Which impairments, activity limitations and personal factors at hospital discharge predict walking activity across the first 6 months poststroke?
Mahendran, Niruthikha, Kuys, Suzanne S. and Brauer, Sandra G.. (2020) Which impairments, activity limitations and personal factors at hospital discharge predict walking activity across the first 6 months poststroke? Disability and Rehabilitation. 42(6), pp. 763 - 769. https://doi.org/10.1080/09638288.2018.1508513
|Authors||Mahendran, Niruthikha, Kuys, Suzanne S. and Brauer, Sandra G.|
Purpose: To determine which impairments, activity limitations and personal factors at hospital discharge poststroke predict volume, frequency, and intensity of walking activity 1, 3, and 6 months later. Materials and Methods: Prospective longitudinal observational study. Thirty-six people with stroke (71 SD 14 years, 69% male) were recruited at hospital discharge and predictors including fatigue, mood, executive function, walking speed, walking endurance, age, prestroke activity, self-efficacy, and perceived stroke recovery and health were collected. At 1, 3, and 6 months follow-up, participants wore an ActivPAL™ accelerometer to collect measures of walking activity. Results: At 1 month, walking endurance predicted all walking activity (R2 > 0.29, p < 0.01). At 3 months, walking endurance and prestroke activity predicted activity volume and intensity (R2 = 0.46–0.61, p < 0.001), and prestroke activity predicted activity frequency (R2 = 0.31, p = 0.004). At 6 months, age-predicted activity volume and frequency (R2 = 0.34–0.35, p < 0.003), while prestroke activity, discharge walking endurance, and executive function together predicted activity intensity (R2 = 0.79, p < 0.001). Conclusion: Walking endurance contributes to walking activity outcomes across the first 6 months following hospital discharge poststroke. After 1 month of discharge, factors other than poststroke changes also contribute to activity outcomes, and should be considered when targeting poststroke physical activity.
|Keywords||stroke; physical activity; walking; gait; patient discharge; accelerometry|
|Journal||Disability and Rehabilitation|
|Journal citation||42 (6), pp. 763 - 769|
|Publisher||Taylor & Francis|
|Digital Object Identifier (DOI)||https://doi.org/10.1080/09638288.2018.1508513|
|Page range||763 - 769|
|Research Group||School of Allied Health|
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|Place of publication||United Kingdom|
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