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Physical inactivity post-stroke: a 3-year longitudinal study.

Dorit Kunkel1, Carolyn Fitton, Malcolm Burnett

  • 1Faculty of Health Sciences, University of Southampton, Southampton General Hospital , Southampton , UK.

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Post-stroke, individuals spent most of their time inactive. Activity levels, including upright time and steps, significantly improved by one year, though gains slowed later. Poor activity correlated with physical and psychological factors.

Keywords:
Activity levelsstandingstrokewalking

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Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Gerontology

Background:

  • Stroke survivors often experience prolonged inactivity, impacting recovery and long-term health.
  • Understanding activity patterns post-stroke is crucial for developing effective rehabilitation strategies.

Purpose of the Study:

  • To investigate changes in physical activity levels in individuals following a stroke.
  • To identify factors associated with activity levels in stroke survivors over time.

Main Methods:

  • Activity levels were measured using the activPAL™ device in hospital and at 1, 2, and 3 years post-stroke.
  • Participants' demographic, clinical, and functional data were collected and correlated with activity measures.

Main Results:

  • Initially, 94% of time was spent sitting/lying, with activity levels improving significantly by 1 year post-stroke.
  • Time spent upright, standing, and walking increased, while sitting/lying time decreased (p<0.001).
  • Poor activity levels correlated with depression, stroke laterality, visual neglect, and mobility/balance deficits.

Conclusions:

  • Stroke survivors exhibit significant inactivity, with improvements in upright time by 1 year post-stroke, followed by slower progress.
  • Physical and psychological factors are linked to reduced activity levels, highlighting targets for intervention.
  • Larger studies are needed to pinpoint key predictors of activity to optimize rehabilitation outcomes.