Factors related to daily step counts of stroke patients during hospitalization in a convalescent rehabilitation ward
Factors related to daily step counts of stroke patients during hospitalization in a convalescent rehabilitation ward
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DOI：
10.1016/j.jstrokecerebrovasdis.2022.106398
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发表时间：
2022-02-24
影响因子：
2.5
通讯作者：
Matsunaga, Atsuhiko
中科院分区：
文献类型：
--
作者：
Yamada, Ryuichiro;Shimizu, Shinobu;Matsunaga, Atsuhiko
目的：澄清与中风后患者体力活动减少相关的因素对于有效的疾病管理至关重要。本研究旨在探讨影响康复康复病房中中风后患者在康复以外的活动（非康复步数）期间每日步数的因素。材料和方法：纳入 89 名中风后患者（60.8 +/- 14.4 岁；55 名男性）。纳入标准为在病房内独立行走且行走速度>24 m/min。收集患者侧的数据以及中风发作的时间。分别使用中风损伤评估集和功能独立测量来评估中风损伤以及运动和认知功能障碍。非康复步数是通过使用 Fitbit Flex2 从总步数中减去康复活动期间的步数来计算的。结果：平均非康复步数为 4,523 +/- 2,339 步/天。分层多元回归分析显示，性别、运动障碍以及中风障碍与认知障碍的交互项与非康复步骤显着相关。简单斜率分析表明，对于非康复步骤，认知障碍较低水平下的中风损伤斜率比认知障碍较高水平下更陡。结论：除了性别和运动障碍的独立影响外，本研究发现，中风损伤和认知障碍与康复康复病房中中风后患者的非康复步骤交互相关。这些发现可能为中风后患者出院后的身体活动管理提供有用的信息。关键词：身体活动-身体损伤-日常生活活动- (c) 2022 Elsevier Inc. 保留所有权利。
Objectives: Clarifying the factors related to decreased physical activity in post-stroke patients is essential for effective disease management. This study aimed to examine the factors influencing the amount of daily steps taken by post-stroke patients in a convalescent rehabilitation ward during activities other than rehabilitation (nonrehabilitation steps). Materials and methods: Eighty-nine post-stroke patients (60.8 +/- 14.4 years; 55 men) were enrolled. The inclusion criteria were walking independently within the ward and having a walking speed of >24 m/min. Data on patient side, and time from stroke onset were collected. Stroke impairment and motor and cognitive functional disabilities were assessed using the Stroke Impairment Assessment Set and the Functional Independence Measure, respectively. The non-rehabilitation steps were calculated by subtracting the steps during the rehabilitation activities from the total steps using Fitbit Flex2. Results: The average number of non-rehabilitation steps was 4,523 +/- 2,339 steps/day. The hierarchical multiple regression analysis revealed that sex, motor disability, and the interaction term of stroke impairment with cognitive disability were significantly related to non-rehabilitation steps. Simple slope analysis demonstrated that the stroke impairment slope was steeper at lower levels than at higher levels of cognitive disability for non-rehabilitation steps. Conclusions: In addition to independent effects of sex and motor disability, this study found that stroke impairment and cognitive disability were interactively related to non-rehabilitation steps in post-stroke patients in a convalescent rehabilitation ward. These findings may provide useful information for managing physical activity in post-stroke patients after hospital discharge. Keywords: Physical activity-Physical impairment-Activities of daily living- (c) 2022 Elsevier Inc. All rights reserved.