Sitting and Activity Time in People With Stroke

English, Coralie; Healy, Geneviève N.; Coates, Alison M.; Lewis, Lucy; Olds, Tim; Bernhardt, Julie

doi:10.2522/ptj.20140522

Cited by 160 publications

(136 citation statements)

References 46 publications

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“…Previous studies have shown that people with chronic stroke spend a large proportion of their waking hours sitting each day 26 and around half of all sitting time is accumulated in bouts greater than 30 minutes 26 . The relationship between increased daily sitting time (especially prolonged sitting time) and risk of cardiovascular disease, diabetes and early mortality is well documented 27 .…”

Section: Discussionmentioning

confidence: 99%

Recovery of ambulation activity across the first six months post-stroke

2016

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word count: 245 Word count: 2754 Highlights Stroke survivors increase walking activity over the first 6 months post-discharge.  Stroke survivors increase daily sitting time over the first 6-monts post-discahrge.  Stroke survivors spend least time in long duration and high intensity activity.  Interventions to target activity should be considered 3-months post-discharge. AbstractStroke 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 TM 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.

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Section: Discussionmentioning

confidence: 99%

Recovery of ambulation activity across the first six months post-stroke

2016

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“…It is well known that persons with stroke are less active compared to healthy peers, with around half the daily step count and fitness levels well below the average for their age [5, 6]. Low aerobic capacity has been shown after acquired brain injury (ABI) as well [7].…”

Section: Introductionmentioning

confidence: 99%

“…However, achieving sufficient PA levels for persons with stroke or ABI has proven difficult [9]. Understanding why persons with stroke or ABI are less active than their healthy peers is vital if they are to be supported to meet the recommended levels of PA [5, 8]. Already at an early stage, it is crucial that we understand the barriers and motivators to PA after stroke or ABI [10, 11].…”

Section: Introductionmentioning

confidence: 99%

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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“…Despite the evidence in support of exercise and physical activity in adult neurologic populations, exercise uptake is not consistent 11,24,25 and is limited by significant barriers. 26–28 These include individual safety and fear of falling, low outcome expectation from exercise, lack of time to exercise, and the location at which exercising takes place.…”

Section: Health Promotion and Secondary Prevention In Adult Neurologimentioning

confidence: 99%

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

Quinn

Morgan

2017

Journal of Neurologic Physical Therapy

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Background and Purpose Over the last decade there has been a substantial increase in efforts to better understand how targeted physical activity and exercise interventions can be used to minimize secondary consequences arising from neurological damage in both adult and pediatric populations. This paper overviews contemporary research that address mediators of functional and neuroplastic adaptations to physical activity and exercise, and seeks to highlight the important role that physical therapists can play to increase participation and improve well-being in adults and children with neurological disorders. We further highlight potential strategies to foster translation of evidence-based findings for use by clinicians and consumers. Summary of Key Points Engagement in physical activity can serve as a powerful promoter of health and well-being in adults and youth with neurologic disease, and may have the potential to alter the course of disease processes. Physical therapists can play a key role in promoting fitness and wellness by encouraging active living, providing early diagnosis of disease and prescribing targeted activity interventions to improve fitness and participation and helping individuals overcome personal and environmental barriers to an active lifestyle. Recommendations for Clinical Practice Physical therapists must adopt a model of rehabilitation that emphasizes secondary prevention in adults and youth with neurological diseases. Physical therapists can play a unique role in developing forward-thinking approaches in using innovative health and wellness strategies to promote positive changes in activity and exercise behaviors.

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Sitting and Activity Time in People With Stroke

Abstract: Participants with stroke spent more time sitting and less time in activity than their age-matched peers. Further work is needed to determine whether reducing sitting time is feasible and leads to clinically important reductions in cardiovascular risk in this population.

Cited by 160 publications

References 46 publications

Recovery of ambulation activity across the first six months post-stroke

Recovery of ambulation activity across the first six months post-stroke

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

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

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