Daily physical activity and its contribution to the health-related quality of life of ambulatory individuals with chronic stroke

Autor: Jiann-Shing Jeng, Chihya Hung, Janice J. Eng, Pei-Fang Tang, Debbie Rand
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Male
030506 rehabilitation
medicine.medical_specialty
Canada
Mental Status Schedule
Activities of daily living
Time Factors
Walking
Motor Activity
lcsh:Computer applications to medicine. Medical informatics
Metabolic equivalent
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Quality of life
Activities of Daily Living
medicine
Health Status Indicators
Humans
Functional ability
Stroke
Chronic stroke
Aged
business.industry
Research
Mental Disorders
Public Health
Environmental and Occupational Health
Reproducibility of Results
General Medicine
Middle Aged
medicine.disease
humanities
Ambulatory
Chronic Disease
Physical therapy
Quality of Life
Regression Analysis
lcsh:R858-859.7
Female
Self Report
0305 other medical science
business
030217 neurology & neurosurgery
Zdroj: Health and Quality of Life Outcomes, Vol 8, Iss 1, p 80 (2010)
Health and Quality of Life Outcomes
ISSN: 1477-7525
Popis: Background Participation in daily physical activity (PA) post-stroke has not previously been investigated as a possible explanatory variable of health-related quality of life (HRQL). The aims were 1) to determine the contribution of daily PA to the HRQL of individuals with chronic stroke and 2) to assess the relationship between the functional ability of these individuals to the amount of daily PA. Methods The amount of daily PA of forty adults with chronic stroke (mean age 66.5 ± 9.6 years) was monitored using two measures. Accelerometers (Actical) were worn on the hip for three consecutive days in conjunction with a self-report questionnaire [the PA Scale for Individuals with Physical Disabilities (PASIPD)]. The daily physical activity was measured as the mean total accelerometer activity counts/day and the PASIPD scores as the metabolic equivalent (MET) hr/day. HRQL was assessed by the Physical and Mental composite scores of the Medical Outcomes Study Short-Form 36 (SF-36) in addition to the functional ability of the participants. Correlation and regression analyses were performed. Results After controlling for the severity of the motor impairment, the amount of daily PA, as assessed by the PASIPD and accelerometers, was found to independently contribute to 10-12% of the variance of the Physical Composite Score of the SF-36. No significant relationship was found between PA and the Mental Composite Score of the SF-36.The functional ability of the participants was found to be correlated to the amount of daily PA (r = 0.33 - 0.67, p < 0.01). Conclusion The results suggest that daily PA is associated with better HRQL (as assessed by the Physical composite score of the SF-36) for people living with stroke. Daily PA should be encouraged to potentially increase HRQL. Accelerometers in conjunction with a self-report questionnaire may provide important measures of PA which can be monitored and modified, and potentially influence HRQL.
Databáze: OpenAIRE
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