Ersöz Hüseyinsinoğlu Burcu, Kuran Aslan Gökşen, Tarakci Devrim, Razak Özdinçler Arzu, Küçükoğlu Hayriye, Baybaş Sevim
Division of Physiotherapy and Rehabilitation, İstanbul University School of Health Sciences, İstanbul, Turkey.
Division of Physiotherapy and Rehabilitation, Medipol University School of Health Sciences, İstanbul, Turkey.
Noro Psikiyatr Ars. 2017 Jun;54(2):155-161. doi: 10.5152/npa.2016.12760. Epub 2016 Mar 28.
Physical inactivity is an important risk factor for stroke and stroke recurrence. There is insufficient knowledge about the physical activity (PA) level in stroke patients who are ambulatory in the subacute phase. Our aim was to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate neuropsychological factors that could affect the PA level in the same stroke group.
Eighty-five subacute stroke patients and 58 healthy subjects were included. Patients' demographic features, disease-related features, and comorbidities were recorded. The PA level was assessed by the International Physical Activity Questionnaire-Short Version and a pedometer (OMRON Walking style II). The Apathy Rating Scale was applied to determine the apathy level. Depression level was investigated by the Geriatric Depression Scale. The standardized Mini-mental State Examination was performed to assess the cognitive status.
The PA level was significantly higher in the healthy group than in the stroke group (p<0.001). Step count and walking distance were significantly higher in healthy group (p=0.001 and p=0.04, respectively). The PA level of men was significantly higher than that of women (p=0.03). Participants who were classified as level 4 had a lower PA level than those who were classified as level 5 according to the Functional Ambulation Category. There was no relationship between the PA level and the apathy, cognitive, and depression levels in the stroke patients (p>0.05).
Subacute stroke patients have a lower PA level than healthy subjects. This is not related to neuropsychological factors. The reasons for minor deficits related to ambulation should be researched further while developing strategies for increasing the PA level of subacute stroke patients.
身体活动不足是中风及中风复发的重要风险因素。对于亚急性期能够行走的中风患者的身体活动（PA）水平，我们了解不足。我们的目的是比较能够行走的中风患者与同龄人群的PA水平，并调查可能影响同一中风组PA水平的神经心理因素。
纳入85例亚急性期中风患者和58例健康受试者。记录患者的人口统计学特征、疾病相关特征和合并症。通过国际身体活动问卷简版和计步器（欧姆龙步行风格II）评估PA水平。应用冷漠评定量表确定冷漠水平。通过老年抑郁量表调查抑郁水平。进行标准化简易精神状态检查以评估认知状态。
健康组的PA水平显著高于中风组（p<0.001）。健康组的步数和行走距离显著更高（分别为p=0.001和p=0.04）。男性的PA水平显著高于女性（p=0.03）。根据功能性步行分类，被归类为4级的参与者的PA水平低于被归类为5级的参与者。中风患者的PA水平与冷漠、认知和抑郁水平之间无相关性（p>0.05）。
亚急性期中风患者的PA水平低于健康受试者。这与神经心理因素无关。在制定提高亚急性期中风患者PA水平的策略时，应进一步研究与步行相关的轻微缺陷的原因。
