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亚急性脑卒中住院患者疲劳与身体活动的关系。

The Association between fatigue and physical activity in patients hospitalized with subacute stroke.

机构信息

Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.

Graduate School of Health Sciences, Kobe University, Kobe, Japan.

出版信息

Top Stroke Rehabil. 2024 Jul;31(5):457-463. doi: 10.1080/10749357.2023.2293337. Epub 2023 Dec 30.

Abstract

BACKGROUND

Little is known about the association between fatigue and physical activity in patients hospitalized with subacute stroke.

OBJECTIVES

The aim of this study was to investigate the association between fatigue and physical activity in patients hospitalized with subacute stroke.

METHODS

This cross-sectional study enrolled 244 consecutive patients with stroke who were admitted to a subacute rehabilitation ward at our hospital. We assessed fatigue with the Fatigue Assessment Scale (FAS) and used an accelerometer (Active style Pro HJA750-C, OMRON) to record the mean duration of sedentary behavior, light-intensity physical activity (LIPA), and moderate-to-vigorous-intensity physical activity (MVPA). We assessed all factors at 1 month after stroke. Multivariate linear regression analysis revealed the associations between FASscore and objectively measured physical activity.

RESULTS

In total, we analyzed 85 patients. The duration of the sedentary behavior was significantly associated with the FAS score (  = 1.46,  = 0.037) and the Functional Balance Scale score ( = -1.35,  = 0.045). The LIPA time was significantly associated only with the FBS score ( = 1.38,  = 0.045), whereas MVPA was not associated with any variable.

摘要

背景

对于亚急性脑卒中住院患者的疲劳与身体活动之间的关系知之甚少。

目的

本研究旨在探讨亚急性脑卒中住院患者的疲劳与身体活动之间的关系。

方法

本横断面研究纳入了 244 例连续的脑卒中患者,他们均入住我院亚急性康复病房。我们使用疲劳评估量表(FAS)评估疲劳,并用加速度计(Active style Pro HJA750-C,OMRON)记录久坐行为、低强度体力活动(LIPA)和中高强度体力活动(MVPA)的平均持续时间。所有因素均在脑卒中后 1 个月进行评估。多变量线性回归分析揭示了 FAS 评分与客观测量的身体活动之间的关联。

结果

共分析了 85 例患者。久坐行为的持续时间与 FAS 评分( = 1.46,  = 0.037)和功能性平衡量表评分( = -1.35,  = 0.045)显著相关。LIPA 时间仅与 FBS 评分显著相关( = 1.38,  = 0.045),而 MVPA 与任何变量均无关联。

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