Espernberger Karl, Fini Natalie, Peiris Casey
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Donvale Rehabilitation Hospital, Donvale, Australia.
Disabil Rehabil. 2025 Mar 1:1-7. doi: 10.1080/09638288.2025.2471571.
Social/community activities contribute to incidental physical activity, which may help prevent secondary stroke. This research aims to explore stroke survivor activity patterns, physical activity levels, and self-efficacy.
An exploratory observational study in a cohort of community-dwelling stroke survivors was conducted. Data were collected with accelerometers, activity diaries, and the Self-Efficacy for Exercise Scale. Pre-specified categories were used to describe activity context. Pearson's correlation and Kruskal-Wallis analyses were used to analyse physical activity relative to self-efficacy and time of day.
Forty-seven stroke survivors were recruited (47% female, aged 76 years (IQR 65-83)). Most awake time (81%) was spent in the home. Structured exercise and community and/or social activities were efficient forms of activity and accounted for 17.7% and 23.2% of steps/day, and 2.5% and 14.1% of time, respectively. Participants were most active in the afternoon and morning compared with the evening ( = 0.005 and = 0.045). Community ambulators had higher self-efficacy scores compared to household ambulators ( = 0.007).
Stroke survivors can be active via structured exercise, as well as engaging in outdoor social and community activities. Those who reported higher levels of self-efficacy were more active. Health professionals should consider these factors when promoting physical activity during rehabilitation.
社交/社区活动有助于增加日常身体活动量，这可能有助于预防二次中风。本研究旨在探索中风幸存者的活动模式、身体活动水平和自我效能感。
对一组社区中风幸存者进行了探索性观察研究。使用加速度计、活动日记和运动自我效能量表收集数据。使用预先指定的类别来描述活动背景。采用Pearson相关性分析和Kruskal-Wallis分析来分析与自我效能感和一天中不同时间相关的身体活动情况。
招募了47名中风幸存者（47%为女性，年龄76岁（四分位间距65 - 83岁））。大部分清醒时间（81%）是在家中度过的。有组织的锻炼以及社区和/或社交活动是有效的活动形式，分别占每日步数的17.7%和23.2%，以及时间的2.5%和14.1%。与晚上相比，参与者在下午和上午的活动最为活跃（P = 0.005和P = 0.045）。与居家活动者相比，社区活动者的自我效能感得分更高（P = 0.007）。
中风幸存者可以通过有组织的锻炼以及参与户外社交和社区活动来保持活跃。自我效能感较高的人活动更为积极。健康专业人员在康复过程中促进身体活动时应考虑这些因素。
