Article

OBJECTIVE: To evaluate the effect of accelerometer-based feedback on physical
activity in hospitalized patients with ischemic stroke.
DESIGN: Randomized
controlled trial. SETTING: Acute care hospital. SUBJECTS:
A total of 55 patients
with ischemic stroke who could walk without assistance were randomly assigned to
the intervention group ( n = 27) or the control group ( n = 28). INTERVENTIONS:
At the baseline measurement, patients did not receive accelerometer-based
feedback. At follow-up, a physical therapist provided instruction on
accelerometer-based feedback, discussed physical activity targets and encouraged
the patients to walk more until discharge. MAIN MEASURES: The average daily
number of steps taken was used as the index of daily hospitalized physical
activity. RESULTS: The study sample consisted of 48 patients, of whom 23 patients
comprised the intervention group and 25 patients comprised the control group.
Although there were no significant differences in physical activity values
between the two groups at the baseline measurement, the values in the
intervention group at follow-up were significantly higher than those in the
control group (5180.5 +/- 2314.9 vs. 3113.6 +/- 1150.9 steps/day, P = 0.0003).
The effect size of physical activity values (Cohen's d = 1.15) at follow-up was
large between the two groups. CONCLUSION: Exercise training combined with
accelerometer-based feedback effectively increased physical activity in
hospitalized patients with ischemic stroke.

Langue : ANGLAIS