Department of Rehabilitation, Tokyo Shinjuku Medical Center, Japan Community Health Care Organization, Tokyo, Japan.
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Top Stroke Rehabil. 2021 Oct;28(7):481-487. doi: 10.1080/10749357.2020.1834276. Epub 2020 Oct 20.
Higher physical activity levels during hospitalization may benefit the life-space mobility, defined as the ability to move within environments that expand from one's home to the greater community, of stroke survivors following their discharge.
This study aimed to evaluate the relationship between physical activity levels during rehabilitation hospitalization and life-space mobility among stroke survivors three months after their discharge.
We recruited 84 stroke survivors as prospective participants from four convalescent rehabilitation hospitals. Physical activity levels during hospitalization were assessed using pedometers with a three-axis accelerometer, and their average step count over 14 consecutive days prior to discharge was used as the representative set of values. Pedometers were placed on the participant's waist or wrist on the non-paretic side. The Life-Space Assessment (LSA), a validated self-reporting measure for assessing community mobility, was implemented three months following participant discharge from rehabilitation hospitals via a mail-in survey method. To determine the relationship between the participants' level of physical activity during hospitalization and the LSA score following discharge, we performed multivariate regression analysis.
A total of 75 participants (89.3%) completed the post-discharge survey and were therefore included in the analysis. The multiple regression analysis, controlled for age, balance function, walking endurance, fear of falling, and functional status, revealed that daily step counts were significantly associated with the LSA score three months after discharge ( = 0.241, = .026).
Physical activity levels during hospitalization were significantly associated with the life-space mobility of stroke survivors following discharge.
较高的住院期间身体活动水平可能有益于生活空间机动性，即从家中到更大社区的环境内移动的能力，这对出院后的脑卒中幸存者有益。
本研究旨在评估脑卒中幸存者在康复住院期间的身体活动水平与出院后 3 个月生活空间机动性之间的关系。
我们从四家康复医院招募了 84 名脑卒中幸存者作为前瞻性参与者。使用三轴加速度计的计步器评估住院期间的身体活动水平，出院前 14 天的平均步数被用作代表值。计步器放置在非瘫痪侧的参与者腰部或手腕上。生活空间评估（LSA）是一种经过验证的用于评估社区移动性的自我报告测量方法，通过邮件调查的方法在参与者从康复医院出院后 3 个月进行实施。为了确定参与者住院期间身体活动水平与出院后 LSA 评分之间的关系，我们进行了多元回归分析。
共有 75 名参与者（89.3%）完成了出院后的调查，因此被纳入分析。多元回归分析，控制了年龄、平衡功能、行走耐力、跌倒恐惧和功能状态，表明出院后 3 个月内每日步数与 LSA 评分显著相关（β=0.241，p=0.026）。
住院期间的身体活动水平与脑卒中幸存者出院后的生活空间机动性显著相关。
