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Changes in activity levels in the first month after stroke.

Sharon F Kramer1, Leonid Churilov, Rosalie Kroeders

  • 1Stroke Division, Florey Institute of Neuroscience and Mental Health.

Journal of Physical Therapy Science
|November 22, 2013
PubMed
Summary
This summary is machine-generated.

Patients in acute stroke wards have low activity levels. This pilot study found no significant changes in activity within the first month post-stroke, indicating a need for interventions to promote mobility.

Keywords:
AccelerometryAcute strokePhysical activity

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Research

Background:

  • Stroke is a leading cause of long-term disability.
  • Early mobilization is crucial for stroke recovery.
  • Current activity levels in acute stroke wards are not well-quantified.

Purpose of the Study:

  • To quantify daily activity levels in individuals on an acute stroke ward.
  • To determine if activity levels change within the first month after stroke.

Main Methods:

  • Pilot study involving 16 stroke patients (>18 years, <15 days post-stroke).
  • Activity monitored prospectively over a single day (8 a.m. to 5 p.m.) on two occasions: within 15 days and at 4 weeks post-stroke.
  • Activity categories included: number of transitions, time spent lying, sitting, and in dynamic activity, using electronic devices.

Main Results:

  • Median age of participants was 79.5 years.
  • Stroke severity varied: 56% mild, 31% moderate, 13% severe (NIHSS score).
  • No significant changes observed in the number of transitions, or time spent in dynamic activity, lying, and sitting between the two measurement points.

Conclusions:

  • Activity levels in acute stroke wards are low.
  • Activity levels do not significantly change within the first month post-stroke.
  • Further research is needed to explore interventions to increase mobility in stroke patients.