community-dwelling people with stroke. Based on the literature, it was hypothesized that moderatelevel (i.e., 0.50-0.69) correlations would be observed. AbstractObjective: To examine the ex...

show abstract

contrasting

confidence: 55%

contrasting

confidence: 54%

10.4172/2165-7025.1000182

Salbach¹,

Brooks²,

Romano³

et al. 2013

J Nov Physiother

View full text Add to dashboard Cite

show abstract

“…When measures are examined, device-based measurement of ambulation activity after stroke has traditionally been characterised by measures of volume such as daily step counts 3,4,7,8 , activity duration 9,10 and estimated energy expenditure 7 . However more recently, the importance of capturing the spread of activity across the day has been highlighted 11 .…”

Section: Introductionmentioning

confidence: 99%

Recovery of ambulation activity across the first six months post-stroke

2016

View full text Add to dashboard Cite

word count: 245 Word count: 2754 Highlights Stroke survivors increase walking activity over the first 6 months post-discharge.  Stroke survivors increase daily sitting time over the first 6-monts post-discahrge.  Stroke survivors spend least time in long duration and high intensity activity.  Interventions to target activity should be considered 3-months post-discharge. AbstractStroke survivors commonly adopt sedentary activity behaviours by the chronic phase of recovery. However, the change in activity behaviours from the subacute to chronic phase of stroke is variable. This study explored the recovery of ambulation activity (volume and bouts) at one, three and six months after hospital discharge post-stroke. A total of 42 stroke survivors were recruited at hospital discharge and followed up one, three and six months later. At follow-up, ambulation activity was measured over four days using the ActivPAL TM accelerometer. Measures included volume of activity and frequency and intensity of ambulation activity bouts per day. Linear mixed effects modelling was used to determine changes over time. There was wide variation in activity. Total step counts across all time points were below required levels for health benefits (mean 4592 SD 3411). Most activity was spread across short bouts. While most number of bouts was of low intensity, most time was spent in moderate intensity ambulation across all time points. Daily step count and time spent walking and sitting/lying increased from one month to three and six months. The number of and time spent in short and medium duration bouts increased from one to six months. Time in long duration bouts increased at three months only. Time spent in moderate intensity ambulation increased over time. No change was observed for any other measures. In future, it would be valuable to identify strategies to increase engagement in activity behaviours to improve health outcomes after stroke.

show abstract

“…Gait aids were permitted. Gait speed is associated with home and community walking activity 29 and participation. 30 Balance Ability-The Berg Balance Scale (BBS) is the most commonly used clinical measure of functional balance.…”

Section: Assessmentsmentioning

confidence: 99%

Physical Activity Correlates with Arterial Stiffness in Community-dwelling Individuals with Stroke

Tang

Eng

Brasher

et al. 2014

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

Background-Physical inactivity contributes to atherosclerotic processes, which manifest as increased arterial stiffness. Arterial stiffness is associated with myocardial demand and coronary perfusion and is a risk factor for stroke and other adverse cardiac outcomes. Poststroke mobility limitations often lead to physical inactivity and sedentary behaviors. This exploratory study aimed to identify functional correlates, reflective of daily physical activity levels, with arterial stiffness in community-dwelling individuals >1 year poststroke.

show abstract

Predicting Home and Community Walking Activity in People With Stroke

Cited by 159 publications

References 38 publications

10.4172/2165-7025.1000182

10.4172/2165-7025.1000182

Recovery of ambulation activity across the first six months post-stroke

Physical Activity Correlates with Arterial Stiffness in Community-dwelling Individuals with Stroke

Contact Info

Product

Resources

About