Podrobná bibliografie
| Název: |
Exploring physical activity in people after stroke: a substudy of the Falls After Stroke Trial. |
| Autoři: |
Lin, Ingrid, Dean, Catherine M., Glinsky, Joanne V., Clemson, Lindy, Preston, Elisabeth, Graham, Petra L., Scrivener, Katharine |
| Zdroj: |
Disability & Rehabilitation; Jul2025, Vol. 47 Issue 15, p3860-3865, 6p |
| Témata: |
SELF-evaluation, INDEPENDENT living, EXERCISE, SEDENTARY lifestyles, PROBABILITY theory, QUESTIONNAIRES, GAIT in humans, MULTIVARIATE analysis, DESCRIPTIVE statistics, CONTROL groups, PRE-tests & post-tests, STROKE rehabilitation, STROKE patients, COMPARATIVE studies, CONFIDENCE intervals, DATA analysis software, PHYSICAL activity, PSYCHOSOCIAL factors, ACCIDENTAL falls, PHYSICAL mobility |
| Geografický termín: |
NEW South Wales |
| Abstrakt: |
Purpose: The Falls After Stroke Trial (FAST) intervention involves habit-forming functional exercise and mobility practice which may increase physical activity. This substudy of FAST explores physical activity in community-dwelling people after stroke comparing the FAST intervention to usual care. Methods: This study used a subset of 49 participants from a randomised trial. Outcome measures were taken at baseline, 6- and 12-months. The primary outcome was physical activity (step count, upright time and sedentary time, activPAL4™ micro). Results: Thirty-nine participants (80%) had valid primary outcome data at 6 months and 36 participants (73%) at 12 months. Compared to baseline, the experimental group completed 485 (95% CI −434 to 1405) more steps/day than the control group at 6 months and 724 (95% CI −239 to 1667) more steps/day at 12 months; and spent 36 (95% CI −46 to 118) fewer min/day in sedentary behaviour than the control group at 6 months and 34 (95% CI −51 to 119) fewer min/day at 12 months, although the differences were not significant. Conclusions: FAST may improve physical activity more than usual care at 6- and 12-months but results are inconclusive. Further research could be conducted to confirm any benefit in a larger sample. IMPLICATIONS FOR REHABILITATION: Physical activity levels of older community-dwelling people after stroke in the chronic phase are low. Although there is uncertainty, a tailored, multicomponent intervention involving habit-forming functional exercise and mobility practice (FAST) may have a positive impact on physical activity in people after stroke. Rehabilitation clinicians could consider the use of FAST, and in particular habit-forming functional exercise, to support physical activity opportunities in community-dwelling people after stroke. [ABSTRACT FROM AUTHOR] |
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