Daily Amount of Mobilization and Physical Activity During Rehabilitation of Patients with Acute Stroke Managed in a General Ward
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1 Daily Amount of Mobilization and Physical Activity During Rehabilitation of Patients with Acute Stroke Managed in a General Ward NOZOE Masafumi, YAMAMOTO Miho, KANAI Masashi, KUBO Hiroki, FURUICHI Asami, MORITA Hidemi, SANAKA Kazuki, SHIMADA Shinichi, and MASE Kyoshi Abstract: The purpose of this study was to examine daytime mobilization and physical activity time during the rehabilitation of patients with acute stroke who were managed in a general hospital ward. Twenty subjects who were hospitalized within 48 hours after stroke onset15 cerebral infarct, 4 inter-cerebral hemorrhage, 1 subarachnoid hemorrhagewere included in the study. We used the Behavior Mapping method to observe and record the subject s activity status from 9 o clock to 17 o clock on any given day within one week after onset. The activity status was divided into1lying in bed,2sitting,3high-intensity activitystanding/walkingour results show that the total time spent lying in bed during the day was % and the high-intensity activity time was %. Bed-lying time was significantly correlated with severityr0.64, p In contrast, the bed-lying time during rehabilitation was , and the high-intensity activity time was , many of which were assigned to high intensity activity time. From these results, it is clear that acute stroke patients, managed in a general hospital ward, have a short landing time during rehabilitation, but landing time during the day is as long as over half. Key Words: acute stroke, amount of mobilization, physical activity, general ward Behavior Mapping r0.64, p *1 *2 *3 *4
2 Stroke Care UnitSCU 1 SCU 3 2 SCU Bernhardt Behavior Mapping Behavior Mapping 3 5 Behavior Mapping
3 modified Rankin ScalemRS NIHSS; National Institute of Health Stroke ScaleOCSPOxfordshire Community Stroke Project NIHSS NIHSS SPSS ver BMIkg/m 2 mrs 1 NIHSS OCSP LACI7 PACI2 POCI4 TACI BMI: body mass index, mrs: modified Rankin Scale, NIHSS: National Institutes of Health Stroke Scale, OCSP: Oxfordshire Community Stroke Project, LACI: lacunar infarct, PACI: partial anterior circulation infarct, POCI: posterior circulation infarct, TACI: total anterior circulation infarct 1 1 NIHSS NIHSS r 0.64, p
4 NIHSS r0.72, p0.001 Behavior Mapping , 3, Behavior Mapping Bernhardt 2, 3, 5 Behavior Mapping 65Bernhardt 3 SCU 53 Askim SCU 30 8 SCU SCU 75 76West SCU SCU
5 Behavior Mapping Askim T, Bernhardt J, Salvesen O, et al.: Physical activity early after stroke and its association to functional outcome 3 months later. J Stroke Cerebrovasc Dis 2014: 23: e Bernhardt J, Dewey H, Thrift A, et al.: Inactive and alone: physical activity within the first 14 days of acute stroke unit care. Stroke 2004: 35: Kimura K, Kazui S, Minematsu K, et al.: Hospital-based prospective registration of acute ischemic stroke and transient ischemic attack in Japan. Japan Multicenter Stroke Investigators CollaborationJ-MUSIC. J Stroke Cerebrovasc Dis 2004: 13: West T, Bernhardt J.: Physical activity in hospitalised stroke patients. Stroke Res Treat. 2012: Gebruers N, Vanroy C, Truijen S, et al.: Monitoring of physical activity after stroke: a systematic review of accelerometry-based measures. Arch Phys Med Rehabil. 2010; 91: Kunkel D, Fitton C, Burnett M, et al.: Physical inactivity post-stroke: a 3-year longitudinal study. Disabil Rehabil. 2015; 37: Askim T, Bernhardt J, Løge AD, et al.: Stroke patients do not need to be inactive in the first two-weeks after stroke: results from a stroke unit focused on early rehabilitation. Int J Stroke. 2012; 7: West T, Bernhardt J.: Physical activity patterns of acute stroke patients managed in a rehabilitation focused stroke unit. Biomed Res Int. 2013: AVERT Trial Collaboration group. Efficacy and safety of very early mobilisation within 24 h of stroke onset AVERTa randomised controlled trial. Lancet. 2015: 386: Bernhardt J, Churilov L, Ellery F, et al.: Prespecified dose-response analysis for A Very Early Rehabilitation TrialAVERT. Neurology. 2016: 86:
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