Sedentary Behavior in the First Year After Stroke: A Longitudinal Cohort Study With Objective Measures

Tieges, Zoë; Mead, Gillian; Allerhand, Mike; Duncan, Fiona; Wijck, Frederike van; Fitzsimons, Claire; Greig, Carolyn; Chastin, Sébastien

doi:10.1016/j.apmr.2014.08.015

Cited by 160 publications

(114 citation statements)

References 41 publications

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“…In the present study, the incidence of dysphagia found, considering the factor of VCA presence, was of 94%, according to the classification of the DOSS (7) scale, corroborating the incidence studies. The predominance regarding age above 70 years and occurrence of VCA in individuals of male gender found in this study is pertinent to the one found in literature (12)(13)(14)(15)(16) . The speech-language pathologist follow up on the dysphagia patient requires the discussion with the multi professional team regarding the indication of indirect therapies (without food introduction) or direct (with the use of food), related to the releasing moment of the oral intake in a systematic way, the indication of full oral intake diet, with the possibility of weaning of the alternative feeding intake.…”

Section: Discussionsupporting

confidence: 75%

“…The lack or presence of aspiration has been one of the video fluoroscopic signals of higher relevance, being this signal essential for decision making at the management of oral food intake and for the indication of the most adequate consistency in each case (9)(10)(11)(12)(13)(14)(15)(16)(17) . The aspiration incidence in VCA neurogenic dysphagia framework is described in studies between 155 and 50% (18,19) .…”

Section: Discussionmentioning

confidence: 99%

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Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Passos

Cardoso

Scheeren

2017

CoDAS

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Purpose: The aim of this study was to investigate the association between the results of functionality scales and dysphagia severity determined from videofluoroscopy swallowing study (VSS) in post-stroke patients. Methods: A retrospective study of 109 VSS analysis of post-stroke patients. From the exams was collected information on the diagnosis of dysphagia severity and evaluated regarding the swallowing functionality in an independent way by two evaluators. Results: A high number of discrete dysphagia was observed. In one third of dysphagic patients it was noticed the presence of tracheal aspiration. There was a significant association between the scores of Functional Oral Intake Scale and Dysphagia Outcome and Severity Scale in post-stroke patients which means when the swallowing is highly compromised, the level of intake by mouth will be smaller according to the evaluators' analysis (p < 0.001). Conclusion: There is an association between the scales and it can be used as evaluative benchmarks and in the management of clinical Speech Pathology intervention. RESUMOObjetivo: O objetivo deste estudo foi verificar a associação entre os resultados das escalas de funcionalidade e severidade da disfagia determinadas a partir de exames de videofluoroscopia em pacientes pós-AVC. Método: Estudo observacional, retrospectivo e descritivo, com análise de 109 exames de Videofluoroscopia da Deglutição de pacientes pós-AVC. Dos exames da amostra foram coletadas informações quanto ao diagnóstico da severidade da disfagia e avaliados quanto à funcionalidade da deglutição de maneira independente por dois avaliadores. Resultados: Foi constatada uma alta prevalência de disfagia classificada como discreta. Nos pacientes com disfagia foi observada a presença de aspiração laringotraqueal em um terço da amostra. Verificou-se associação significativa entre os escores das escalas Functional Oral Intake Scale e Dysphagia Outcome and Severity Scale em pacientes pós-AVC, ou seja, quanto maior o comprometimento da deglutição, menor o nível de ingestão por via oral na análise dos avaliadores (p < 0,001). Conclusão: Há associação entre as escalas, podendo elas serem utilizadas como balizadores avaliativos e no gerenciamento da intervenção clínica fonoaudiológica.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Passos

Cardoso

Scheeren

2017

CoDAS

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“…Although the stroke group had statistically more participants at level I according to MRC (" I only get breathless with strenuous exercise"), it seems that this result does not positively affect the PA level in the stroke group when compared to the healthy group. There are some studies using accelometers that proved a low PA level of stroke patients (12,31). As pedometers were also found feasible to evaluate the PA level of stroke patients (22,32), we preferred to use a pedometer and found that the step count and walking distance in the stroke group were significantly less than those in the healthy group.…”

Section: Discussionmentioning

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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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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“…The amount of activities is an increasingly used parameter in studies of people with chronic conditions (6). However, there is growing evidence (14)(15)(16)21) to support that it is not only the amount of a given activity that is important, but also how periods of activity are distributed in bouts of shorter or longer duration. Distribution has been studied for periods of physical activity, but also for sedentary behaviour, being an independent risk factor for chronic disease and poor health outcomes (22).…”

Section: Introductionmentioning

confidence: 99%

Accelerometric assessment of different dimensions of natural walking during the first year after stroke: Recovery of amount, distribution, quality and speed of walking

Sánchez¹,

Bussmann²,

Janssen³

et al. 2015

J Rehabil Med

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Objectives:To describe the course of walking behaviour over a period of 1 year after stroke, using accelerometry, and to compare 1-year data with those from a healthy group. Design: One-year follow-up cohort study. Subjects: Twenty-three stroke patients and 20 age-matched healthy subjects. Methods: Accelerometer assessments were made in the participants' daily environment for 8 h/day during the 1 st (T1), 12 th (T2) and 48 th (T3) weeks after stroke, and at one timepoint in healthy subjects. Primary outcomes were: percentage of time walking and upright (amount); mean duration and number of walking periods (distribution); step regularity and gait symmetry (quality); and walking speed. Step regularity, gait symmetry and gait speed showed a tendency to increase consistently from T1 to T3. At T3, amount and distribution variables reached the level of the healthy group, but significant differences remained (p < 0.02) in step regularity and gait speed. Conclusion: In this cohort, different outcomes of walking behaviour showed different patterns and levels of recovery, which supports the multi-dimensional character of gait.

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Sedentary Behavior in the First Year After Stroke: A Longitudinal Cohort Study With Objective Measures

Abstract: Stroke survivors were highly sedentary and remained so a year after stroke independently of their functional ability. Developing interventions to reduce sedentary behavior might be a potential new therapeutic target in stroke rehabilitation.

Cited by 160 publications

References 41 publications

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

Associação entre escalas de avaliação de funcionalidade e severidade da disfagia pós-acidente vascular cerebral

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

Accelerometric assessment of different dimensions of natural walking during the first year after stroke: Recovery of amount, distribution, quality and speed of walking

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