Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
J Rehabil Med. 2021 Oct 22;53(10 (October)):jrm00233. doi: 10.2340/jrm.v53.367.
To investigate associations between pre-stroke physical activity and mobility, walking ability, and self-perceived upper extremity function during stroke unit care.
A longitudinal, registry-based study with a consecutively collected cohort.
SUBJECTS/PATIENTS: A total of 1,092 adults with stroke admitted to 3 Swedish stroke units between 2017 and 2018.
Logistic mixed effects regression models were performed to investigate associations (adjusted for age and sex). Pre-stroke physical activity was assessed with Saltin-Grimby Physical Activity Level Scale on admission. Mobility, walking ability, and self-perceived upper extremity function were assessed at admission and discharge from the stroke units and compared between pre-stroke physically active (45%) and inactive (55%) groups.
All groups of patients showed improvements in mobility (p < 0.001), walking ability (p < 0.001), and upper extremity function (p < 0.001). The chang-es over time tended to differ between the physically inactive and active groups for mobility (p < 0.062) and walking ability (p < 0.056), but the differences were not significant.
Pre-stroke physically active people show-ed a tendency to be more independent in physical functioning early after stroke. Regardless of pre-stroke physical activity, all patients showed improvements in mobility, walking ability, and self-perceived upper extremity function during inpatient care.
研究卒中单元护理期间，卒中前体力活动与移动能力、行走能力和自我感知上肢功能之间的关联。
一项基于纵向、登记的研究，具有连续收集的队列。
受试者/患者：共有 2017 年至 2018 年间，3 家瑞典卒中单元收治的 1092 名成人卒中患者。
采用逻辑混合效应回归模型进行相关性分析（调整年龄和性别）。卒中前体力活动在入院时使用 Saltin-Grimby 体力活动水平量表进行评估。移动能力、行走能力和自我感知上肢功能在入院和出院时进行评估，并在卒中前体力活动（45%）和不活跃（55%）组之间进行比较。
所有患者组在移动能力（p < 0.001）、行走能力（p < 0.001）和上肢功能（p < 0.001）方面均有所改善。体力不活跃和活跃组在移动能力（p < 0.062）和行走能力（p < 0.056）方面的变化趋势存在差异，但差异无统计学意义。
卒中前体力活跃的患者在卒中后早期表现出更独立的身体功能。无论卒中前的体力活动如何，所有患者在住院期间的移动能力、行走能力和自我感知上肢功能均有所改善。
