Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Akdeniz University, Antalya, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Top Stroke Rehabil. 2024 Dec;31(8):788-794. doi: 10.1080/10749357.2024.2333159. Epub 2024 Mar 26.
Physical activity decreases after stroke due to various factors and the causes and effects of these factors remain unclear.
This study aimed todetermine the effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke.
The study included 32 patients (13 females/19 males), all evaluated using the Stroke Rehabilitation Assessment of Movement, Barthel Index, Tampa Kinesiophobia Scale-fatigue, Fatigue Impact Scale and Stroke-Specific Quality of Life Scale. The SenseWear multisensory activity monitor was worn on the arm of the patients for 1 week to evaluate active energy expenditure, step count, and rest periods in relation to physical activity. Multiple linear regression analysis was used to examine the effects of the independent variables kinesiophobia, fatigue, and quality of life on the dependent variables of active energy expenditure, step count, and rest periods.
The mean age of the patients was 52.31 ± 14.76 years. According to the multiple regression analysis results, kinesiophobia ( = 0.011) and quality of life ( = 0.009) are significant determinants of active energy expenditure and quality of life ( = 0.001) is a significant determinant of the step count in patients with stroke. Kinesiophobia, fatigue, and quality of life were not determinants of rest periods ( > 0.05).
The study results showed that kinesiophobia and quality of life are important determinants of physical activity in patients with stroke. Combined evaluation in the clinic of motor findings and non-motor factors, which are often ignored, and the application of target-oriented approaches to these problems will make a significant contribution to the success of stroke rehabilitation.
由于多种因素，卒中后身体活动减少，这些因素的原因和影响仍不清楚。
本研究旨在确定恐动症、疲劳和生活质量对卒中患者身体活动的影响。
本研究纳入了 32 名患者（13 名女性/19 名男性），所有患者均采用运动障碍评估量表、巴氏指数、坦帕恐动症量表-疲劳、疲劳影响量表和卒中特定生活质量量表进行评估。在患者的手臂上佩戴 SenseWear 多传感器活动监测器 1 周，以评估与身体活动相关的主动能量消耗、步数和休息时间。采用多元线性回归分析，考察恐动症、疲劳和生活质量等独立变量对主动能量消耗、步数和休息时间等因变量的影响。
患者的平均年龄为 52.31±14.76 岁。根据多元回归分析结果，恐动症（ = 0.011）和生活质量（ = 0.009）是主动能量消耗的重要决定因素，生活质量（ = 0.001）是卒中患者步数的重要决定因素。恐动症、疲劳和生活质量不是休息时间的决定因素（ > 0.05）。
研究结果表明，恐动症和生活质量是卒中患者身体活动的重要决定因素。在临床中综合评估运动表现和常被忽视的非运动因素，并针对这些问题应用目标导向方法，将对卒中康复的成功做出重要贡献。
