Changes in physical activity and related functional and disability levels in the first six months after stroke: A longitudinal follow-up study
Open accessAbstract
OBJECTIVE: To investigate how physical activity changes over the first 6 months after stroke, and how activity is related to function. DESIGN: A longitudinal study with an initial assessment within 14 days after stroke (in hospital) and follow-up assessments 1, 3 and 6 months later (in-patient rehabilitation or at home). SUBJECTS: Patients with acute stroke. METHODS: An accelerometer with a switch tilt was used to measure activity over a period of 24 h on each occasion. The Barthel Index (BI) and Berg Balance Scale (BBS) were applied as functional measures. RESULTS: A total of 28 out of 44 recruited patients were included in the analysis (15 men (53.6%), mean age 79 years). The median time in the upright position increased from 92 min at baseline to 144 min 6 months later. A generalized least-square regression models showed that time in the upright position increased by 2.0 min for every day from baseline to 1 month later (p = 0.003). A single point increase on the BBS was associated with an extra 4.3 min in the upright position (p < 0.001), while a single point increase on the BI was associated with an extra 2.1 min in the upright position (p < 0.001). CONCLUSION: Activity levels are very low during the first 6 months after stroke. However, time in the upright position was found to increase as function improved.
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- Authors
- Askim, T., Bernhardt, J., Churilov, L., Fredriksen, K., & Indredavik, B.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2013
- Volume
- 45
- Issue
- 5
- Pages
- 423-428
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2106947772
- Cited by
- 64
- References
- 25
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 8 · 2022: 9 · 2021: 5 · 2020: 5 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 1
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- stroke, physical activity, accelerometer-measured activity, balance, functional recovery, Barthel Index, Berg Balance Scale, disability, stroke rehabilitation, older adults
- MeSH terms
- Stroke Rehabilitation, Aged, Aged, 80 and over, Female, Follow-Up Studies, Persons with Disabilities, Disabled Persons, Humans, Longitudinal Studies, Male, Middle Aged, Motor Activity, Recovery of Function, Accelerometry
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