Recommended moderate to vigorous physical activity levels for people in the chronic phase of stroke can be achieved in outpatient physiotherapy: a multicentre observational study.

IF 2.2 4区 医学 Q1 REHABILITATION Topics in Stroke Rehabilitation Pub Date : 2024-08-22 DOI:10.1080/10749357.2024.2392447
Stéphanie Goncalves, Morgane Le Bourvellec, Noémie C Duclos, Stéphane Mandigout
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Abstract

Background: Rehabilitation in the chronic phase of stroke should include 20 minutes of moderate to vigorous physical activity (MVPA). However, the level of compliance with MVPA guidelines in outpatient physiotherapy is unknown.

Objectives: To investigate (1) whether people in the chronic phase of stroke perform the recommended 20 minutes of MVPA during outpatient physiotherapy sessions in France, (2) whether the person's clinical characteristics influence MVPA time and (3) which interventions contribute to achievement of recommended MVPA time.

Methods: This was a multicentre, cross-sectional observational study of routine outpatient physiotherapy sessions in France in people in the chronic phase of stroke. The main measures included MVPA time (determined using a heart rate monitor), clinical tests and types of physiotherapy interventions (recorded by external investigator during 2 sessions for each participant).

Results: 84 people in the chronic phase of stroke and 152 outpatient physiotherapy sessions in 29 outpatient clinics were included (2021-2022). Median (interquartile range) MVPA time was 25 (7-45) minutes across all sessions. Fifty-nine percent of the sessions fulfilled MVPA guidelines. Among clinical tests, only the Mini-Mental Scale Examination was significantly associated with MVPA time. Endurance, balance, and functional lower limb training were associated with the achievement of MVPA guidelines.

Conclusion: Outpatient physiotherapy sessions have the potential to meet the MVPA guidelines. Further research is needed to understand the variability of compliance with MVPA guidelines and to develop strategies to increase the integration of MVPA into outpatient physiotherapy sessions.

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门诊物理治疗可达到中风慢性期患者推荐的中度至剧烈运动水平:一项多中心观察研究。
背景:中风慢性期的康复治疗应包括 20 分钟的中度到剧烈运动(MVPA)。然而,门诊物理治疗中对 MVPA 指南的遵守程度尚不清楚:目的:调查(1)在法国,中风慢性期患者在门诊物理治疗过程中是否进行了建议的 20 分钟 MVPA,(2)患者的临床特征是否会影响 MVPA 时间,(3)哪些干预措施有助于达到建议的 MVPA 时间:这是一项多中心、横断面观察性研究,研究对象是法国的中风慢性期常规门诊物理治疗。主要测量指标包括 MVPA 时间(使用心率监测仪测定)、临床测试和物理治疗干预类型(由外部调查人员在每个参与者的两次治疗中进行记录):结果:共纳入 84 名中风慢性期患者和 29 个门诊诊所的 152 次门诊物理治疗(2021-2022 年)。所有疗程的 MVPA 时间中位数(四分位数间距)为 25 (7-45) 分钟。59%的疗程符合 MVPA 指南。在临床测试中,只有迷你心理量表检查与 MVPA 时间有显著关联。耐力、平衡和下肢功能训练与 MVPA 指导原则的实现有关:结论:门诊物理治疗课程有可能达到 MVPA 指导原则的要求。需要进一步研究,以了解遵守 MVPA 指导原则的可变性,并制定策略,将 MVPA 更多融入门诊物理治疗课程。
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来源期刊
Topics in Stroke Rehabilitation
Topics in Stroke Rehabilitation 医学-康复医学
CiteScore
5.10
自引率
4.50%
发文量
57
审稿时长
6-12 weeks
期刊介绍: Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
期刊最新文献
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