Abstract
Objective
To integrate the literature investigating factors associated with post-stroke physical
activity.
Data Sources
A search was conducted from database inception to June 2016 across 9 databases: Cochrane,
MEDLINE, ProQuest, Web of Science, PsycINFO, Scopus, Embase, CINAHL, and Allied and
Complementary Medicine Database. The reference lists of included articles were screened
for secondary literature.
Study Selection
Cohort and cross-sectional studies were included if they recruited community-dwelling
stroke survivors and measured factors associated with physical activity.
Data Extraction
Risk of bias was evaluated using the Quality in Prognosis Studies checklist. A meta-analysis
was conducted for correlates where there were at least 2 studies that reported a correlation
value. Correlation values were used in an effect size measure and converted to a standardized
unit with Fisher r to z transformation and conversion back to r method. Results were described qualitatively for studies that could not be pooled.
Data Synthesis
There were 2161 studies screened and 26 studies included. Age (meta r=−.17; P≤.001) and sex (meta r=−.01; P=.02) were the nonmodifiable factors that were found to be associated with post-stroke
physical activity. The modifiable factors were physical function (meta r=.68–.73; P<.001), cardiorespiratory fitness (meta r=.35; P≤.001), fatigue (meta r=−.22; P=.01), falls self-efficacy (meta r=−.33; P<.001), balance self-efficacy (meta r=.37; P<.001), depression (meta r=−.58 to .48; P<.001), and health-related quality of life (meta r=.38–.43; P<.001). The effect of side of infarct, neglect, and cognition on post-stroke physical
activity was inconclusive.
Conclusions
Age, sex, physical function, depression, fatigue, self-efficacy, and quality of life
were factors associated with post-stroke physical activity. The cause and effect of
these relations are unclear, and the possibility of reverse causality needs to be
addressed.
Keywords
List of abbreviations:
6MWT (6-minute walk test), BBS (Berg Balance Scale), CI (confidence interval), ES (effect size), FSS (Fatigue Severity Scale), HRQOL (health-related quality of life), MMSE (Mini-Mental State Examination), MoCA (Montreal Cognitive Assessment)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 19, 2017
Footnotes
Clinical Trial Registration No.: CRD42015019097.
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
