Exercise and quality of life after first-ever ischaemic stroke: a two-year follow-up study

Hou, Lisha; Du, Xudong; Chen, Longmei; Li, Jijie; Yan, Peijing; Zhou, Muke; Zhu, Cairong

doi:10.1080/00207454.2017.1400971

Cited by 13 publications

(8 citation statements)

References 36 publications

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“…Age, gender, family history of stroke, marital status, educational attainment, smoking, drinking, and annual family income were self-reported. The patients’ age, gender, marital status, education, and occupation, as well as stroke severity and lesion location, were consistent with the data previously published by our group 32 . Stroke severity was assessed 3 months after hospital discharge using the modified Rankin Scale (mRS).…”

Section: Methodssupporting

confidence: 90%

Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

Hou

et al. 2021

Sci Rep

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The relationship between exercise and stroke recurrence is controversial. This study was designed to test whether an association exists between exercise and ischemic stroke recurrence in first-ever ischemic stroke survivors. Data were collected from January 2010 to June 2016. Baseline information was obtained during face-to-face interviews, and follow-up phone interviews were conducted every 3 months. Exercise type, frequency, intensity, and duration were recorded. Discrete-time survival analysis was used to determine the relationship between exercise and stroke recurrence. 760 first-ever ischemic stroke survivors who were able to exercise were enrolled. After adjusting for covariates, patients who exercised 3.5–7 h per week and more than 7 h per week had a lower relapse risk than patients who did not exercise (3.5–7: OR 0.415; > 7: OR 0.356). Moreover, if the fluctuation of exercise duration was over 4 h, the patients had a higher risk of stroke recurrence than those with variability of less than 2 h (OR 2.153, P = 0.013). Stroke survivors who engage in long-term regular mild exercise (more than 5 sessions per week and lasting on average 40 min per session) have a lower recurrence rate. Irregular exercise increases the risk of stroke recurrence.

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Section: Methodssupporting

confidence: 90%

Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

Hou

et al. 2021

Sci Rep

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“…Moreover, the recurrence rate of stroke and its disease burden is continuously increasing (Krishnamurthi et al, 2020;Wu et al, 2019). Regular physical activity and exercise have positive effects on stroke survivors' physical improvement (Billinger et al, 2014) and are beneficial for cognitive function rehabilitation (Brunt et al, 2019), psychological domains and the quality of life (Garcia-Rudolph et al, 2019;Hou et al, 2018). However, stroke survivors are more sedentary and may reduce the frequency or duration of regular exercise, low adherence to recommended physical activity and exercise is still a major problem among stroke survivors (Billinger et al, 2014;Gunnes et al, 2019;Miller et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Influential Factors of Adherence to Physical Activity and Exercise among Community‐Dwelling Stroke Survivors: A Path Analysis

Lin

Zhang

Mei

et al. 2021

Journal of Clinical Nursing

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Aims and objectives:To investigate the status of physical activity and exercise (PAE) adherence and identify its influential factors among community-dwelling stroke survivors.Background: Regular PAE after stroke is essential for recovery and secondary prevention, while adherence to PAE and its influential factors are rarely studied. Design:A cross-sectional descriptive study. Methods:In total, 208 stroke survivors (70.25 ± 9.08 years) were randomly selected from three communities. The influential factors of PAE adherence and associations between these variables were explored using multiple linear regression and path analyses. This study adhered to the EQUATOR checklist, STROBE. Results:The mean adherence rate was moderate (62.00%), and stroke survivors tended to be more adherent to PAE than monitoring and seeking advice (70.30%>53.50%>48.30%). The regression results revealed that seven factors were significantly associated with PAE adherence, including knowledge, attitude, self-efficacy, social support, self-care ability, community rehabilitation experience and times since stroke. Furthermore, the path analysis showed that knowledge had a significant indirect positive influence on adherence with self-efficacy as a mediator, while attitude and social support impacted both directly and indirectly with selfefficacy as the mediator. Moreover, self-efficacy had the most substantial direct effect on community-dwelling stroke survivors' PAE adherence. These four variables

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“…S TROKE is one of the leading causes of death and disability, with approximately 42.4 million cases occurring worldwide each year [1]. One common clinical manifestation of stroke survivors is hemiplegia [2], which greatly affects their performance in activities of daily living (ADLs) and brings a heavy burden to their families [3]. Post-stroke rehabilitation is an effective way to improve the ADLs performance [4].…”

Section: Introductionmentioning

confidence: 99%

Automatic Upper-Limb Brunnstrom Recovery Stage Evaluation via Daily Activity Monitoring

Meng

Jiang

Qin

et al. 2022

IEEE Trans. Neural Syst. Rehabil. Eng.

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Motor function assessment is crucial for post-stroke rehabilitation. Conventional evaluation methods are subjective, heavily depending on the experience of therapists. In light of the strong correlation between the stroke severity level and the performance of activities of daily living (ADLs), we explored the possibility of automatically evaluating the upperlimb Brunnstrom Recovery Stage (BRS) via three typical ADLs (tooth brushing, face washing and drinking). Multimodal data (acceleration, angular velocity, surface electromyography) were synchronously collected from 5 upper-limb-worn sensor modules. The performance of BRS evaluation system is known to be variable with different system parameters (e.g., number of sensor modules, feature types and classifiers). We systematically searched for the optimal parameters from different data segmentation strategies (five window lengths and four overlaps), 42 types of features, 12 feature optimization techniques and 9 classifiers with the leave-one-subject-out cross-validation. To achieve reliable and low-cost monitoring, we further explored whether it was possible to obtain a satisfactory result using a relatively small number of sensor modules. As a result, the proposed approach can correctly recognize the stages of all 27 participants using only three sensor modules with the optimized data segmentation parameters (window length: 7s, overlap: 50%), extracted features (simple square integral, slope sign change, modified mean absolute value 1 and modified mean absolute value 2), the feature optimization method (principal component analysis) and the logistic regression classifier. According to the literature, this is the first study to comprehensively optimize sensor configuration and parameters in each stage of the BRS

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Exercise and quality of life after first-ever ischaemic stroke: a two-year follow-up study

Abstract: Exercise is an important modifiable behaviour. Long-term regular mild exercise should be recommended to improve QoL among stroke survivors.

Cited by 13 publications

References 36 publications

Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

The Influential Factors of Adherence to Physical Activity and Exercise among Community‐Dwelling Stroke Survivors: A Path Analysis

Automatic Upper-Limb Brunnstrom Recovery Stage Evaluation via Daily Activity Monitoring

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