Physical Activity after Stroke: A Systematic Review and Meta-Analysis

Field, Matt; Gebruers, Nick; Sundaram, Thavapriya Shanmuga; Nicholson, Sarah; Mead, Gillian

doi:10.1155/2013/464176

Cited by 113 publications

(92 citation statements)

References 52 publications

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“…Balance disorders, sensation loss, pain, and psychological and cognitive failures could be also reasons for a low PA level after stroke (3). Interestingly, the PA level is also low among high-functioning stroke patients (4). As PA was observed to reduce the risk of recurrent stroke and stroke severity, there are some scientific recommendations indicating the PA as a method for the secondary prevention of stroke (4,5).…”

Section: Introductionmentioning

confidence: 99%

“…Interestingly, the PA level is also low among high-functioning stroke patients (4). As PA was observed to reduce the risk of recurrent stroke and stroke severity, there are some scientific recommendations indicating the PA as a method for the secondary prevention of stroke (4,5). It is known that regular PA can decrease the adverse effects of sedentary lifestyles such as cardiovascular diseases, falls, and depression after stroke (6,7).…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Hüseyinsinoğlu

Aslan

Tarakçı

et al. 2017

Arch Neuropsychiatr

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Introduction: Physical inactivity is an important risk factor for stroke and stroke recurrence. There is insufficient knowledge about the physical activity (PA) level in stroke patients who are ambulatory in the subacute phase. Our aim was to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate neuropsychological factors that could affect the PA level in the same stroke group.Methods: Eighty-five subacute stroke patients and 58 healthy subjects were included. Patients' demographic features, disease-related features, and comorbidities were recorded. The PA level was assessed by the International Physical Activity Questionnaire-Short Version and a pedometer (OMRON Walking style II). The Apathy Rating Scale was applied to determine the apathy level. Depression level was investigated by the Geriatric Depression Scale. The standardized Mini-mental State Examination was performed to assess the cognitive status.Results: The PA level was significantly higher in the healthy group than in the stroke group (p<0.001).Step count and walking distance were significantly higher in healthy group (p=0.001 and p=0.04, respectively). The PA level of men was significantly higher than that of women (p=0.03). Participants who were classified as level 4 had a lower PA level than those who were classified as level 5 according to the Functional Ambulation Category. There was no relationship between the PA level and the apathy, cognitive, and depression levels in the stroke patients (p>0.05). Conclusion:Subacute stroke patients have a lower PA level than healthy subjects. This is not related to neuropsychological factors. The reasons for minor deficits related to ambulation should be researched further while developing strategies for increasing the PA level of subacute stroke patients.Keywords: Stroke, apathy, depression, cognition, physical activity ABSTRACT 155level cannot be explained only by loss of motor function, psychological and cognitive factors have been proposed to analyze (13,14). In light of these findings, we aimed to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate the demographic features and disease-related and neuropsychological factors that could affect the PA level in the same stroke group. We hypothesized that the PA level of ambulatory subacute stroke patients would be less than that of healthy subjects. We further hypothesized that the PA level would be affected by neuropsychological factors in the same population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Hüseyinsinoğlu

Aslan

Tarakçı

et al. 2017

Arch Neuropsychiatr

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show abstract

“…11 People with other chronic diseases, such as chronic pulmonary obstructive disease, have reported as few as 2237 steps a day. 12 The medical establishment, including the American Heart Association, recommends 10 000 steps a day, which is not easily achievable through routine daily activities, and requires additional effort even by healthy individuals.…”

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confidence: 99%

Aerobic, Resistance, and Cognitive Exercise Training Poststroke

Tiozzo

Youbi

Dave

et al. 2015

Stroke

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“…At follow-up, the effects of exercise declined and there were no significant ESs on both sub domains of HRQOL. 14 had done a Systematic Review and Meta-analysis on Physical Activity after Stroke from 26 articles (n=1105), of which 11 (n=315) contained sufficient data for meta-analysis. Steps and Activity Counts Mean number of steps per day ranged from 1,389 ( = 79) to 7,379.…”

Section: Resultsmentioning

confidence: 99%