Article

OBJECTIVES: To explore the relationship between self-reporting and physical
measures and compare self-reported physical activity (PA) levels in persons who
have had a stroke with self-reported PA levels in a control population. DESIGN:
Cross-sectional assessment of a convenience sample of survivors of a stroke
living in the community and a population-based sample from the same community.
SETTING: University hospital. PARTICIPANTS: Seventy persons (48 men and 22 women;
average age, 60 years) who had a stroke a mean of 6 years earlier and 141 persons
(70 men and 71 women; average age, 59 years) who served as control subjects. MAIN
OUTCOME MEASUREMENTS: The Physical Activity Scale for the Elderly (PASE) was
used, and self-selected and maximum walking speeds were measured. Motor function
after stroke was assessed with the Fugl-Meyer Assessment. RESULTS: The median
Fugl-Meyer score for motor function in the leg was 29. Mean self-selected and
maximum walking speeds after having a stroke were 1.0 m/s and 1.3 m/s,
corresponding to 72% and 65% of control values. A regression model with PASE as
the dependent variable and age and walking speed as independent variables
explained 29% (P < .001) of the variation in the stroke group. For the control
group, age and self-selected walking speed explained 8% of the variation (P <
.01). The mean PASE score in the stroke group was 119, compared with 161 in the
control group. CONCLUSION: Persons who have experienced a stroke and live in the
community are less physically active than the population of the same age who have
not had a stroke. However, it appears that factors other than motor impairment
have an impact on a person's
PA level, because only a low association was found
between PA level and motor function, with a large dispersion in PA levels in
persons with a history of stroke who were physically well recovered.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS