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PM R. 2016 Feb;8(2):97-104. doi: 10.1016/j.pmrj.2015.06.011. Epub 2015 Jun 21.

Physical Activity Level Among Stroke Patients Hospitalized in a Rehabilitation Unit.

Author information

1
Laboratoire HAVAE, Faculté des sciences et technique, Université de Limoges, 123, avenue Albert Thomas, 87060, Limoges, France(∗)(†)(‡)(¶)(§)(∗∗). Electronic address: justine.lacroix@etu.unilim.fr.
2
Laboratoire HAVAE, Faculté des sciences et technique, Université de Limoges, 123, avenue Albert Thomas, 87060, Limoges, France(∗)(†)(‡)(¶)(§)(∗∗); CHU Limoges, Hôpital J Rebeyrol, Pôle neuro-sciences tête et cou, Service de médecine physique et de réadaptation, Limoges, France(†)(§).
3
Laboratoire HAVAE, Faculté des sciences et technique, Université de Limoges, 123, avenue Albert Thomas, 87060, Limoges, France(∗)(†)(‡)(¶)(§)(∗∗).

Abstract

BACKGROUND:

The current literature contains little information about the level of physical activity of hospitalized patients who have had a stroke. Improving knowledge in the area could help optimize rehabilitation.

OBJECTIVES:

To determine the level of physical activity of hospitalized patients who have had a stroke to discover if they achieved the recommended 30 minutes of physical activity per day (equivalent to 142 kcal) during sessions of 10 consecutive minutes.

SETTING:

Physical and Rehabilitation Medicine Unit of the Jean Rebeyrol Hospital, Limoges, France.

PARTICIPANTS:

All patients (N = 88) who had sustained a stroke within the previous 6 months were included over a period of 7 months.

MAIN OUTCOME MEASURES:

The duration of physical activity and related energy expenditure were estimated using a SenseWear armband (BodyMedia [Jawbone]). Subjects wore the sensor on the nonparetic arm for 2 consecutive days from 9 am to 4:30 pm, corresponding to the period spent daily on rehabilitation. The Fisher simple correlation test and Mann-Whitney nonparametric test were performed.

RESULTS:

A total of 88 patients aged 66 ± 17 years with a mean poststroke period of 43 ± 34 days and a mean Barthel Index of 61 ± 25/100 were enrolled in the study. Between 9 am and 4:30 pm, patients took part in an average of 23 ± 30 minutes of physical activity (equivalent to 91 ± 122 kcal). Correlations were found between physical activity time in the hospital and physical activity before the stroke occurred (r = 0.345, P < .0001), the Barthel Index (r = 0.284, P = .0002), body mass index (r = -0.440, P < .0001), and time to hospital release (r = -0.183, P = .0194).

CONCLUSION:

It was found that 62% of patients did not achieve the recommended amount of physical activity. Sessions dedicated to physical activity could motivate patients who have had a stroke and help them meet recommendations before leaving the rehabilitation unit.

PMID:
26107540
DOI:
10.1016/j.pmrj.2015.06.011
[Indexed for MEDLINE]

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