Document Detail


Exercise dose and mobility outcome in a comprehensive stroke unit: description and prediction from a prospective cohort study.
MedLine Citation:
PMID:  22878434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the dose of lower limb exercise completed during admission to a stroke unit, establish predictors of dose and explore the relationship between dose and walking outcomes.
DESIGN: Inception cohort study.
PARTICIPANTS: Two hundred consecutively-admitted people with stroke.
METHODS: Repetitions of exercise completed throughout the admission were tallied. Possible predictors of exercise dose were recorded within 48 h of admission. Walking velocity was assessed at the beginning and end of the hospital stay.
RESULTS: Data were available for 191 (96%) participants on discharge. The mean daily dose of lower limb exercise was 288 repetitions (standard deviation (SD) 242), the variability in dose was best explained by age and disability level. The mean improvement in walking velocity was 0.43 m/s (SD 0.46), 26% of variability in walking improvement was explained by exercise repetitions and 29% was explained by a multivariable model including significant contributions from exercise repetitions (p < 0.01) and age (p = 0.03). After controlling for other factors, for every 100 daily repetitions of lower limb exercise there was an additional change in walking velocity of 0.08 m/s (95% CI 0.05 to 0.11, p < 0.01).
CONCLUSION: Exercise dose in a stroke unit is variable and can be predicted by age and disability. Increased exercise dose is associated with improved mobility outcomes.
Authors:
Katharine Scrivener; Catherine Sherrington; Karl Schurr
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  44     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-10     Completed Date:  2013-01-18     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  824-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Exercise Therapy / methods*
Female
Humans
Male
Middle Aged
Mobility Limitation
Prospective Studies
Stroke / rehabilitation*
Treatment Outcome
Walking
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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