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参与体育锻炼的自我效能感和步行能力最能预测中风后的运动依从性。

Self-Efficacy to Engage in Physical Exercise and Walking Ability Best Predicted Exercise Adherence after Stroke.

作者信息

Caetano Lívia C G, Pacheco Bruna D, Samora Giane A R, Teixeira-Salmela Luci F, Scianni Aline A

机构信息

Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil.

出版信息

Stroke Res Treat. 2020 Mar 4;2020:2957623. doi: 10.1155/2020/2957623. eCollection 2020.

DOI:10.1155/2020/2957623
PMID:32190284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7073491/
Abstract

AIM

To describe exercise preferences and to investigate the contribution of exercise preferences, walking ability, and current levels of physical activity in predicting exercise adherence in individuals with chronic stroke.

METHODS

For this exploratory study, exercise adherence was measured using the first question of the first section of the Exercise Preference Questionnaire (stroke)-Brazil (EPQ (stroke)-Brazil). Nine independent variables were included as potential predictors of exercise adherence: the seven factors of the EPQ (stroke)-Brazil, walking speed, and level of physical activity.

RESULTS

Participated 93 individuals with stroke, who had a mean age of 62 (SD 12) years and a mean time since the onset of the stroke of 58 (SD 67) months. The most preferable exercise was walking. Logistic regression analysis revealed that self-efficacy to engage in physical exercise and walking ability predicted and explained 80% of the variance in exercise adherence.

CONCLUSION

The findings showed that feeling able to perform physical exercise and having higher walking ability predicted higher exercise adherences in individuals with chronic stroke. The knowledge of potential contributors to exercise adherence may help in designing exercise programs for individuals with stroke.

摘要

目的

描述运动偏好,并调查运动偏好、步行能力和当前身体活动水平对预测慢性卒中患者运动依从性的作用。

方法

在这项探索性研究中,运动依从性通过《巴西运动偏好问卷(卒中)》(EPQ(卒中)-巴西版)第一部分的第一个问题来衡量。九个独立变量被纳入作为运动依从性的潜在预测因素:EPQ(卒中)-巴西版的七个因素、步行速度和身体活动水平。

结果

93名卒中患者参与研究,他们的平均年龄为62(标准差12)岁,卒中发作后的平均时间为58(标准差67)个月。最受欢迎的运动是步行。逻辑回归分析显示,进行体育锻炼的自我效能感和步行能力预测并解释了运动依从性中80%的方差。

结论

研究结果表明,感觉能够进行体育锻炼和具有较高的步行能力预测了慢性卒中患者较高的运动依从性。了解运动依从性的潜在影响因素可能有助于为卒中患者设计运动方案。

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本文引用的文献

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Low gait speed is associated with low physical activity and high sedentary time following stroke.步速低与中风后体力活动少和久坐时间长有关。
Disabil Rehabil. 2021 Jul;43(14):2001-2008. doi: 10.1080/09638288.2019.1691273. Epub 2019 Nov 22.
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Perceived barriers to exercise reported by individuals with stroke, who are able to walk in the community.社区内可行走的脑卒中患者报告的运动障碍感知因素。
Disabil Rehabil. 2021 Feb;43(3):331-337. doi: 10.1080/09638288.2019.1624396. Epub 2019 Jun 10.
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Which impairments, activity limitations and personal factors at hospital discharge predict walking activity across the first 6 months poststroke?哪些出院时的功能障碍、活动受限和个人因素能预测卒中后 6 个月内的步行活动情况?
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Cross-cultural adaptation and measurement properties of the Brazilian version of the Exercise Preference Questionnaire.《锻炼偏好问卷》巴西版的跨文化调适与测量特性。
Braz J Phys Ther. 2017 Sep-Oct;21(5):336-343. doi: 10.1016/j.bjpt.2016.08.001. Epub 2017 Jul 4.
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An exploration of factors influencing physical activity levels amongst a cohort of people living in the community after stroke in the south of England.对英格兰南部中风后居住在社区的一群人身体活动水平的影响因素进行的探索。
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