Ryan R. Bailey, PhD, OTR/L, is Assistant Professor, Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City;
Jennifer L. Stevenson, OTD, OTR/L, is Occupational Therapy Hand Fellow, Mayo Clinic College of Medicine and Science, Rochester, MN. At the time of the study, Stevenson was Occupational Therapy Student, School of Medicine, Washington University in St. Louis, St. Louis, MO.
Am J Occup Ther. 2021 Mar-Apr;75(2):7502345010p1-7502345010p6. doi: 10.5014/ajot.2021.041780.
Physical activity (PA) is recommended for improving physical and cardiovascular function but can be challenging because of stroke-related impairments. A better understanding of how adults with stroke conceptualize PA could assist in developing effective interventions for increasing poststroke PA.
To explore how adults with stroke conceptualize PA.
Phenomenological qualitative design.
Participants' homes.
Community-dwelling adults with chronic (>6 mo) stroke (N = 15).
Semistructured interviews were conducted with participants. Data were analyzed by means of inductive content analysis to identify key themes.
Three key themes emerged: (1) moderate to vigorous PA, which includes exercise-related activities (going to the gym, walking, playing sports); (2) PA necessary for performing daily activities and occupations, which includes basic and instrumental activities of daily living; and (3) avoiding sedentary behavior, which includes not wanting to sit for long periods of time, avoiding boredom, and valuing PA over being sedentary.
Participants broadly categorized PA, encompassing multiple activity types, which is encouraging because reducing sedentary behavior and increasing PA of any intensity can improve cardiometabolic health. Interventions that complement and enhance these conceptualizations, alone or in combination with other mechanisms of action, should be explored for their efficacy in increasing PA in adults with stroke.
After stroke, perceptions of PA encompass exercise, daily activities and occupations, and avoiding sedentary behavior; these perceptions could be harnessed to promote PA among adults after stroke.
体力活动（PA）被推荐用于改善身体和心血管功能，但由于与中风相关的损伤，这可能具有挑战性。更好地了解中风患者如何概念化 PA，可以帮助开发有效的干预措施，以增加中风后的 PA。
探讨中风患者如何概念化 PA。
现象学定性设计。
参与者的家中。
有慢性（>6 个月）中风的社区居住成年人（N=15）。
对参与者进行半结构化访谈。通过归纳内容分析对数据进行分析，以确定主要主题。
出现了三个主要主题：（1）中等至剧烈 PA，包括与运动相关的活动（去健身房、散步、运动）；（2）进行日常活动和职业所需的 PA，包括基本和工具性日常生活活动；（3）避免久坐行为，包括不想长时间坐着、避免无聊和重视 PA 而不是久坐。
参与者广泛地对 PA 进行了分类，包括多种活动类型，这是令人鼓舞的，因为减少久坐行为和增加任何强度的 PA 都可以改善心血管代谢健康。应探索单独或与其他作用机制结合使用这些概念的干预措施，以评估其在增加中风后成年人 PA 方面的功效。
中风后，对 PA 的看法包括运动、日常活动和职业以及避免久坐行为；这些看法可以被利用来促进中风后成年人的 PA。
