http://www.sciencedirect.com/science/article/pii/S1052305716000136
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Background
Returning
to physical activity is a common goal for stroke survivors undergoing
rehabilitation, and higher levels of activity have been linked to better
gait and greater independence in activities of daily living. Our aim
was to determine if inpatient rehabilitation settings promoted higher
levels of physical activity in stroke survivors than an acute stroke
unit setting.
Methods
Stroke
survivors were recruited from the inpatient rehabilitation wards of 4
different hospitals in southern Sweden and from the acute stroke unit at
Karolinska University Hospital in Stockholm. Participants were observed
for 1 minute every 10 minutes from 8:00 a.m. to 5:00 p.m. At each
observation, the person's highest level of physical activity, location,
and other people present were recorded.
Results
We
collected data from 190 stroke survivors (104 rehabilitation, 86
acute). Contrary to our hypothesis, there was no significant difference
between the groups in the amount of time spent in moderate-to-high
physical activity (rehabilitation median 24%, acute median 23%; adjusted
P = .74). Compared to those in the acute setting, participants
in the rehabilitation setting spent less time lying in bed, more time
sitting supported out of bed, less time in their bedroom, and more time
with a therapist (all adjusted P < .001).
Conclusion
In
the context of stroke, the inpatient rehabilitation environment does
not appear to promote higher levels of physical activity than the acute
hospital environment.
Key Words
- Cerebrovascular disease;
- exercise;
- behavioral mapping;
- inactivity
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