http://www.ncbi.nlm.nih.gov/pubmed/27474947
Abstract
Stroke
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™ 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. (NO, no, no, that is dumping all the responsibility onto the patient rather than the doctor where it needs to stay.)
Copyright © 2016 Elsevier B.V. All rights reserved.
Copyright © 2016 Elsevier B.V. All rights reserved.
KEYWORDS:
Accelerometry; Ambulation; Physical activity; Recovery; Stroke- PMID:
- 27474947
- DOI:
- 10.1016/j.gaitpost.2016.06.038
No comments:
Post a Comment