Lin Ingrid, Dean Catherine M, Glinsky Joanne V, Clemson Lindy, Preston Elisabeth, Graham Petra L, Scrivener Katharine
Department of Health Sciences, Macquarie University, Sydney, Australia.
University of Sydney, Sydney, Australia.
Disabil Rehabil. 2025 Jul;47(15):3860-3865. doi: 10.1080/09638288.2024.2438255. Epub 2024 Dec 11.
The Falls After Stroke Trial (FAST) intervention involves habit-forming functional exercise and mobility practice which may increase physical activity. This substudy of FAST explores physical activity in community-dwelling people after stroke comparing the FAST intervention to usual care.
This study used a subset of 49 participants from a randomised trial. Outcome measures were taken at baseline, 6- and 12-months. The primary outcome was physical activity (step count, upright time and sedentary time, activPAL4™ micro).
Thirty-nine participants (80%) had valid primary outcome data at 6 months and 36 participants (73%) at 12 months. Compared to baseline, the experimental group completed 485 (95% CI -434 to 1405) more steps/day than the control group at 6 months and 724 (95% CI -239 to 1667) more steps/day at 12 months; and spent 36 (95% CI -46 to 118) fewer min/day in sedentary behaviour than the control group at 6 months and 34 (95% CI -51 to 119) fewer min/day at 12 months, although the differences were not significant.
FAST may improve physical activity more than usual care at 6- and 12-months but results are inconclusive. Further research could be conducted to confirm any benefit in a larger sample.
卒中后跌倒试验（FAST）干预包括养成习惯的功能锻炼和移动练习，这可能会增加身体活动量。FAST的这项子研究探讨了社区居住的卒中患者的身体活动情况，将FAST干预与常规护理进行比较。
本研究使用了来自一项随机试验的49名参与者的子集。在基线、6个月和12个月时进行结果测量。主要结果是身体活动量（步数、直立时间和久坐时间，activPAL4™微型活动监测仪）。
39名参与者（80%）在6个月时有有效的主要结果数据，36名参与者（73%）在12个月时有有效数据。与基线相比，实验组在6个月时比对照组每天多完成485步（95%CI -434至1405），在12个月时多完成724步（95%CI -239至1667）；在6个月时比对照组每天少花36分钟（95%CI -46至118）久坐，在12个月时少花34分钟（95%CI -51至119）久坐，尽管差异不显著。
FAST在6个月和12个月时可能比常规护理更能改善身体活动量，但结果尚无定论。可以进行进一步的研究以在更大的样本中确认是否有任何益处。
