6533b858fe1ef96bd12b5b2e

RESEARCH PRODUCT

Association of Barriers, Fear of Falling and Fatigue with Objectively Measured Physical Activity and Sedentary Behavior in Chronic Stroke.

M. Luz Sánchez-sánchezAssumpta Climent-toledoSofía Pérez-alendaJuan J CarrascoSara Cortés-amadorGemma Victoria Espí-lópezMaria-arantzazu Ruescas-nicolauAnna Arnal-gómez

subject

030506 rehabilitationmedicine.medical_specialtybarriersPhysical activityPsychological interventionlcsh:Medicinephysical activityFear of fallingArticle03 medical and health sciences0302 clinical medicinesedentary behaviormedicinefear of fallingChronic strokeStrokebusiness.industrylcsh:RGeneral MedicineSedentary behaviormedicine.diseasestrokePreferred walking speedaccelerometerAmbulatoryPhysical therapyfatiguemedicine.symptom0305 other medical sciencebusiness030217 neurology & neurosurgery

description

Understanding the fostering factors of physical activity (PA) and sedentary behavior (SB) in post-stroke chronic survivors is critical to address preventive and health interventions. This cross-sectional study aimed to analyze the association of barriers to PA, fear of falling and severity of fatigue encountered by stroke chronic survivors with device-measured PA and SB. Ambulatory community-dwelling post-stroke subjects (≥six months from stroke onset) were evaluated and answered the Barriers to Physical Activity after Stroke Scale (BAPAS), Short Falls Efficacy Scale-International (Short FES-I) and Fatigue Severity Scale (FSS). SB and PA were measured with an Actigraph GT3X+ accelerometer for ≥seven consecutive days. Stepwise multiple linear regression analysis was employed to identify factors associated with PA and SB. Fifty-seven participants (58.2 ± 11.1 years, 37 men) met the accelerometer wear–time criteria (three days, ≥eight h/day). The physical BAPAS score explained 28.7% of the variance of the prolonged sedentary time (β = 0.547

10.3390/jcm10061320https://pubmed.ncbi.nlm.nih.gov/33806818