Physiotherapy Department, Royal Hobart Hospital, Hobart, Tasmania.
College of Healthcare Sciences, James Cook University, Townsville.
Int J Rehabil Res. 2021 Jun 1;44(2):131-137. doi: 10.1097/MRR.0000000000000461.
Physical activity is recommended after stroke. However, the rehabilitation day is largely spent sedentary. Understanding patterns of physical activity across the rehabilitation week may help identify opportunities to improve participation. We aimed to examine: (1) differences between weekday and weekend sedentary time and physical activity, (2) the pattern of 24-h rehabilitation activity. Participants with stroke (n = 29) wore an activity monitor continuously during the final 7-days of inpatient rehabilitation. Linear mixed models (adjusted for waking hours) were performed with activity (sedentary, steps per day, walking time) as the dependent variable, and day type (weekday or weekend) as the independent variable. Patterns of upright time during the 24-h period were determined by averaging daily activity in 60-min intervals and generating a heat map of activity levels as a function of time. Participant mean age was 69 (SD 13) years (52% male) and mean National Institutes of Health Stroke Scale score was 7.0 (SD, 5.5). There was no significant difference in sedentary time between weekdays and weekends. At the weekend, participants spent 8.4 min less time walking (95% CI, -12.1 to -4.6) taking 624 fewer steps/day (95% CI, -951 to -296) than during the week. Activity patterns showed greatest upright time in the morning during the week. Afternoon and evening activities were low on all days. Sedentary time did not change across the 7-day rehabilitation week, but less walking activity occurred on the weekend. There are opportunities for stroke survivors to increase physical activity during afternoons and evenings and on weekend mornings during rehabilitation.
身体活动在中风后是被推荐的。然而，康复期间的大部分时间都是久坐的。了解康复周内身体活动的模式，可能有助于确定改善参与度的机会。我们旨在研究：（1）工作日和周末久坐时间和身体活动的差异；（2）24 小时康复活动的模式。29 名中风患者在住院康复的最后 7 天内连续佩戴活动监测器。使用线性混合模型（调整清醒时间），以活动（久坐时间、每天步数、步行时间）为因变量，以日类型（工作日或周末）为自变量。24 小时内直立时间的模式通过平均每日 60 分钟间隔的活动，并生成活动水平随时间变化的热图来确定。参与者的平均年龄为 69（SD 13）岁（52%为男性），平均 NIHSS 评分为 7.0（SD，5.5）。工作日和周末之间的久坐时间没有显著差异。周末时，参与者每天少走 8.4 分钟（95%CI，-12.1 至-4.6），少走 624 步（95%CI，-951 至-296）。活动模式显示，在一周内，早上直立时间最长。下午和晚上的活动都很少。在 7 天的康复周内，久坐时间没有变化，但周末的步行活动减少了。中风幸存者有机会在康复期间增加下午、晚上和周末早上的身体活动。
