Go Home, Sit Less: The Impact of Home Versus Hospital Rehabilitation Environment on Activity Levels of Stroke Survivors

Archives of Physical Medicine and Rehabilitation
Dawn B SimpsonMichele Callisaya

Abstract

To examine whether change in rehabilitation environment (hospital or home) and other factors influence time spent sitting upright and walking after stroke. Observational study. Two inpatient rehabilitation units and community residences following discharge. Participants (N=34) with stroke were recruited. 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. 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...Continue Reading

Citations

Jul 23, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Emily A KringleElizabeth R Skidmore
Apr 23, 2020·Disability and Rehabilitation·Mindy F Levin, Marika Demers
Jun 25, 2020·Topics in Stroke Rehabilitation·Dawn B SimpsonMichele L Callisaya
Jun 15, 2019·Stroke; a Journal of Cerebral Circulation·Maurizio Paciaroni, Monica Acciarresi
Jan 6, 2021·Disability and Rehabilitation·Dawn B SimpsonMichele L Callisaya
Dec 22, 2020·Archives of Physical Medicine and Rehabilitation·Asher G KirkChristina L Ekegren
Dec 20, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Naoki AkazawaHideki Moriyama
Mar 17, 2021·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Amy U de JongDawn B Simpson

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