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Physical Activity after Stroke: A Systematic Review and Meta-Analysis
Open accessAbstract
Background and Purpose. Physical activity is beneficial after stroke, but it is unclear how active stroke survivors are. This systematic review and meta-analysis sought to determine levels of activity and factors predicting activity. Summary of Review: Methods. MEDLINE (1946 to present) and EMBASE (1980 to present) were systematically searched until July 2012. All studies quantifying whole-body-free living physical activity by objective and self-reported methods in a community dwelling population with stroke were included. A random effect meta-analysis was performed. Results. Twenty-six studies were included ( n=1105 ), of which eleven ( n=315 ) contained sufficient data for meta-analysis. There were heterogeneous designs, measurements, and procedures. The studies generally recruited small samples of high-functioning participants. Level of physical activity was generally low in quantity, duration and intensity. Poorer walking ability, specific sensorimotor functions, and low mood were correlates of low physical activity. Meta-analysis generated an estimate of 4355.2 steps/day (95% CI: 3210.4 to 5499.9) with no significant heterogeneity ( I2 = 0). Conclusions. In high-functioning stroke survivors, physical activity including walking was generally low. Strategies are needed to promote and maintain physical activity in stroke survivors. Research is needed to establish reasons for low physical activity after stroke.
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“Moreover, none of the studies included in Physical Activity after Stroke: A Systematic Review and Meta-Analysis recruited exclusively non-ambulatory patients [15].”
From Physical Activity, Psychological and Functional Outcomes in Non-Ambulatory Stroke Patients during Rehabilitation—A Pilot Study (2022) · cites this paper as [15]
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Metadata
- Authors
- Field, M. J., Gebruers, N., Shanmuga Sundaram, T., Nicholson, S., & Mead, G.
- Affiliations
- University of Edinburgh, Room S1642, Royal Infirmary, Little France Crescent, Edinburgh EH16 4SA, UK
- University of Antwerp (BE)
- Queen Margaret University, Queen Margaret University Drive, Musselburgh EH21 6UU, UK
- Edinburgh Royal Infirmary (GB)
- Corresponding author
- Mead, Gillian
- Venue
- ISRN Stroke
- Publisher
- Hindawi Limited
- Published
- 2013-11-07
- Volume
- 2013
- Pages
- 1-13
- ISSN
- 2090-9454 (ISSN-L)
- OpenAlex
- W2044166982
- Cited by
- 143
- References
- 55
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 14 · 2023: 17 · 2022: 16 · 2021: 13 · 2020: 11 · 2019: 9 · 2018: 13 · 2017: 17 · 2016: 13 · 2015: 6 · 2014: 3 · 2013: 1
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- ISRN Stroke (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- American Heart Association
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Keywords
- physical activity, stroke survivors, walking, step count, physical activity level, walking ability, sensorimotor function, depressive mood, predictors of physical activity, community-dwelling stroke survivors
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