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Daytime physical activity at admission is associated with improvement of gait independence 1 month later in people with subacute stroke: a longitudinal study.
- Source :
- Topics in Stroke Rehabilitation; Jan2020, Vol. 27 Issue 1, p25-32, 8p
- Publication Year :
- 2020
-
Abstract
- Background: Little is known about the benefits of daytime physical activity on gait ability in subacute stroke. Objectives: We investigated association between daytime physical activity at hospital admission and improvement of gait independence 1 month later in subacute stroke. Methods: Thirty-four participants with subacute stroke who could not walk independently were assessed. An accelerometer (HJA 350-IT, OMRON) was used to record the mean duration of light-intensity physical activity (LIPA) and moderate-to-vigorous-intensity physical activity (MVPA). LIPA and MVPA were recorded for 12 h per day for 7 consecutive days, and at three different time periods (daytime, therapy time, non-therapy time) at rehabilitation hospital admission (baseline). Gait independence was assessed by the functional ambulation category (FAC) at baseline and 1 month later. Participants were categorized into two groups based on the change of gait independence, as follows: the improved group, in which the FAC increased by ≥1; the non-improved group, in which the FAC did not increase. Results: Compared with the non-improved group, the improved group demonstrated significantly higher values of all physical activity variables, except for non-therapy time MVPA (p <.05). Logistic regression analysis showed that higher daytime LIPA was significantly associated with FAC improvement (OR = 1.068, 95% CI 1.009 to 1.140). In particular, higher non-therapy time LIPA was closely associated with FAC improvement (OR = 1.253, 95% CI 1.002 to 1.568). Conclusions: To promote recovery of gait independence in first month from admission, increasing daytime physical activity, especially LIPA during daytime or non-therapy time, is an important treatment target in subacute stroke. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACCELEROMETERS
CHI-squared test
CONFIDENCE intervals
CONVALESCENCE
DIAGNOSIS
GAIT in humans
HOSPITAL admission & discharge
LONGITUDINAL method
PATIENTS
REHABILITATION centers
STATISTICAL sampling
T-test (Statistics)
LOGISTIC regression analysis
ACTIVITIES of daily living
EXERCISE intensity
PHYSICAL activity
DATA analysis software
FUNCTIONAL assessment
STROKE rehabilitation
STROKE patients
DESCRIPTIVE statistics
ODDS ratio
MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 10749357
- Volume :
- 27
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Topics in Stroke Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 140999041
- Full Text :
- https://doi.org/10.1080/10749357.2019.1649916