title: Physical activity in chronic home-living and sub-acute hospitalized stroke patients using objective and self-reported measures.
abstract: BACKGROUND
  Despite confirmed reduced physical activity (PA) after stroke in various stages of recovery, the type of activities stroke patients executed and the time spent at different activity levels have not been sufficiently verified with stroke-validated assessment tools.
  
  
  METHODS
  Observational study.
  
  
  OBJECTIVE
  To determine PA of sub-acute stroke patients hospitalized in a rehabilitation centre (HOS) compared to chronic home-living stroke patients (HOM) using objective and self-reported measures during 2 weekdays and 1 weekend day.
  
  
  METHODS
  Fifteen HOS and 15 HOM patients wore a Sense Wear Pro 2 accelerometer (METs*minutes/24 h) and a knee-worn pedometer Yamax Digi Walker SW 200 (steps) and filled in a coded activity diary (kcal/24 h; METs*minutes/24 h) during three consecutive days.
  
  
  RESULTS
  In HOM significantly more steps (stepstotal HOM = 18722.6 ± 10063.6; stepstotal HOS = 7097.8 ± 5850.5) and higher energy expenditure (EE) levels (EEtotal HOM = 7759.34 ± 2243.04; EEtotal HOS = 5860.15 ± 1412.78) were measured. In this group less moderate activity (≥3-6 ≤ METs) was performed on a weekday (pday1 = 0.006; pday2 = 0.027) and in total (p = 0.037). Few therapy hours (physical, occupational and speech therapy, and psychological support) were provided in HOM compared to HOS (p < 0.001). Vigorous activities were only seen in HOM. In both groups few patients executed sport activities.
  
  
  CONCLUSIONS
  In HOM significantly more steps were performed and higher EE values were measured. However, participation in moderate activities and time spent on therapy were less in HOM. Evaluating PA with quantitative measures is feasible in both chronic home-living and sub-acute hospitalized patients with stroke.
authors.affiliation: a Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy , University of Antwerp , Antwerp , Belgium.
authors.forename: Christel
authors.initials: C
authors.lastname: Vanroy
authors.affiliation: a Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy , University of Antwerp , Antwerp , Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Vissers
authors.affiliation: b Department of Rehabilitation Sciences , University of Leuven , Leuven , Belgium.
authors.forename: Yves
authors.initials: Y
authors.lastname: Vanlandewijck
authors.affiliation: b Department of Rehabilitation Sciences , University of Leuven , Leuven , Belgium.
authors.forename: Hilde
authors.initials: H
authors.lastname: Feys
authors.affiliation: a Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy , University of Antwerp , Antwerp , Belgium.
authors.forename: Steven
authors.initials: S
authors.lastname: Truijen
authors.affiliation: c Campus St.- Ursula , Jessa Hospital , Herk-de-Stad , Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Michielsen
authors.affiliation: d Faculty of Medicine and Health Sciences, Department of Neurology, Born-Bunge Institute, Translational Neurosciences , University of Antwerp , Antwerp , Belgium.
authors.forename: Patrick
authors.initials: P
authors.lastname: Cras
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D004734:Energy Metabolism / Q000502:physiology*; D005081:Exercise Therapy / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory; D009043:Motor Activity / Q000502:physiology*; D009788:Occupational Therapy / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000706:statistics & numerical data; D012046:Rehabilitation / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers; D057566:Self Report; D013070:Speech Therapy / Q000706:statistics & numerical data; D000071939:Stroke Rehabilitation; D013997:Time Factors; D016138:Walking / Q000502:physiology
keywords: Activity diary; Activity monitor; Pedometer; Physical activity; Rehabilitation; Stroke