Journal article
Modifiable Factors Associated With Poststroke Physical Activity at Discharge From Rehabilitation: Prospective Cohort Study
Physical Therapy, Vol.100(5), pp.818-828
2020
Abstract
Background: People with stroke are not meeting recommended levels of physical activity. The modifiable factors associated with post-stroke physical activity levels need to be identified to develop targeted interventions. Objective: The objective of this study was to investigate the factors at discharge from inpatient rehabilitation that are associated with physical activity levels at 3 months following discharge. Design: This was a prospective cohort study. Methods: Sixty-four people with stroke completed baseline assessments at discharge from inpatient rehabilitation and 55 completed the follow-up 3 months later. The candidate factors (i.e. gait speed, balance, strength, cognition, mood and motivation) were measured at discharge. The primary outcome measure at follow-up was walking related activity (measured by wrist-worn accelerometer). Secondary outcome measures were physical activity participation (Activity Card Sort) and intensity of physical activity (International Physical Activity Questionnaire - Short 7 days). Adjusted separate multivariable linear regression models or proportional odds regression models were used to evaluate the associations between candidate factors and physical activity. Results: Gait speed and balance were associated with all aspects of physical activity. Higher level of intrinsic motivation was also associated with higher physical activity participation. Anxiety demonstrated a significant non-linear relationship with physical activity participation. Limitations: Inclusion of fatigue and individual muscle strength could have provided further insights into associations with steps per day. Conclusion: The results demonstrated that better physical function at discharge from inpatient rehabilitation was associated with future increased levels of physical activity. Additionally, higher levels of motivation impacted on increased physical activity participation. The influence of anxiety on physical activity participation requires further exploration. Mixed-method study designs can be utilized to further understand the factors associated with post-stroke physical activity.
Details
- Title
- Modifiable Factors Associated With Poststroke Physical Activity at Discharge From Rehabilitation: Prospective Cohort Study
- Authors
- Shamala Thilarajah (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - LegacyKelly Bower (Author) - University of MelbournePua Yong Hao (Author) - Singapore General Hospital, SingaporeDawn Tan (Author) - Singapore General Hospital, SingaporeGavin Williams (Author) - University of MelbourneAshfaq Larik (Author) - Singapore General Hospital, SingaporeBok Chek Wai (Author) - Singapore General Hospital, SingaporeGerald Koh (Author) - National University of Singapore, SingaporeRoss Clark (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - Legacy
- Publication details
- Physical Therapy, Vol.100(5), pp.818-828
- Publisher
- Oxford University Press
- Date published
- 2020
- DOI
- 10.1093/ptj/pzaa022
- ISSN
- 0031-9023; 0031-9023
- Copyright note
- Copyright (C) 2020. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Physical Therapy following peer review. The definitive publisher-authenticated version Shamala Thilarajah, Kelly J Bower, Yong-Hao Pua, Dawn Tan, Gavin Williams, Ashfaq Larik, Chek-Wai Bok, Gerald Koh, Ross A Clark, Modifiable Factors Associated With Poststroke Physical Activity at Discharge From Rehabilitation: Prospective Cohort Study, Physical Therapy, Volume 100, Issue 5, May 2020, Pages 818–828 is available online at: https://doi.org/10.1093/ptj/pzaa022
- 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
- 99450847502621
- Output Type
- Journal article
- Research Statement
- false
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