Dissertation
Physical activity in people after stroke following discharge from inpatient rehabilitation
University of the Sunshine Coast, Queensland
Doctor of Philosophy, University of the Sunshine Coast
2018
DOI:
https://doi.org/10.25907/00248
Abstract
Stroke survivors are not meeting recommended levels of physical activity. Physical activity is defined as any physical movement that causes energy expenditure due to skeletal muscle contraction. There is consensus that the key modifiable prognostic factors that contribute to post-stroke physical activity levels need to be identified so that new interventions can be developed to target these factors. This thesis focused on the measurement of different aspects of post-stroke physical activity and the identification of modifiable prognostic factors that contribute to physical activity levels amongst stroke survivors. Chapters 2 and 3 synthesised current literature in this area and highlighted the gaps. Chapters 4 and 5 explained the methods to the cross-sectional and the prospective cohort studies in Chapters 6 and 7 respectively. Chapter 3 synthesised the evidence on factors associated with post-stroke physical activity. A systematic search was conducted across nine databases. Observational studies that recruited community-dwelling stroke survivors and measured factors associated with physical activity were included. Quality in Prognosis Studies checklist was used to assess risk of bias. 26 studies were included in the review and a meta-analysis was conducted on factors that had been investigated in at least two studies. The modifiable factors were physical function (meta r = 0.68-0.73; p < 0.001), cardiorespiratory fitness (meta r = 0.35; p = <0.001), fatigue (meta r = -0.22; p = 0.01), falls self-efficacy (meta r = -0.33; p < 0.001), balance self-efficacy (meta r = 0.37; p < 0.001), depression (meta r = -0.58-0.48; p < 0.001) and health-related quality of life (meta r = 0.38-0.43; p < 0.001). The impact of side of infarct, neglect and cognition on post-stroke physical activity were inconclusive. The majority of the studies were cross-sectional and recruited chronic stroke survivors. There is little known about physical activity amongst community-dwelling stroke survivors in the sub-acute phase. There is a need for prospective cohort studies to establish modifiable prognostic factors that contribute to post-stroke physical activity levels.
Details
- Title
- Physical activity in people after stroke following discharge from inpatient rehabilitation
- Authors
- Shamala Thilarajah
- Contributors
- Ross Clark (Supervisor)
- Awarding institution
- University of the Sunshine Coast
- Degree awarded
- Doctor of Philosophy
- Publisher
- University of the Sunshine Coast, Queensland
- DOI
- 10.25907/00248
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English
- Record Identifier
- 99450853402621
- Output Type
- Dissertation
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