scholarly journals A Case Report Exploring Activity Intensity in Inpatient Rehabilitation after Stroke

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Kathryn Zalewski ◽  
Julie Kerk ◽  
Kristina Laundre ◽  
Amber Wacek ◽  
Melissa Wiedmeyer
Keyword(s):  
Physical Activity ◽  
Case Report ◽  
Stroke Rehabilitation ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Rehabilitation Unit ◽  
Physical Demand ◽  
Low Intensity ◽  
Activity Intensity ◽  
The Us

Background and Purpose. Inpatient rehabilitation in countries other than the United States (US) has been described as a time where patients are often not engaged in intensive physical activity. The purpose of this case report is to explore the amount and intensity of physical activity provided in inpatient rehabilitation after stroke in the US.Methods. This study presents a case report of a person admitted to an inpatient rehabilitation unit after sustaining a first stroke. A customized data collection tracked type of activity, activity intensity and social interaction every 5 minutes during the rehabilitation day.Results. 74 percent of the day was spent in low intensity, often seated, physical activity; 14% of the day was spent resting or sleeping. Only 2.91% the day was spent in moderate or high intensity activity with a mobility focus.Conclusions. Consistent with other studies, this case report suggests a relatively low physical demand to rehabilitation delivered in inpatient stroke rehabilitation. This case begins to raise questions about optimized rehabilitation parameters for acute stroke rehabilitation.

Predicting Substance Use from Physical Activity Intensity in Adolescents

2004 ◽  
Vol 16 (3) ◽  
pp. 277-289 ◽  
Author(s):  
Kerri McCaul ◽  
Joseph Baker ◽  
John K. Yardley
Keyword(s):  
Physical Activity ◽  
Substance Use ◽  
Alcohol Use ◽  
Positive Relationship ◽  
Activity Type ◽  
Physical Activity Intensity ◽  
Individual Activity ◽  
Low Intensity ◽  
Activity Intensity ◽  
Negative Relationships

Adolescence is characterized as a period of change and adaptation typically marked by a decline in physical activity participation and accompanied by an increase in substance use. The purpose of this study was to examine the relationships among the type (team and individual activity) and intensity (high, medium, and low intensity) of physical activity and substance use (tobacco, marijuana, and alcohol use, and binge drinking) in a sample of 738 adolescents. Results indicated differing relationships among study variables depending on the type and intensity of physical activity and the type of substance used For instance, a positive relationship was found for physical activity intensity and alcohol use, but negative relationships were found for physical activity and tobacco and marijuana use. Collectively, the results reveal that the relationships between physical activity type and intensity and substance use are more complex than previously believed.

scholarly journals The Perceptions of Physical Activity in the Somali Community of the Twin Cities of Minnesota [University of Minnesota, Twin Cities]

2019 ◽  
Author(s):  
Sumaya Hassan Noor ◽  
Fahima Osman ◽  
Sarah Reddy Tummala
Keyword(s):  
Physical Activity ◽  
Well Being ◽  
The United States ◽  
Twin Cities ◽  
Activity Levels ◽  
University Of Minnesota ◽  
Structured Interviews ◽  
Community Centers ◽  
Adult Participants ◽  
The Us

This qualitative research investigates the perceptions of physical activity held by Muslim Somali men and women in the Twin Cities of Minnesota. Following the civil war in Somalia in the early 90s, Minnesota received a large influx of Somali-identified people who eventually formed the largest Somali community in the country. As members of this community, we have observed the wide array of beliefs in how Somali people view physical activity and its importance. Little information exists in the literature about the physical activity levels of Somali-identified people since most of this health information is categorized by race. Semi-structured interviews were conducted in Spring 2018 with participants recruited from local college campus’, mosques, and community centers. Questions probed at how factors such as age, gender, and immigration status impact physical activity. A total of eighteen adult participants were interviewed, eight males and ten females. Data analysis of transcripts included data reduction, conclusion drawing, and verification, using at least two independent reviewers at each stage to protect against bias. Preliminary results demonstrate that most participants conveyed that their religion and culture promote health, but may hinder rates of physical activity. Results also show that changes in lifestyle between Somalia and the US have a direct effect on the decreased rates of physical activity. Immigrant participants listed a different set of needs upon coming to the United States, and physical activity did not rank highly on that list for most. Implications for practice will be discussed, including the need for culturally relevant health promotion as a means of adaptation into the westernized culture and the need for interventions that allow students to incorporate physical well-being with their studies.

scholarly journals Income-based inequalities in self-reported moderate-to-vigorous physical activity among adolescents in England and the United States: a cross-sectional study

2020 ◽  
Author(s):  
Shaun Scholes ◽  
Jennifer S Mindell
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Vigorous Physical Activity ◽  
The United States ◽  
Cross Sectional Study ◽  
High Income ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Us ◽  
Low Income Households

Objective: Quantify inequalities in self-reported moderate-to-vigorous physical activity (MVPA) in England and the United States (US). Design: Population-based cross-sectional study. Participants: 4019 adolescents aged 11-15 years in England (Health Survey for England 2008, 2012, 2015) and 4312 aged 12-17 years in the US (National Health and Nutrition Examination Survey 2007-16). Main outcome measures: Three aspects of MVPA: (1) doing any, (2) average min/day (MVPA: including those who did none), and (3) average min/day conditional on participation (MVPA-active). Using hurdle models, we quantified inequalities (average marginal effects: AMEs) using the absolute difference in marginal means. Results: In England, adolescents in high-income households were more likely than those in low-income households to have done any formal sports/exercise in the last seven days (boys: 11%; 95% CI: 4% to 17%; girls: 13%; 95% CI: 6% to 20%); girls in high-income households did more than their low-income counterparts (MVPA: 6 min/day, 95% CI: 2 to 9). Girls in low-income households spent more time in informal activities than girls in high-income households (MVPA: 21 min/day; 95% CI: 10 to 33), whilst boys in low-income versus high-income households spent longer in active travel (MVPA: 21 min/week; 95% CI: 8 to 34). In the US, in a typical week, recreational activity was greater among high-income versus low-income households (boys: 15 min/day; 95% CI: 6 to 24 min/day; girls: 19 min/day; 95% CI: 12 to 27). In contrast, adolescents in low-income versus high-income households were more likely to travel actively (boys: 11%; 95% CI: 3% to 19%; girls: 10%; 95% CI: 3% to 17%) and do more. Conclusions: Policy actions and interventions are required to increase MVPA across all income groups in England and the US. Differences in formal sports/exercise (England) and recreational (US) activities suggest that additional efforts are required to reduce inequalities.

scholarly journals Aphasia Rehabilitation Service Delivery in a Stroke Rehabilitation Unit in Australia: A Clinical Audit of Speech Pathology Practices

2016 ◽  
Author(s):  
Laleh Rej ◽  
Sebastian Doeltgen ◽  
Amy Rodriguez ◽  
Willem van Steenbrugge
Keyword(s):  
Service Delivery ◽  
Clinical Guidelines ◽  
Stroke Rehabilitation ◽  
Best Practice ◽  
Clinical Audit ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Speech Pathology ◽  
Rehabilitation Unit ◽  
Retrospective Audit

Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted to inpatient rehabilitation at an average of 21 days post stroke, 2 days beyond the AROC benchmark for inpatient rehabilitation. The mean length of stay of patients with aphasia was 60 days, significantly longer than the average AROC benchmark of 32.8 days. Patients received an average of 4.25 hours of speech pathology therapy per week, more than twice the minimum amount of therapy time recommended by the NSF Guidelines. Conclusion: The current clinical audit is the first known speech pathology audit investigating adherence to stroke and aphasia rehabilitation guidelines set forth by the NSF clinical guidelines and AROC benchmarks in Australia. By comparing current care with advocated best practice, strengths were identified in service delivery, as well as priority areas for quality improvement.

“Willpower knows no obstacles”: Examining Neoliberal Postfeminist Messaging in Nike’s Transnational Advertisements for Women

2022 ◽  
pp. 216747952110635
Author(s):  
Anna Posbergh ◽  
David L. Andrews ◽  
Samuel M. Clevenger
Keyword(s):  
Physical Activity ◽  
Female Athlete ◽  
Transnational Feminism ◽  
Transnational Corporation ◽  
The United States ◽  
Marketing Strategies ◽  
Global Marketing ◽  
The Us ◽  
United States Mexico ◽  
Representations Of Women

Nike, a US-headquartered transnational corporation lauded for its putatively empowering women-centered advertisements, frequently releases nationally/regionally focused advertisements depicting women determinedly engaging in physical activity and, in doing so, overcoming gendered barriers and stigmas. Indeed, the global ubiquity of the empowered (Nike-clad) woman illustrates Nike’s role in advancing women’s empowerment, both in the US and globally. Universalizing “just do it” beyond geographical borders, Nike’s form of transnational feminism centers on a carefully manufactured, Western-centered image of empowered female athleticism. However, this notably contradicts transnational feminist efforts to reject the universalization of Western-centered representations of women. Using a critical cultural studies approach in concert with a transnational feminist framework, we analyze six recent Nike advertisements (the United States, Mexico, the Middle East, Turkey, India, and Russia) and critique the corporation’s universalization of neoliberal postfeminist messaging within its global marketing strategies. We find that Nike utilizes three thematics to extend their caricature of the (Nike-powered) female athlete beyond the spatial and symbolic borders of the US market: responsibilitization, competitive individualism, and empowerment. We conclude that Nike normalizes a white, Western-centered neoliberal postfeminism, undermining the structural and sporting realities of the non-white/non-Western women their promotional campaigning seeks to embolden.

scholarly journals Inpatient Rehabilitation Outcomes in Patients With Stroke Aged 85 Years or Older

2016 ◽  
Vol 96 (9) ◽  
pp. 1381-1388 ◽  
Author(s):  
Suzanne R. O'Brien ◽  
Ying Xue
Keyword(s):  
Outcome Measures ◽  
Stroke Rehabilitation ◽  
Functional Independence Measure ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Functional Independence ◽  
Assessment Instrument ◽  
Age Group ◽  
Cross Sectional ◽  
Discharge Outcomes

Abstract Background In the United States, people 85 years of age or older have a growing number of strokes each year, and this age group is most at risk for disability. Inpatient rehabilitation facilities (IRFs) adhere closest to post-acute stroke rehabilitation guidelines and have the most desirable outcomes compared with skilled nursing facilities. As stroke is one of the leading causes of disability, knowledge of postrehabilitation outcomes is needed for this age group, although at present such information is limited. Objective The purpose of this study was to describe functional and discharge outcomes after IRF rehabilitation in people with stroke aged 85 years or older. Design A serial, cross-sectional design was used. Methods Inpatient Rehabilitation Facility–Patient Assessment Instrument data were analyzed beginning in 2002 for the first 5.5 years after implementation of the prospective payment system and included 71,652 cases. Discharge function, measured using the Functional Independence Measure (FIM), and community discharge were the discharge outcome measures. Sample description used frequencies and means. Generalized estimating equations (GEEs) with post hoc testing were used to analyze the annual trends for discharge FIM and community discharge by age group (85–89, 90–94, 95–99, and ≥100 years). Risk-adjusted linear and logistic GEE models, with control for cluster, were used to analyze the association between both outcome measures and age group. Results Over 5.5 years, mean discharge FIM scores decreased by 3.6 points, and mean achievement of community discharge decreased 5.5%. Approximately 54% of the sample achieved community discharge. Continuous and logistic GEEs revealed factors associated with discharge outcomes. Limitations Results obtained using an observational design should not be viewed as indicating causation. The lack of control for a caregiver may have altered results. Conclusions The very elderly people admitted to IRF stroke rehabilitation made functional gains, and most were able to return to the community.

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