Article

OBJECTIVE: To characterize community ambulation and determine if it changes
across the first 6 months after discharge from hospital after stroke. DESIGN:
Prospective, observational study. SETTING: Community setting. PARTICIPANTS:
Subacute stroke survivors with no cognitive impairment or conditions limiting
mobility prior to stroke (N=34). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Community ambulation was measured by an accelerometer, Global
Positioning System, and activity diary. Measures included the following: volume
(step count; time spent in the community, lying/sitting, standing, and walking),
frequency (number of community trips; number of and time in short-, medium-,
long-duration bouts), intensity (number of and time at low-, moderate-,
high-intensity bouts), and trip type at 1, 3, and 6 months after hospital
discharge. RESULTS: At 1 month participants took on average 1 trip per day in the
community, lasting 137+/-113 minutes. Overall, most community ambulation was
spread across long-duration bouts (>300 steps) lasting 11.3 to 14.1min/d and
moderate-intensity bouts (30-80 steps per minute). There was no change in
community ambulation trip type (P<.302) or ambulation characteristics over time
except for a greater number of and time spent in long ambulation bouts at 6
months only (P<.027). CONCLUSIONS: Total volume and intensity of community
ambulation did not change over the first 6 months postdischarge after stroke.
However, at 6 months, survivors spent more time in long-duration ambulation
bouts. Review of stroke survivors at 6 months after hospital discharge is
suggested because this is when changes in community ambulation may first be
observed.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS