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Physiotherapy. 2016 Dec;102(4):327-331. doi: 10.1016/j.physio.2015.10.010. Epub 2015 Dec 1.

Changes in the physical activity of acute stroke survivors between inpatient and community living with early supported discharge: an observational cohort study.

Author information

1
Centre of Excellence in Rehabilitation Research, University of Strathclyde, Glasgow, UK. Electronic address: a.kerr@strath.ac.uk.
2
Centre of Excellence in Rehabilitation Research, University of Strathclyde, Glasgow, UK.
3
Lanarkshire Stroke MCN, Monklands Hospital, Airdrie, UK.

Abstract

OBJECTIVE:

To describe and compare patterns of physical activity among stroke survivors during their hospital stay and community living with early supported discharge.

DESIGN:

Observational cohort study of physical activity before and after early supported discharge.

SETTING:

UK National Health Service stroke units and participants' homes.

PARTICIPANTS:

Forty-one stroke survivors with a mean age of 69 (standard deviation 11) years, and a median Modified Rivermead Mobility Index of 33.5 [interquartile range (IQR) 25.8 to 35.3].

MAIN OUTCOME MEASURES:

The primary outcome measures were time spent in sitting/standing/walking and number of steps taken, as recorded by a physical activity monitor.

RESULTS:

There were statistical differences (P<0.001) for all categories of physical activity. After early supported discharge to the community, participants took more than twice the number of steps {median 474 (IQR 189 to 773) vs. 1193 (IQR 512 to 2856), median difference 636 [95% confidence interval (CI) 262 to 931]} and spent more than double the time in standing [median 51 (IQR 22 to 128) minutes vs. 100 (IQR 51 to 178) minutes, median difference 28 (95% CI 11 to 68)] compared with their hospital stay.

CONCLUSION:

Community living with early supported discharge promoted higher levels of physical activity in medically stable stroke survivors. The near-doubling of activity may serve as a guideline for what is achievable during stroke rehabilitation.

CLINICAL TRIAL REGISTRATION:

Number UKCRN 15472.

KEYWORDS:

Observational study; Physical fitness; Rehabilitation; Stroke; Walking

PMID:
26725003
DOI:
10.1016/j.physio.2015.10.010
[Indexed for MEDLINE]
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