Different Association between Physical Activity and Physical Function According to Walking Independence in Hospital-Based Rehabilitation Program Patients with Sub-Acute Stroke
Abstract
Objective To investigate the association between physical activity and physical function in ambulatory independent and non-independent patients with sub-acute stroke during hospitalization.Methods This cross-sectional observational study included 107 patients with stroke admitted to a rehabilitation unit. The average daily number of steps taken was considered as physical activity. Physical function was assessed using the 6 min walk test (6MWT), lower limb Fugl-Meyer assessment (FMA), and Berg balance scale (BBS). Walking independence was assessed using the functional ambulation category (FAC). The subjects were divided into a walking independence group (FAC ≥ 4) and a non-independence group (FAC ≤ 3). Multiple regression analysis was used to investigate the relationship between the daily number of steps and physical function in each group.Results The daily number of steps (p < 0.001), lower limb FMA (p < 0.001), 6MWT (p < 0.001), and BBS (p < 0.001) were higher in the independent walking group than in the non-walking group. The daily number of steps in the walking independence group was significantly associated with the 6MWT (standard β = 0.489, p = 0.039). In the non-independence group, the daily number of steps was significantly associated with the BBS (standard β = 0.594, p < 0.001).Conclusion Physical activity was associated with walking endurance in patients with ambulatory independence, even though it was associated with balance function in patients with non-ambulatory independence.
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Non-ambulatory stroke survivors are at the highest risk of inactivity, which is the greatest challenge to the healthcare system.
“In turn, non-ambulatory stroke survivors are at the highest risk of inactivity, which is the greatest challenge to the healthcare system [9,13].”
From Physical Activity, Psychological and Functional Outcomes in Non-Ambulatory Stroke Patients during Rehabilitation—A Pilot Study (2022) · cites this paper as [13]
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- Authors
- Kubo, H., Kanai, M., Nozoe, M., Inamoto, A., Taguchi, A., Mase, K., & Shimada, S.
- Affiliations
- Itami Kousei Neurosurgical Hospital (JP)
- Konan Women's University (JP)
- Corresponding author
- Kubo, Hiroki
- Venue
- Clinical Neurology and Neurosurgery
- Publisher
- Elsevier BV
- Published
- 2022-04
- Volume
- 215
- Pages
- 107202
- ISSN
- 0303-8467 (ISSN-L)
- OpenAlex
- W4220796677
- Cited by
- 8
- References
- 27
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinical Neurology and Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- physical activity, physical function, subacute stroke, walking independence, daily step count, walking endurance, balance function, inpatient stroke rehabilitation, Functional Ambulation Category
- MeSH terms
- Stroke Rehabilitation, Cross-Sectional Studies, Postural Balance, Hospitals, Humans, Walking, Stroke
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