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Published on: August 30, 2016
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Sit to stand activity during stroke rehabilitation
Andy Kerr1, Jesse Dawson2,3, Chris Robertson4
1a Centre of Excellence in Rehabilitation Research, Biomedical Engineering , University of Strathclyde , Glasgow , UK.
Topics in Stroke Rehabilitation
|September 19, 2017
Summary
Stroke patients perform very few sit-to-stand (STS) movements during rehabilitation, often less than frail elderly individuals. This low physical activity may hinder recovery and independence post-stroke.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Physical Therapy
Background:
- The sit-to-stand (STS) movement is crucial for daily independence and is frequently impaired after stroke.
- Understanding the actual practice levels of STS during stroke rehabilitation is essential for optimizing recovery.
- Current rehabilitation practices may not provide sufficient repetitive STS training.
Purpose of the Study:
- To quantify the number of STS movements performed by stroke patients during inpatient rehabilitation.
- To investigate whether patient observation using a physical activity monitor (PAM) influences STS performance.
- To identify factors associated with daily STS variability in stroke survivors.
Main Methods:
- Sixty-one medically stable stroke patients were recruited for a 14-day study.
- Participants were randomized into two groups: wearing a PAM or not.
- STS ability and general mobility were assessed pre- and post-intervention; cognition and baseline mobility were also recorded.
Main Results:
- The monitored group performed an average of 25.00 ± 17.24 daily STS movements.
- Patients needing assistance performed fewer STS (14.29 ± 16.10) than independent individuals (34.10 ± 12.44).
- Overall mobility improved (p=0.002), but STS performance did not significantly change (p=0.053); group allocation had no effect (p=0.158).
Conclusions:
- Stroke patients exhibit low daily STS activity during rehabilitation, below levels seen in other older adult populations.
- This limited activity suggests potential sedentary behavior during rehabilitation, possibly impacting functional recovery.
- Cognition and baseline mobility significantly predict daily STS repetitions, highlighting key targets for intervention.
