scholarly journals Strength of the respiratory and lower limb muscles and functional capacity in chronic stroke survivors with different physical activity levels

2013 ◽  
Vol 17 (5) ◽  
pp. 487-493 ◽  
Author(s):  
Janaine C. Polese ◽  
Marina B. Pinheiro ◽  
Christina D. C. M. Faria ◽  
Raquel R. Britto ◽  
Veronica F. Parreira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Functional Capacity ◽  
Lower Limb ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Lower Limb Muscles ◽  
Physical Activity Levels ◽  
Limb Muscles

scholarly journals Functional capacity of patients with chronic stroke based upon their physical activity levels

2017 ◽  
Vol 18 (4) ◽  
pp. 457
Author(s):  
Janaine Cunha Polese ◽  
Thaianne Servio ◽  
Gabriela Chaves ◽  
Luci Fuscaldi Teixeira-Salmela
Keyword(s):  
Physical Activity ◽  
Functional Capacity ◽  
Cross Sectional Study ◽  
Chronic Stroke ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physical Activity Levels ◽  
Duke Activity Status Index ◽  
Activity Groups ◽  
Post Hoc

Introduction: People with stroke commonly show low levels of physical activity and reduced functional capacity, independent of the severity of the impairments. The use of simple measures that are able to produce transferable information from clinical practice to life in society is crucial within clinic contexts. Objective: To compare the functional capacity of patients with chronic stroke based upon their physical activity levels. Methods: For this cross sectional study, functional capacity and levels of physical activity were assessed by the Duke Activity Status Index (DASI) and the adjusted activity score (AAS) of the Human Activity Profile (HAP), respectively. One-way analysis of variance (ANOVA), followed by LSD post-hoc tests were employed to investigate differences between the physical activity groups regarding their DASI scores. Results: Fifty-one individuals with mean age 58.8 ± 13.5 and a mean time since the onset of stroke of 25.5 ± 13.9 months participated. According to their HAP AAS, 18 individuals were classified as impaired, 28 as moderately active, and five as active. Between-group differences were observed for the DASI scores [F(2,48)=13.72; p < 0.01]. Conclusion: Increases in functional capacity were observed with increases in physical activity levels.Key-words: stroke, motor activity, activities of daily living.

scholarly journals Physical activity dimensions after stroke: patterns and relation with lower limb motor function

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Hanneke E. M. Braakhuis ◽  
Monique A. M. Berger ◽  
Ruben G. R. H. Regterschot ◽  
Erwin E. H. van Wegen ◽  
Ruud W. Selles ◽  
...  
Keyword(s):  
Physical Activity ◽  
Motor Function ◽  
Lower Limb ◽  
Inpatient Rehabilitation ◽  
Individual Variability ◽  
Motor Recovery ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Significant Interaction Effect ◽  
Physical Activity Levels

Abstract Background Stroke survivors show deteriorated physical functioning and physical activity levels. Physical activity levels of stroke survivors are generally low. It is increasingly recognized that physical activity is a multidimensional construct that cannot be captured in a single outcome. In-depth insight into multidimensional physical activity patterns may guide the development and timing of targeted rehabilitation interventions. This longitudinal cohort study explored how multidimensional physical activity outcomes develop during recovery in the subacute phase after stroke and if changes in physical activity were correlated to recovery of lower limb motor function. Methods Patients were recruited during inpatient rehabilitation. At 3, 12, and 26 weeks post-onset, motor function was measured by the Fugl-Meyer Lower Extremity Assessment (FMA-LE). Physical activity was measured with the Activ8 accelerometer in multiple outcomes: counts per minute during walking (CPMwalking; a measure of Intensity), number of active bouts (Frequency), mean length of active bouts (Distribution) and % of waking time in upright positions (Duration). Generalized estimating equations (GEE) were used to study changes in physical activity over time and the relation with the change in lower limb motor recovery. Results Thirty-nine patients (age 56 ± 9, 77% male, 89% ischemic stroke) were included. GEE models showed a significant main effect of time for PA Intensity (+ 13%, p = 0.007) and Duration (+ 64%, p = 0.012) between 3 and 12 weeks. Motor function did not show a significant effect in all PA models across the 3 timepoints (p > 0.020). A significant interaction effect of time × motor function was observed (p < 0.001). Conclusions Patterns of PA recovery depend on the PA dimensions: PA Intensity and Duration increased mostly between 3 and 12 weeks post-stroke, whereas Frequency and Distribution did not show substantial changes. Further, no strong associations with motor recovery and high inter-individual variability were documented, which underlies the need to consider factors specific to the disease, the individual patient and the context.

Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature

2021 ◽  
pp. 026921552199369
Author(s):  
Karl R Espernberger ◽  
Natalie A Fini ◽  
Casey L Peiris
Keyword(s):  
Physical Activity ◽  
Social Factors ◽  
Self Efficacy ◽  
Data Extraction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Post Stroke ◽  
Physical Activity Levels ◽  
Mobile Community

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than ‘exercise’ is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.

scholarly journals Physiological basis of cardiopulmonary rehabilitation in patients with lung or heart disease

Breathe ◽  
2015 ◽  
Vol 11 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Zafeiris Louvaris ◽  
Ioannis Vogiatzis
Keyword(s):  
Physical Activity ◽  
Heart Disease ◽  
Functional Capacity ◽  
Daily Physical Activity ◽  
List Type ◽  
Activity Levels ◽  
Information And Communications Technologies ◽  
Communications Technologies ◽  
Physical Activity Levels ◽  
The Impact

Educational AimsTo illustrate the common mechanisms limiting exercise tolerance in patients with chronic lung and heart diseaseTo highlight the impact of lung and heart disease on daily physical activity levelsTo outline the effects of cardiopulmonary rehabilitation on functional capacity in patients with chronic lung and heart diseaseTo discuss an innovative tele-rehabilitation intervention using information and communications technologies to improve functional capacity in patients with chronic lung and heart diseaseSummaryShortness of breath associated with cardiorespiratory abnormalities and peripheral muscle discomfort are the major factors that limit exercise capacity in patients with chronic obstructive pulmonary disease (COPD) and those with congestive heart failure (CHF). Both of these symptoms negatively impact on patients’ daily physical activity levels. In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality. Cardiopulmonary rehabilitation programmes partially reverse muscle weakness and dysfunction and increase functional capacity in both COPD and CHF. However, benefits gained from participation in cardiopulmonary rehabilitation programmes are regressing soon after the completion of these programmes. Moreover, several barriers limit access and uptake of cardiopulmonary rehabilitation programmes by eligible patients. A potential solution to the underutilisation of cardiopulmonary rehabilitation is the implementation of tele-rehabilitation interventions at home using information and communications technologies. Thus, tele-rehabilitation may be useful to encourage and educate patients with COPD or CHF on how best to maintain and/or further enhance daily physical activity levels.

scholarly journals Gait Performance and Lower-Limb Muscle Strength Improved in Both Upper-Limb and Lower-Limb Isokinetic Training Programs in Individuals with Chronic Stroke

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Marie-Hélène Milot ◽  
Sylvie Nadeau ◽  
Denis Gravel ◽  
Daniel Bourbonnais
Keyword(s):  
Training Program ◽  
Upper Limb ◽  
Lower Limb ◽  
Gait Speed ◽  
Chronic Stroke ◽  
Control Group ◽  
Positive Power ◽  
Gait Performance ◽  
Lower Limb Muscles ◽  
Limb Muscles

Background. Limited improvement in gait performance has been noted after training despite a significant increase in strength of the affected lower-limb muscles after stroke. A mismatch between the training program and the requirements of gait could explain this finding. Objective. To compare the impact of a training program, matching the requirements of the muscle groups involved in the energy generation of gait, to a control intervention, on gait performance and strength. Methods. 30 individuals with chronic stroke were randomly assigned into two groups (n = 15), each training three times/week for six weeks. The experimental group trained the affected plantarflexors, hip flexors, and extensors, while the control group trained the upper-limb muscles. Baseline and posttraining values of gait speed, positive power (muscles’ concentric action during gait), and strength were retained and compared between groups. Results. After training, both groups showed a similar and significant increase in gait speed, positive power of the hip muscles, and plantarflexors strength. Conclusion. A training program targeting the lower-limb muscles involved in the energy generation of gait did not lead to a greater improvement in gait performance and strength than a training program of the upper-limb muscles. Attending the training sessions might have been a sufficient stimulus to generate gains in the control group.

Sign in / Sign up

Export Citation Format

Share Document