Perceived barriers to physical activity among Nigerian stroke survivors

Idowu, Opeyemi Ayodiipo; Adeniyi, Ade Fatai; Ogwumike, Omoyemi Olubunmi; Fawole, Henrietta O.; Akinrolie, Olayinka

doi:10.11604/pamj.2015.21.274.6669

Cited by 10 publications

(18 citation statements)

References 32 publications

(32 reference statements)

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“…While the results of our study also included perceptions of walking, mentioned motivators and barriers were similar to previous research that investigated perceptions of PA more generally [ 20 , 22 , 23 , 25 ]. Commonly reported internal barriers from the current study, in line with previous research [ 20 , 23 , 25 , 40 ] were; fatigue, fear of falling or getting hurt in traffic, lack of motivation and depression. According to a study from Oregon, USA [ 43 ], persons with a recent brain injury reported; insufficient endurance (29%), feeling self-conscious in a fitness center (25%) and not enough time to engage in PA (21%) as the main personal barriers.…”

Section: Discussionsupporting

confidence: 89%

“…That persons with stroke are aware of the relationship between PA and good physical health have also been confirmed previously [10, 20], even though some studies [25, 40, 41] reported the opposite. For example one study from Chicago (USA) showed that 40% of participants didn´t believe that exercise would improve their condition [25].…”

Section: Discussionsupporting

confidence: 67%

“…Previous studies have reported similar results, since physical and cognitive impairments after stroke are well known to disturb exercise performance and to make exercise more difficult [ 10 , 20 , 23 , 25 , 40 ]. That persons with stroke are aware of the relationship between PA and good physical health have also been confirmed previously [ 10 , 20 ], even though some studies [ 25 , 40 , 41 ] reported the opposite. For example one study from Chicago (USA) showed that 40% of participants didn´t believe that exercise would improve their condition [ 25 ].…”

Section: Discussionsupporting

confidence: 61%

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Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

2017

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BackgroundPhysical activity has been established as being highly beneficial for health after stroke. There are considerable global efforts to find rehabilitation programs that encourage increased physical activity for persons with stroke. However, many persons with stroke or acquired brain injury do not reach recommended levels of physical activity and increased knowledge about why is needed. We aimed to explore views and experiences of physical activity and walking among persons with stroke or acquired brain injury.MethodA qualitative study was conducted, among persons with stroke (n = 8) or acquired brain injury (n = 2) from a rehabilitation unit at Sahlgrenska University Hospital in Sweden. Semi-structured in-depth interviews were held about perceptions and experiences of walking and physical activity in general. Data were analyzed using qualitative content analysis, with categories that were determined inductively.ResultsPhysical activity in general and walking ability more specifically were considered very important by the participants. However, physical activity was, regardless of exercising habits pre-injury, associated with different kinds of negative feelings and experiences. Commonly reported internal barriers in the current study were; fatigue, fear of falling or getting hurt in traffic, lack of motivation and depression. Reported external barriers were mostly related to walking, for example; bad weather, uneven ground, lack of company or noisy or too busy surroundings.ConclusionPersons with stroke or acquired brain injury found it difficult to engage in and sustain an eligible level of physical activity. Understanding individual concerns about motivators and barriers surrounding physical activity may facilitate the work of forming tailor-made rehabilitation for these groups, so that the levels of physical activity and walking can increase.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 67%

Section: Discussionsupporting

confidence: 61%

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Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

2017

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“…These results reinforce the recent literature that indicated that barriers to PA are likely to be critical factors in the regular practice of PA and its maintenance over time [ 37 ]. Several authors have focused on the presence of perceived barriers to PA [ 8 , 49 , 50 ] or to exercise [ 51 , 52 , 53 ] in post-stroke participants. However, none of them studied their association with objectively measured PA and SB.…”

Section: Discussionmentioning

confidence: 99%

Association of Barriers, Fear of Falling and Fatigue with Objectively Measured Physical Activity and Sedentary Behavior in Chronic Stroke

Sánchez-Sánchez

Arnal‐Gómez

Cortés‐Amador

et al. 2021

JCM

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Understanding the fostering factors of physical activity (PA) and sedentary behavior (SB) in post-stroke chronic survivors is critical to address preventive and health interventions. This cross-sectional study aimed to analyze the association of barriers to PA, fear of falling and severity of fatigue encountered by stroke chronic survivors with device-measured PA and SB. Ambulatory community-dwelling post-stroke subjects (≥six months from stroke onset) were evaluated and answered the Barriers to Physical Activity after Stroke Scale (BAPAS), Short Falls Efficacy Scale-International (Short FES-I) and Fatigue Severity Scale (FSS). SB and PA were measured with an Actigraph GT3X+ accelerometer for ≥seven consecutive days. Stepwise multiple linear regression analysis was employed to identify factors associated with PA and SB. Fifty-seven participants (58.2 ± 11.1 years, 37 men) met the accelerometer wear–time criteria (three days, ≥eight h/day). The physical BAPAS score explained 28.7% of the variance of the prolonged sedentary time (β = 0.547; p < 0.001). Additionally, the walking speed (β = 0.452) together with physical BAPAS (β = −0.319) explained 37.9% of the moderate-to-vigorous PA time (p < 0.001). In chronic post-stroke survivors, not only the walking speed but, also, the perceived physical barriers to PA are accounted for the SB and PA. Interventions to reverse SB and to involve subjects post-stroke in higher levels of PA should consider these factors.

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“…2 Lack of time and fatigue are frequently reported as barriers to exercise poststroke. [4][5][6][7][8][9][10] Therefore, it is important to identify types of exercise that target multiple components of fitness concurrently in order to improve efficiency of poststroke exercise programmes.…”

Section: Introduction Background and Rationalementioning

confidence: 99%

Effect of reactive balance training on physical fitness poststroke: study protocol for a randomised non-inferiority trial

et al. 2020

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IntroductionRegular exercise is essential in the chronic phase of stroke recovery for improving or maintaining function, and reducing the risk of a second stroke. To achieve these goals, multiple components of fitness should be targeted with poststroke exercise, including aerobic capacity, strength and balance. However, following the recommended frequency and duration of each component separately can take a long time and lead to fatigue in people with stroke. Therefore, finding types of exercise that target multiple components of fitness all together is valuable.Reactive balance training (RBT) is a novel type of exercise where individuals repeatedly lose their balance in order to practise balance reactions. When people do RBT, they increase their heart rate and exert forces with their leg muscles which could improve aerobic fitness and muscle strength, respectively. This means that RBT could have the potential to improve multiple components of fitness, simultaneously.Methods and analysisThis is a randomised controlled non-inferiority trial with internal pilot study. Participants with chronic stroke will be randomly assigned to one of two groups: (1) RBT or (2) aerobic and strength training (AST). Participants in both groups will complete 1 hour of exercise, three times/week for 12 weeks. The primary objective is to determine the effect of RBT on aerobic capacity and knee muscles’ strength. The secondary objective is to determine the effects of RBT and AST on balance control and balance confidence. We expect to find that RBT is superior to AST in terms of improving balance control and balance confidence, yet not inferior to AST in terms of its effects on aerobic capacity and strength.Ethics and disseminationResearch ethics approval has been received. Results will be disseminated directly to study participants at the end of the trial, and to other stakeholders via publication in a peer-reviewed journal.Trial registration numberNCT04042961.

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Perceived barriers to physical activity among Nigerian stroke survivors

Cited by 10 publications

References 32 publications

Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

Perceptions of physical activity and walking in an early stage after stroke or acquired brain injury

Association of Barriers, Fear of Falling and Fatigue with Objectively Measured Physical Activity and Sedentary Behavior in Chronic Stroke

Effect of reactive balance training on physical fitness poststroke: study protocol for a randomised non-inferiority trial

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