Cited by 143Stroke Rehabilitation and RecoveryPhysical Activity and HealthAcute Ischemic Stroke Management

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

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Field, Matthew J., Gebruers, Nick, Shanmuga Sundaram, Thavapriya, Nicholson, Sarah, Mead, Gillian·2013·ISRN Stroke

DOI 10.1155/2013/464176

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Abstract

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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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
ORCID: Gebruers, Nick
Nicholson, Sarah
Mead, Gillian
Venue: ISRN Stroke
Publisher: Hindawi Limited
Published: 2013-11-07
Volume: 2013
Pages: 1-13
ISSN: 2090-9454 (ISSN-L)
DOI: 10.1155/2013/464176
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
Licence: cc-by
creativecommons.org/licenses/by/3.0/ (unspecified)
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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Physical Activity after Stroke: A Systematic Review and Meta-Analysis

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