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How Adults With Stroke Conceptualize Physical Activity: An Exploratory Qualitative Study.

Ryan R Bailey1, Jennifer L Stevenson2

  • 1Ryan R. Bailey, PhD, OTR/L, is Assistant Professor, Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City; ryan.bailey@health.utah.edu. At the time of the study, Bailey was Postdoctoral Fellow, Brown School at Washington University in St. Louis, St. Louis, MO.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 3, 2021
PubMed
Summary
This summary is machine-generated.

Adults with stroke conceptualize physical activity (PA) broadly, including exercise, daily tasks, and avoiding sedentary behavior. Understanding these perceptions can help create effective interventions to increase post-stroke PA.

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Area of Science:

  • Neurorehabilitation
  • Physical Therapy
  • Public Health

Background:

  • Physical activity (PA) is crucial for physical and cardiovascular health post-stroke but often challenging due to impairments.
  • Understanding how stroke survivors perceive PA is vital for developing targeted interventions.
  • Current understanding of post-stroke PA conceptualization requires further exploration.

Purpose of the Study:

  • To explore the conceptualization of physical activity (PA) among adults living with chronic stroke.
  • To identify key themes in how stroke survivors perceive and define physical activity.

Main Methods:

  • Phenomenological qualitative study design.
  • Conducted semistructured interviews with 15 community-dwelling adults with chronic stroke (>6 months).
  • Utilized inductive content analysis to identify emergent themes.

Main Results:

  • Three primary themes of PA conceptualization emerged: 1) Moderate-to-vigorous PA (exercise, sports), 2) PA for daily activities (ADLs, occupations), and 3) Avoiding sedentary behavior (reducing sitting time, boredom).
  • Participants held a broad view of PA, integrating various activity types.
  • A desire to avoid sedentary behavior was a significant component of their PA conceptualization.

Conclusions:

  • Stroke survivors' broad conceptualization of PA, including exercise, daily tasks, and reduced sedentary time, offers opportunities for intervention.
  • Interventions should align with and enhance these diverse PA perceptions to promote greater activity levels.
  • Harnessing these varied perceptions could improve cardiometabolic health and functional outcomes in adults post-stroke.