Open AccessAssociation between pre-stroke physical activity and mobility and walking ability in the early subacute phase: A registry-based study
Author(s) -
Malin Reinholdsson,
Anna Grimby-Ekman,
Hanna Persson
Publication year - 2021
Publication title -
journal of rehabilitation medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 96
eISSN - 1651-2081
pISSN - 1650-1977
DOI - 10.2340/jrm.v53.367
Subject(s) - stroke (engine) , medicine , logistic regression , physical activity , physical therapy , physical medicine and rehabilitation , cohort , cohort study , mechanical engineering , engineering
Objective: To investigate associations between pre-stroke physical activity and mobility, walking ability, and self-perceived upper extremity function during stroke unit care.
Design: A longitudinal, registry-based study with a consecutively collected cohort.
Subjects/patients: A total of 1,092 adults with stroke admitted to 3 Swedish stroke units between 2017 and 2018.
Methods: Logistic mixed effects regression models were performed to investigate associations (adjusted for age and sex). Pre-stroke physical activity was assessed with Saltin-Grimby Physical Activity Level Scale on admission. Mobility, walking ability, and self-perceived upper extremity function were assessed at admission and discharge from the stroke units and compared between pre-stroke physically active (45%) and inactive (55%) groups.
Results: All groups of patients showed improvements in mobility (p < 0.001), walking ability (p < 0.001), and upper extremity function (p < 0.001). The chang-es over time tended to differ between the physically inactive and active groups for mobility (p < 0.062) and walking ability (p < 0.056), but the differences were not significant.
Conclusion: Pre-stroke physically active people show-ed a tendency to be more independent in physical functioning early after stroke. Regardless of pre-stroke physical activity, all patients showed improvements in mobility, walking ability, and self-perceived upper extremity function during inpatient care.