Inactive and alone - Physical activity within the first 14 days of acute stroke unit care
Inactive and alone - Physical activity within the first 14 days of acute stroke unit care
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DOI：
10.1161/01.str.0000120727.40792.40
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发表时间：
2004-04-01
期刊：
影响因子：
8.3
通讯作者：
Donnan, G
中科院分区：
文献类型：
--
作者：
Bernhardt, J;Dewey, H;Donnan, G
背景和目的：卒中单位改善预后的一种方法是通过早期活动减少不活动并发症；然而，这种干预需要测试。本研究的目的是确定急性卒中病房内中风患者的身体活动模式，作为制定早期动员方案的第一步。方法：我们从5个大都市卒中单位招募了64例中风后14天内的患者，并在上午8点至下午5点之间每隔10分钟连续观察2天。在每次观察中，我们确定了身体活动、位置和在场的其他人。治疗师记录了治疗细节。结果：58例完成研究的患者平均年龄为71.3岁。卒中严重程度从轻度（美国国立卫生研究院卒中量表评分，1分）到重度（评分，27分），卒中后观察的平均时间为5.6天（范围，0至13天）。只有9名患者被限制卧床。在治疗日期间，50%的患者在床上休息，28%的患者在床外坐着，只有13%的患者从事有可能预防并发症和改善活动能力恢复的活动。患者有60%的时间是单独的。结论：这是首个卒中后早期身体活动的多中心研究。我们认为下一步是进行一项随机对照试验，以评估中风后早期增加身体活动水平与当前护理标准的效果。
Background and Purpose-One way that stroke units may improve outcome is by reducing complications of immobility through early mobilization; however, this intervention needs testing. The purpose of this study was to determine the physical activity patterns of stroke patients managed within acute stroke units as a first step in developing an early mobilization protocol.Methods-We recruited 64 patients within 14 days after stroke from 5 metropolitan stroke units and observed them for 2 consecutive days at 10-minute intervals between the hours of 8 AM and 5 PM. At each observation, we ascertained physical activity, location, and other person(s) present. Therapists recorded therapy details.Results-The 58 patients who completed the study had a mean age of 71.3 years. Stroke severity ranged from mild (National Institutes of Health Stroke Scale score, 1) to severe (score, 27), and mean time after stroke at observation was 5.6 days (range, 0 to 13 days). Only 9 patients were restricted to bed. During the therapeutic day, patients spent >50% resting in bed, 28% sitting out of bed, and only 13% engaged in activities with the potential to prevent complications and improve recovery of mobility. Patients were alone >60% of the time.Conclusions-This is the first multicenter study of physical activity early after stroke. We believe the next step is to conduct a randomized controlled trial to evaluate the effect of increased levels of physical activity early after stroke compared with current standards of care.