Effect of abnormal body weight on mortality and functional recovery in adults after stroke : An umbrella review

Journal article

Holland, Stephanie A, Wellwood, Ian and Kuys, Suzanne Shanelle. (2024). Effect of abnormal body weight on mortality and functional recovery in adults after stroke : An umbrella review. International Journal of Stroke. 19(4), pp. 397-405. https://doi.org/10.1177/17474930231212972
AuthorsHolland, Stephanie A, Wellwood, Ian and Kuys, Suzanne Shanelle
Abstract

Background: Several published systematic reviews have drawn conflicting conclusions on the effect of abnormal body weight (i.e. being underweight, overweight or obese) on outcomes following stroke. The ‘obesity paradox’ seen in several diseases (wherein obesity, often associated with mortality and morbidity, appears to be protective and improve outcomes) may be evident after stroke, but inconsistent results of existing reviews, and the issue of being underweight, are worth investigating further.

Aims: To better understand the impact of body weight on prognosis after stroke, we aimed to answer the following research question: What is the effect of abnormal body weight (underweight, overweight, or obesity) on mortality and functional recovery in adults after stroke?

Summary of review: We conducted an umbrella review to synthesize existing evidence on the effects of abnormal body weight on stroke outcomes. We searched Cumulated Index to Nursing and Allied Health Literature (CINAHL) Complete, COCHRANE Database of Systematic Reviews, PubMed, Medline, PEDro, and EMBASE Classic + EMBASE, from inception until 28 February 2023. Seven systematic reviews (1,136,929 participants) from 184 primary studies (counting duplicates) were included. While the risk of mortality increases with being underweight (body mass index (BMI) < 18.5 kg/m2), excess body weight (being overweight (BMI = 25–29.9 kg/m2) or obese (BMI > 30 kg/m2)) is associated with reduced mortality. The impact of abnormal body weight on functional recovery is less clear; data from studies of being underweight are associated with poor functional outcomes while those from studies of excess body weight are inconclusive.

Conclusion: Abnormal body weight effects post-stroke outcomes and should be considered in clinical decision-making, prognostic research, and clinical trials of rehabilitation interventions. The “obesity paradox” is evident after stroke, and excess body weight is associated with reduced mortality compared to normal body weight. It is recommended that body weight is routinely recorded for stroke patients, and further research, including well-designed cohort studies with reliable weight data, is needed to further investigate the impact of body weight and distribution on post-stroke outcomes.

Keywordsstroke; body weight; mortality; functional recovery; systematic review; umbrella review
Year01 Jan 2024
JournalInternational Journal of Stroke
Journal citation19 (4), pp. 397-405
PublisherSage Publications Ltd. (UK)
ISSN1747-4930
Digital Object Identifier (DOI)https://doi.org/10.1177/17474930231212972
Web address (URL)https://journals.sagepub.com/doi/10.1177/17474930231212972
Open accessPublished as non-open access
Research or scholarlyResearch
Page range397-405
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Online27 Oct 2023
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Accepted18 Oct 2023
Deposited23 May 2024
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© 2023 World Stroke Organization.

Place of publicationUnited Kingdom
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Early, Frances, Wellwood, Ian, Kuhn, Isla, Deaton, Christi and Fuld, Jonathan. (2018). Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD : A systematic review. The International Journal of Chronic Obstructive Pulmonary Disease. 13, pp. 3571-3586. https://doi.org/10.2147/COPD.S172239
Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist – The Managing Aftercare for Stroke (MAS-I) study
Hotter, Benjamin, Padberg, Inken, Liebenau, Andrea, Knispel, Petra, Heel, Sabine, Steube, Diethard, Wissel, Jörg, Wellwood, Ian and Meisel, Andreas. (2018). Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist – The Managing Aftercare for Stroke (MAS-I) study. European Stroke Journal. 3(3), pp. 237-245. https://doi.org/10.1177/2396987318771174
Activity monitors for increasing physical activity in adult stroke survivor
Elizabeth A. Lynch, Karen Borschmann, Michele Callisaya, N. Fini, Heidi Janssen, Liam Johnson, Taryn M. Jones, Sharon Kramer, Suzanne Kuys, Niruthikha Mahendran, Dawn B. Simpson and Carolie English. (2018). Activity monitors for increasing physical activity in adult stroke survivor. Cochrane Database of Systematic Reviews. (7). https://doi.org/10.1002/14651858.CD012543.pub2
Improving physical activity after stroke via treadmill training and self management (IMPACT): A protocol for a randomised controlled trial
Sandra G. Brauer, Suzanne S. Kuy, Jennifer D. Paratz and Louise Ada. (2018). Improving physical activity after stroke via treadmill training and self management (IMPACT): A protocol for a randomised controlled trial. BMC Neurology. 18(1), pp. 1-8. https://doi.org/10.1186/s12883-018-1015-6
Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention
Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven. (2018). Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention. Chronic Illness. 14(3), pp. 169 - 181. https://doi.org/10.1177/1742395317724849
Activity monitors for increasing physical activity in adult stroke survivors
Lynch, Elizabeth A., Jones, Taryn M., Simpson, Dawn B., Fini, Natalie A., Kuys, Suzanne S., Borschmann, Karen, Kramer, Sharon, Johnson, Liam, Callisaya, Michele L., Mahendran, Niruthikha, Janssen, Heidi and English, Carolie. (2018). Activity monitors for increasing physical activity in adult stroke survivors. Cochrane Database of Systematic Reviews. 2018(7), pp. 1 - 63. https://doi.org/10.1002/14651858.CD012543.pub2
Allied health clinicians using translational research in action to develop a reliable stroke audit tool
Abery, Philip, Kuys, Suzanne, Lynch, Mary, Choy and nancy.lowchoy@acu.edu.au, Nancy Low Choy. (2018). Allied health clinicians using translational research in action to develop a reliable stroke audit tool. Journal of Evaluation in Clinical Practice. 24(4), pp. 718 - 725. https://doi.org/10.1111/jep.12951
Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study
Choolun, Praline, Kuys, Suzanne and Bisset, Leanne. (2018). Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study. Disability and Rehabilitation. 40(3), pp. 259 - 266. https://doi.org/10.1080/09638288.2016.1250167
Allied health weekend service provision in Australian rehabilitation units
Caruana, Erin L., Kuys, Suzanne S. and Brauer, Sandra G.. (2018). Allied health weekend service provision in Australian rehabilitation units. Australasian Journal on Ageing. 37(2), pp. E42 - E48. https://doi.org/10.1111/ajag.12500
Reproducibility, longitudinal validity and interpretability of the Disease Burden Morbidity assessment in people with chronic disease
Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven M.. (2018). Reproducibility, longitudinal validity and interpretability of the Disease Burden Morbidity assessment in people with chronic disease. Chronic Illness. 14(4), pp. 310 - 325. https://doi.org/10.1177/1742395318789469
Increasing efficiency of preclinical research by group sequential designs
Neumann, Konrad, Grittner, Ulrike, Piper, Sophie, Rex, Andre, Florez-Vargas, Oscar, Karystianis, George, Schneider, Alice, Wellwood, Ian, Siegerink, Bob, Ioannidis, John P. A., Kimmelman, Jonathan and Dirnagl, Ulrich. (2017). Increasing efficiency of preclinical research by group sequential designs. PLoS Biology. 15(3), p. Article e2001307. https://doi.org/10.1371/journal.pbio.2001307
Foot Complications in a Representative Australian Inpatient Population
Peter A Lazzarini, Sheree E. Hurn, Suzanne Kuys, Maarten C Kamp, Vanessa Ng, Courtney Thomas, Scott Jen, Jude Wills, Ewan Kinnear, Michael C D'Emden and Lloyd Reed. (2017). Foot Complications in a Representative Australian Inpatient Population. Journal of Diabetes Research. (4138095), pp. 1-12. https://doi.org/10.1155/2017/4138095
Gait outcomes of older adults receiving subacute hospital rehabilitation following orthopaedic trauma: A longitudinal cohort study
Mathew, Saira A., Varghese, Paul N., Kuys, Suzanne S., Heesch, Kristiann C. and McPhail, Steven M.. (2017). Gait outcomes of older adults receiving subacute hospital rehabilitation following orthopaedic trauma: A longitudinal cohort study. BMJ Open. 7(7), pp. 1 - 8. https://doi.org/10.1136/bmjopen-2017-016628
Aquatic exercise training is effective in maintaining exercise performance in trained heart failure patients: A randomised crossover pilot trial
Adsett, Julie, Morris, Norman, Kuys, Suzanne, Hwang, Rita, Mullins, Robert, Khatun, Mohsina, Paratz, Jennifer and Mudge, Alison. (2017). Aquatic exercise training is effective in maintaining exercise performance in trained heart failure patients: A randomised crossover pilot trial. Heart, Lung and Circulation. 26(6), pp. 572 - 579. https://doi.org/10.1016/j.hlc.2016.10.017
Structure and feasibility of extra practice during stroke rehabilitation: A systematic scoping review
Stewart, Claire, McCluskey, Annie, Ada, Louise and Kuys, Suzanne. (2017). Structure and feasibility of extra practice during stroke rehabilitation: A systematic scoping review. Australian Occupational Therapy Journal. 64(3), pp. 204 - 217. https://doi.org/10.1111/1440-1630.12351
A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit
Caruana, Erin L., Kuys, Suzanne S., Clarke, Jane and Bauer, Sandra G.. (2017). A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit. Disability and Rehabilitation. 39(17), pp. 1738 - 1743. https://doi.org/10.1080/09638288.2016.1211181
Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury
Gesch, Janelle, Choy, Nancy L., Weeks, Benjamin, Nascimento, Margarida, Steele, Mike and Kuys, Suzanne. (2017). Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury. Brain Injury. 31(13-14), pp. 1799 - 1806. https://doi.org/10.1080/02699052.2017.1346298
The silent overall burden of foot disease in a representative hospitalised population
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne S., Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott, Wills, Jude, Kinnear, Ewan M., d'Emden, Michael C. and Reed, Lloyd F.. (2017). The silent overall burden of foot disease in a representative hospitalised population. International Wound Journal. 14(4), pp. 716 - 728. https://doi.org/10.1111/iwj.12683
Promoting physical activity after stroke via self-management: A feasibility study
Preston, Elisabeth, Dean, Catherine M., Ada, Louise, Stanton, Rosalyn, Brauer, Sandy, Kuys, Suzanne and Waddington, Gordon. (2017). Promoting physical activity after stroke via self-management: A feasibility study. Topics in Stroke Rehabilitation. 24(5), pp. 353 - 360. https://doi.org/10.1080/10749357.2017.1304876
The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis
Mackay, Christopher P., Kuys, Suzanne S. and Brauer, Sandra G.. (2017). The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis. Neural Plasticity. 2017, pp. 1 - 9. https://doi.org/10.1155/2017/4716197
Social work after stroke : Identifying demand for support by recording stroke patients' and carers' needs in different phases after stroke
Padberg, Inken, Knispel, Petra, Zöllner, Susanne, Sieveking, Meike, Schneider, Alice, Steinbrink, Jens, Heuschmann, Peter U., Wellwood, Ian and Meisel, Andreas. (2016). Social work after stroke : Identifying demand for support by recording stroke patients' and carers' needs in different phases after stroke. BMC Neurology. 16(1), p. Article 111. https://doi.org/10.1186/s12883-016-0626-z
Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study
Mahendran, Niruthikha, Kuys, Suzanne S. and Brauer, Sandra G.. (2016). Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study. Archives of Physical Medicine and Rehabilitation. 97(9), pp. 1465-1472. https://doi.org/10.1016/j.apmr.2016.04.013
Impact of heart rate on admission on mortality and morbidity in acute ischaemic stroke patients – results from VISTA
Nolte, C. H., Erdur, H., Grittner, U., Schneider, A., Piper, S. K., Scheitz, J. F., Wellwood, I., Bath, P. M. W., Diener, H.-C., Lees, K. R. and Endres, M.. (2016). Impact of heart rate on admission on mortality and morbidity in acute ischaemic stroke patients – results from VISTA. European Journal of Neurology. 23(12), pp. 1750-1756. https://doi.org/10.1111/ene.13115
Poor mobility in hospitalized adults of all ages
Mudge, Alison, McRae, Prue, McHugh, Kirstie, Griffin, Lauren, Hitchen, Andrew, Walker, James, Cruickshank, Mark, Morris, Norman R. and Kuys, Suzanne Shanelle. (2016). Poor mobility in hospitalized adults of all ages. Journal of Hospital Medicine. 11(4), pp. 289 - 291. https://doi.org/10.1002/jhm.2536
General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population
Ilango, Sivarajah, Pulle, Ranjeev Chrys, Bell, Jack J. and Kuys, Suzanne Shanelle. (2016). General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population. Australasian Journal on Ageing. 35(1), pp. 42 - 47. https://doi.org/10.1111/ajag.12212
Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne Shanelle, Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott D., Kinnear, Ewan, d'Emden, Michael C. and Reed, Lloyd. (2016). Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study. BMJ Open. 6(6), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-010811
Balance self-efficacy in older adults following inpatient rehabilitation
Kuys, Suzanne S., Donovan, Jacquelin, Mattin, Sarah and Low Choy, Nancy L.. (2015). Balance self-efficacy in older adults following inpatient rehabilitation. International Journal of Rehabilitation Research. 38(2), pp. 167-172. https://doi.org/10.1097/MRR.0000000000000106
Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series
Batten, Heather, Kuys, Suzanne, McPhail, Steven, Varghese, Paulose and Nitz, Jennifer. (2015). Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series. Australian Health Review. 39(1), pp. 76-84. https://doi.org/10.1071/AH14042
A systematic review of axillary web syndrome (AWS)
Yeung, W. M., McPhail, Steven M. and Kuys, Suzanne Shanelle. (2015). A systematic review of axillary web syndrome (AWS). Journal of Cancer Survivorship. 9(4), pp. 576 - 598. https://doi.org/10.1007/s11764-015-0435-1
Comparison of sit-to-stand strategies used by older adults and people living with dementia
Dolecka, Urszula, Ownsworth, Tamara and Kuys, Suzanne. (2015). Comparison of sit-to-stand strategies used by older adults and people living with dementia. Archives of Gerontology and Geriatrics. 60(3), pp. 528 - 534. https://doi.org/10.1016/j.archger.2014.12.007
Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis
Lazzarini, Peter A., Hurn, Sheree E., Fernando, Malindu E., Jen, Scott D., Kuys, Suzanne S., Kamp, Maarten C. and Reed, Lloyd F.. (2015). Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis. BMJ Open. 5(11), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-008544
Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study
Hayward, Kathryn, Kuys, Suzanne, Barker, Ruth and Brauer, Sandra. (2014). Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study. NeuroRehabilitation. 34(4), pp. 773 - 779. https://doi.org/10.3233/NRE-141076
Gait speed in ambulant older people in long term care : A systematic review and meta-analysis
Kuys, Suzanne, Peel, Nancye, Klein, Kerenaftali, Slater, Alexandra and Hubbard, Ruth. (2014). Gait speed in ambulant older people in long term care : A systematic review and meta-analysis. Journal of the American Medical Directors Association (JAMDA) (print). 15(3), pp. 194 - 200. https://doi.org/10.1016/j.jamda.2013.10.015
The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan M., Kamp, Maarten C., Kuys, Suzanne S., Hurst, Cameron and Reed, Lloyd F.. (2014). The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease? Journal of Foot and Ankle Research. 7(7), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan, Kamp, Maarten C., Kuys, Suzanne Shanelle, Hurst, Cameron and Reed, Lloyd. (2014). The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease? Journal of Foot and Ankle Research. 7(1), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
Use and validation of the balance outcome measure for elder rehabilitation in acute care
Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne Shanelle, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA)
Gesch, Janelle, Low Choy, Nancy, Weeks, Benjamin, Passier, Leanne, Nascimento, Margarida, Haines, Terry and Kuys, Suzanne. (2014). Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA). Brain Impairment. 15(2), pp. 132 - 145. https://doi.org/10.1017/BrImp.2014.13
Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011
Kuys, Suzanne Shanelle, Bew, Paul, Lynch, Mary and Brauer, Sandy. (2014). Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011. Archives of Physical Medicine and Rehabilitation. 95(4), pp. 741 - 746. https://doi.org/10.1016/j.apmr.2013.12.008
The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation
Tyack, Zephanie, Frakes, Kerrie-Anne, Cornwell, Petrea, Kuys, Suzanne, Barnett, Adrian and McPhail, Steven. (2013). The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation. BMC Health Services Research. 13(410), pp. 1 - 7. https://doi.org/10.1186/1472-6963-13-410
Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study
Constantinou, Maria and Kuys, Suzanne. (2013). Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study. Physiotherapy (print). 99(1), pp. 49 - 55. https://doi.org/10.1016/j.physio.2011.12.002
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne Shanelle, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne Shanelle. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne Shanelle. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne Shanelle. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(12), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(1), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
Activity level of hospital medical inpatients: An observational study
Kuys, Suzanne S., Dolecka, Urszula E. and Guard, Amanda. (2012). Activity level of hospital medical inpatients: An observational study. Archives of Gerontology and Geriatrics. 55(2), pp. 417 - 421. https://doi.org/10.1016/j.archger.2012.02.008
Can Wii work it out?
Cyarto, Elizabeth V., Kuys, Suzanne, Henwood, Tim R. and Blackberry, Irene. (2011). Can Wii work it out? Telecommunications Journal of Australia. 61(3), pp. 37.1 - 37.12.
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne S., Brauer, Sandra G. and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Appropriate seating for medical patients: An audit
Kuys, Suzanne, Dolecka, Urszula and Morrison, Carol. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings
Morrison, Gregory, Lee, Huang-Ling, Kuys, Suzanne, Clarke, Jane, Bew, Paul and Haines, Terry. (2011). Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings. Disability and Rehabilitation. 33(11), pp. 900 - 907. https://doi.org/10.3109/09638288.2010.514019
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation. Disability and Rehabilitation. 33(19-20), pp. 1848 - 1853. https://doi.org/10.3109/09638288.2010.549895
Appropriate seating for medical patients: An audit
Kuys, Suzanne S., Dolecka, Urszula E. and Morrison, Carol A.. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial
Kuys, Suzanne, Hall, Kathleen, Peasey, Maureen, Wood, Michelle, Cobb, Robyn and Bell, Scott. (2011). Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial. Journal of Physiotherapy. 57(1), pp. 35 - 40. https://doi.org/10.1016/S1836-9553(11)70005-4
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne Shanelle. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study
Haines, Terry, Kuys, Suzanne, Clarke, Jane, Morrison, Gregory and Bew, Paul. (2011). Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study. Journal of Evaluation in Clinical Practice. 17(1), pp. 136 - 142. https://doi.org/10.1111/j.1365-2753.2010.01380.x
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928