Department of Physical Therapy, Human Movement Laboratory, Federal University of Rio Grande do Norte, Natal, Brazil.
Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil.
Chronobiol Int. 2024 Aug;41(8):1085-1092. doi: 10.1080/07420528.2024.2379573. Epub 2024 Jul 15.
The study aimed to assess the regularity, intensity, frequency, and period of activities comprising social rhythm and associate them with the functionality of stroke patients. The sample consisted of 73 patients (41 men and 32 women) with a mean age of 60 years (±10). Social rhythm was assessed by Social Rhythm Metric (SRM) and Activity Level Index (ALI). The functionality was evaluated using the International Classification of Functioning, Disability, and Health (ICF). Data were analyzed using Student's t-test, ANOVA, and Chi-square test. The mean SRM was 5.1 ± 0.9, and ALI was 58.3 ± 14.9. Notably, 40% of the patients exhibited both low regularity and low intensity of activities. Six SRM activities, performed with low frequency (going outside, starting work, exercising, snacking, watching other TV programs, and going home), exhibited a tendency to have periods that deviated from the expected 24-hour daily cycle. ICF domains most associated with SRM were: d2-General tasks and demands, d3-Communication, d4-Mobility, d5-Self care, d8-Major life areas, and d9-Community, social and civic life. The results indicated changes in social rhythm with implications for patient functionality. Screening for disruptions in social rhythm could be part of the functional assessment during the rehabilitation process for post-stroke patients.
本研究旨在评估构成社会节律的活动的规律性、强度、频率和周期，并将其与脑卒中患者的功能相关联。研究样本包括 73 名患者（41 名男性和 32 名女性），平均年龄为 60 岁（±10）。社会节律通过社会节律度量（SRM）和活动水平指数（ALI）进行评估。功能通过国际功能、残疾和健康分类（ICF）进行评估。数据使用学生 t 检验、方差分析和卡方检验进行分析。平均 SRM 为 5.1±0.9，ALI 为 58.3±14.9。值得注意的是，40%的患者表现出活动的规律性和强度均较低。6 项 SRM 活动（外出、开始工作、锻炼、吃零食、看其他电视节目和回家）的频率较低，其周期有偏离预期 24 小时日常周期的趋势。与 SRM 最相关的 ICF 领域是：d2-一般任务和需求、d3-沟通、d4-移动、d5-自我护理、d8-主要生活领域和 d9-社区、社会和公民生活。研究结果表明，社会节律发生变化会影响患者的功能。在脑卒中患者康复过程中进行社会节律紊乱筛查可能是功能评估的一部分。
