4.6 Article Proceedings Paper

Two Days of Measurement Provides Reliable Estimates of Physical Activity Poststroke: An Observational Study

Journal

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume 100, Issue 5, Pages 883-890

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2018.10.006

Keywords

Exercise; Physical activity; Rehabilitation; Reliability; Stroke

Funding

  1. National Heart Foundation of Australia Postgraduate Scholarship [PP 12M 6983]
  2. Australian Government Research Training Program Scholarship
  3. Caulfield Hospital Major Research Grant
  4. Caulfield Hospital Research Publications Grant

Ask authors/readers for more resources

Objective: The aim of this study was to determine the duration of physical activity (PA) monitoring required for reliable measurements following stroke. Design: Single-center, prospective, observational study. Setting: PA was measured in a community setting. Participants: Adults (N = 70) poststroke. Main Outcome Measures: The SenseWear armband was used to monitor PA for 5 days (>= 10 hours wear per day). Data Analysis: Variance among 2, 3, 4, and 5 days of consecutive measurements for PA variables was examined using intraclass correlation coefficients (ICCs). The minimum number of days to achieve acceptable reliability (ICC >= 0.8) was calculated. Differences between weekdays and weekend days were investigated using paired t tests and Wilcoxon signed rank tests. Results: Two days of measurement was sufficient to achieve an ICC >= 0.8 for daily averages of total energy expenditure, step count, and time spent sedentary (<= 1.5 metabolic equivalent tasks [METs]) and in light (1.5-3 METs) and moderate- to vigorous-intensity (>3 METs) PA. At least 3 days were required to achieve an ICC >= 0.8 when investigating the number of and time spent in bouts (>= 10 minutes) of moderate to vigorous PA and sedentary behavior. Participants took significantly more steps (P = .03) and spent more time in light PA (P = .03) on weekdays than weekends. Conclusion: Following stroke, 2 days of measurement appears sufficient to represent habitual PA for many simple variables. Three or more days may be necessary for reliable estimates of bouts of PA and sedentary behavior. Consistent inclusion or exclusion of a weekend day is recommended for measuring step count and light PA. Short periods of monitoring provide reliable PA information and may make PA measurement more feasible in the clinical setting. (C) 2018 by the American Congress of Rehabilitation Medicine

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Rehabilitation

Prescribing walking training in interstitial lung disease from the 6-minute walk test

Atsuhito Nakazawa, Leona M. Dowman, Narelle S. Cox, Danny J. Brazzale, Christine F. McDonald, Catherine J. Hill, Annemarie Lee, Anne E. Holland

Summary: This study investigates whether walking training prescribed at 80% of the average speed of the 6-minute walk test is suitable for pulmonary rehabilitation (PR) for individuals with interstitial lung disease (ILD). The results show that walking training at this intensity can provide adequate exercise training for PR in ILD patients.

PHYSIOTHERAPY THEORY AND PRACTICE (2023)

Article Rehabilitation

Self-evaluation of personal needs by community-living young stroke survivors using an online English language questionnaire

David Sapuppo, Julie Bernhardt, Lilian B. Carvalho, Leonid Churilov, Vincent Thijs

Summary: This study aimed to identify the factors, burden, and significance of unmet needs in young community-living stroke survivors. The results indicated a high burden of unmet needs in domains such as impairments from stroke, finances, and social participation.

DISABILITY AND REHABILITATION (2023)

Article Rehabilitation

Post-operative, inpatient rehabilitation after lung transplant evaluation (PIRATE): A feasibility randomized controlled trial

Benjamin J. Tarrant, Elizabeth Quinn, Rebecca Robinson, Megan Poulsen, Louise Fuller, Greg Snell, Bruce R. Thompson, Brenda M. Button, Anne E. Holland

Summary: This study aimed to establish the feasibility and safety of intensive acute physiotherapy post-lung transplantation. The results showed that acute, intensive physiotherapy was feasible and safe, with no intervention-related adverse events observed.

PHYSIOTHERAPY THEORY AND PRACTICE (2023)

Article Neurosciences

Functional Gait Disorders: Clinical presentations, Phenotypes and Implications for treatment

Sara Issak, Richard Kanaan, Glenn Nielsen, Natalie A. Fini, Gavin Williams

Summary: Functional Gait Disorders (FGD) are a common presentation of motor-Functional Neurological Disorders (motor-FND) that affect walking ability. This narrative review provides an overview of the current literature on FGD, including the various phenotypes and clinical manifestations. Motor symptoms and non-motor symptoms contribute to the disability and distress in FGD, and multidisciplinary rehabilitation has shown short and long-term improvements in walking ability.

BRAIN INJURY (2023)

Article Clinical Neurology

A phase III, multi-arm multi-stage covariate-adjusted response-adaptive randomized trial to determine optimal early mobility training after stroke (AVERT DOSE)

Julie Bernhardt, Leonid Churilov, Helen Dewey, Geoffrey Donnan, Fiona Ellery, Coralie English, Lan Gao, Kathryn Hayward, Frances Horgan, Bent Indredavik, Hannah Johns, Peter Langhorne, Richard Lindley, Sheila Martins, Md Ali Katijjahbe, Sandy Middleton, Marj Moodie, Jeyaraj Pandian, Brooke Parsons, Thompson Robinson, Velandai Srikanth, Vincent Thijs

Summary: This study aims to define the optimal early mobility intervention for ischemic stroke patients with mild and moderate severity. The hypotheses are that the optimal dose regimen will result in less disability, fewer deaths, fewer complications, faster recovery of walking, and better quality of life. The importance score of this study is 8 out of 10.

INTERNATIONAL JOURNAL OF STROKE (2023)

Article Clinical Neurology

Cognitive Deficits After Stroke

Steven C. Cramer, Lode G. Richards, Julie Bernhardt, Pamela Duncan

Summary: Cognition is a fundamental aspect of human existence and brain function. Stroke often leads to cognitive deficits, which can significantly impact poststroke functional recovery. Recent advancements in understanding cognitive functions in healthy individuals hold promise for improving our understanding and treatment of poststroke cognitive impairments. This article provides five reviews on commonly observed cognitive syndromes after stroke, including neglect, aphasia, apraxia, loss of executive function, and memory disorders. These reviews discuss key questions and gaps in knowledge, emphasizing the need for improved measurement tools, insights into the pathophysiology of symptom onset and recovery mechanisms, and validated biomarkers. Overall, these state-of-the-art summaries facilitate progress towards better understanding and management of poststroke cognitive impairments.

STROKE (2023)

Article Respiratory System

Treatable traits: a comprehensive precision medicine approach in interstitial lung disease

Yet H. Khor, Vincent Cottin, Anne E. Holland, Yoshikazu Inoue, Vanessa M. McDonald, Justin Oldham, Elisabetta A. Renzoni, Anne Marie Russell, Mary E. Strek, Christopher J. Ryerson

Summary: Interstitial lung disease (ILD) is a diverse group of lung conditions that cause inflammation and fibrosis, resulting in significant morbidity and mortality. Beyond the lungs, various factors influence symptoms, quality of life, disease progression, and survival in ILD patients. This article explores the potential application of the treatable traits approach in ILD, which focuses on individualized assessment and targeted interventions for specific traits. The authors propose a framework of treatable traits in ILD and suggest key research directions for advancing patient care and health outcomes.

EUROPEAN RESPIRATORY JOURNAL (2023)

Article Rehabilitation

Pulmonary Telerehabilitation for People With Chronic Obstructive Pulmonary Disease in Brazil: A Mixed-Methods Feasibility Study

Luis H. G. Neves, Carla Malaguti, Marissa R. Santos, Laura A. Cabral, Laura B. D. da Silva, Hugo H. de Oliveira, Alessa S. S. Brugiolo, Anderson Jose, Anne E. Holland, Cristino C. Oliveira

Summary: This study evaluated the feasibility, acceptability, implementation, practicality, and adaptation of pulmonary telerehabilitation (PTR) for people with Chronic Obstructive Pulmonary Disease (COPD) in Brazil. The study found that most participants had good acceptability, implementation, and practicality of PTR sessions. Younger age and higher education were associated with greater acceptability of PTR.

INTERNATIONAL JOURNAL OF TELEREHABILITATION (2023)

Article Respiratory System

Understanding patient experience of chronic cough in interstitial lung disease

Jennifer M. V. Mann, Anne E. Holland, Nicole S. L. Goh, Yet H. Khor

Summary: Chronic cough is a common and burdensome symptom in patients with interstitial lung disease (ILD). This study aimed to explore the characteristics and impacts of chronic cough in ILD patients. Patients experienced a spectrum of cough severity and characteristics, with physical, social, and emotional impacts contributing to symptom burden. Management strategies included various approaches such as medication, throat lozenges, and relaxation exercises. The findings highlight the need for further information and education on chronic cough in ILD patients.

ERJ OPEN RESEARCH (2023)

Letter Respiratory System

Moderate-vigorous physical activity and all-cause mortality in COPD: could bouts matter?

Narelle S. Cox, Angela T. Burge, Anne E. Holland

ERJ OPEN RESEARCH (2023)

Editorial Material Respiratory System

Palliative care in COPD and ILD: a call for action

Marlies Wijsenbeek, Claudia Valenzuela, Anne Holland

EUROPEAN RESPIRATORY JOURNAL (2023)

Article Clinical Neurology

Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot)

Coralie English, Emily R. Ramage, John Attia, Julie Bernhardt, Billie Bonevski, Meredith Burke, Margaret Galloway, Graeme J. Hankey, Heidi Janssen, Richard Lindley, Elizabeth Lynch, Chris Oldmeadow, Catherine M. Said, Neil J. Spratt, Karly Zacharia, Lesley MacDonald-Wicks, Amanda Patterson

Summary: This study tested the feasibility and safety of a 6-month telehealth intervention to increase physical activity and improve diet quality. The results showed that the intervention was safe and feasible and may have led to significant behavior change.

INTERNATIONAL JOURNAL OF STROKE (2023)

Editorial Material Clinical Neurology

Improving Access to, and Quality of, Stroke Rehabilitation

Julie Bernhardt, Pamela W. Duncan, Elizabeth A. Lynch

STROKE (2023)

Review Respiratory System

Holistic management of patients with progressive pulmonary fibrosis

Ana Oliveira, Gaia Fabbri, Thomas Gille, Elena Bargagli, Boris Duchemann, Rachel Evans, Hilary Pinnock, Anne E. Holland, Elisabetta Renzoni, Magnus Ekstrom, Steve Jones, Marlies Wijsenbeek, Anh Tuan Dinh-Xuan, Guido Vagheggini

Summary: This article summarizes the main needs of patients with progressive pulmonary fibrosis (PF) and their caregivers and proposes a supportive care approach. Personalized care, education, emotional and psychological support, specialized treatments, and better access to information and resources are necessary. Treatment should start at diagnosis and be tailored to the patient's needs, including individualized pharmacological and non-pharmacological interventions such as oxygen therapy and pulmonary rehabilitation.

BREATHE (2023)

Review Respiratory System

Treatable traits models of care

Vanessa M. Mcdonald, Anne E. Holland

Summary: Treatable traits is a personalized approach to the management of respiratory disease, involving a multidimensional assessment and targeted treatment for clinically relevant traits. It is recommended in various areas of respiratory and immunology medicine, and different care models have been proposed for different diseases and healthcare settings.

RESPIROLOGY (2023)

No Data Available