Abstract
Objective
To examine whether change in rehabilitation environment (hospital or home) and other
factors influence time spent sitting upright and walking after stroke.
Design
Observational study.
Setting
Two inpatient rehabilitation units and community residences following discharge.
Participants
Participants (N=34) with stroke were recruited.
Main Outcome Measure
An activity monitor was worn continuously for 7 days during the final week in the
hospital and the first week at home. Other covariates included mood, fatigue, physical
function, pain, and cognition. Linear mixed models were performed to examine the associations
between the environment (exposure) and physical activity levels (outcome) in the hospital
and at home. Interaction terms between the exposure and other covariates were added
to the model to determine whether they modified activity with change in environment.
Results
The mean age of participants was 68±13 years and 53% were male. At home, participants
spent 45 fewer minutes sitting (95% CI -84.8, -6.1; P=.02), 45 more minutes upright (95% CI 6.1, 84.8; P=.02), and 12 more minutes walking (95% CI 5, 19; P=.001), and completed 724 additional steps (95% CI 199, 1250; P=.01) each day compared to in the hospital. Depression at discharge predicted greater
sitting time and less upright time (P=.03 respectively) at home.
Conclusions
Environmental change from hospital to home was associated with reduced sitting time
and increased the time spent physically active, though depression modified this change.
The rehabilitation environment may be a target to reduce sitting and promote physical
activity.
Keywords
List of abbreviations:
MoCA (Montreal Cognitive Assessment), NIHSS (National Institutes of Health Stroke Scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 08, 2018
Footnotes
Supported by a project research grant from the Department of Geriatrics, Royal Hobart Hospital, Tasmanian Health Service—South. DS is supported by a Commonwealth Department of Health nursing and allied health postgraduate scholarship. MC is supported by an NHMRC Dementia Research Fellowship (#1135761). CE is supported by a Heart Foundation of Australia Future Leaders Fellowship (#101177). SG is supported by a Heart Foundation of Australia Future Leaders Fellowship (#100446).
Disclosures: none.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
