A mapping study on physical activity in stroke rehabilitation: Establishing the baseline
Monica Skarin, Anna Sjöholm, Åsa Lundgren Nilsson, Michael Nilsson, Julie Bernhardt, Thomas Lindén
Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 41345 Göteborg, Sweden
Objective: To establish physical activity level, environment and social interaction in routine stroke rehabilitation practice.
Design: Prospective observational study using behavioural mapping.
Methods: Patients at 4 hospital stroke rehabilitation units in Sweden at least 7 days post-stroke were observed over 1 week-day at 10 min intervals between 08.00 h and 17.00 h. At each observation, physical activity, location and people present were ascertained.
Results: Patients (n = 104) had a mean age of 70.3 (standard deviation (SD) 14.4) years. Median time since stroke was 19 (range 7–142) days. Patients were alone for 52% of the day, during this time 7% was spent in standing/walking activities. While with a physiotherapist patients were standing/walking for 43% of the time. Using median regression it was found that the median percentage of time spent in standing/walking was associated with gait independence and age. Gait independence increased the median percentage of time spent in standing/walking by 16.5% (95% confidence interval (CI) 12.1–20.9, p < 0.001), while an increase of 1 year of age reduced the median percentage of time spent in standing/walking by 0.16% (95% CI –0.31 to –0.01, p < 0.05).
Conclusion: Patients had low levels of physical activity and social interaction. This study suggests that there is a huge potential to increase patients’ activity level and augment social interaction above current levels.
Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors.
You need to login/create an account to comment on articles. Click here to login/create an account