Table 1.
Study | Participants | Predictors investigated | Outcomes of physical activity or walking | Time points for measurement | Factors predicting outcomes |
---|---|---|---|---|---|
Studies reporting on physical activity outcomes | |||||
Mahendran 202019 (Australia) | n = 36 |
|
Daily step count | Predictors: At discharge from acute stroke unit and inpatient rehabilitation | All physical activity outcomes at 1 month: Walking distance alone (adj R2 = 0.26–0.44, p < 0.005) |
Frequency of PA (time in long activity bouts) | |||||
Age (y) = 71 (14) | |||||
Daily step count and intensity of physical activity at 3 months: Walking distance and pre-stroke activity (adj R2 = 0.41–0.58, p < 0.007) | |||||
Sex = 11 F, 25 M | Intensity of PA (time in high intensity bouts) (accelerometer-derived) | ||||
Outcomes: 1, 3 and 6 months after discharge | |||||
Time after stroke (days) = 24 (21) | Frequency of physical activity at 3 months: pre-stroke activity levels alone (adj R2 = 0.28, p = 0.004) | ||||
Daily step count and frequency of physical activity at 6 months: Age alone (adj R2 = 0.31–0.32, p < 0.003) | |||||
Intensity of physical activity at 6 months: Walking distance, pre-stroke activity and executive function (adj R2 = 0.76, p < 0.001) | |||||
Thilarajah 202022 (Singapore) | n = 55 |
|
Daily step count (accelerometer-derived) self-reported intensity of PA (IPAQ-S7) | Predictors: Within 1-week prior to discharge from inpatient rehabilitation | Daily step count: Walking speed (p = 0.04), step test with affected (p = 0.03) and unaffected limb (p < 0.01) |
Age (y) = 59 (49–67) | |||||
Sex = 29 F, 35 M | Self-reported physical activity intensity: Dorsiflexor strength in affected limb (p < 0.01) and step test with unaffected limb (p = 0.02) | ||||
Outcomes: 3 months after discharge | |||||
Self-reported participation in PA (ACS) | |||||
Time after stroke (days) = median 24 (IQR 20 to 36) | |||||
Self-reported participation in physical activity: Walking speed (p < 0.01), step test with unaffected limb (p < 0.01), step test with affected limb (p < 0.001), anxiety (p = 0.03) and motivation (p = 0.04). | |||||
Studies reporting on walking outcomes | |||||
Bonetti 200817 (UK) | n = 203 |
|
Walking limitation (functional limitation profile: ambulation subscale) | Predictors: Within 2 weeks after discharge from acute stroke unit. | Walking limitation: Perceived behavioural control = adj R2 = 0.19, p < 0.001) and walking recovery |
Age (y) = 69 (12) | |||||
Walking recovery (walking limitation score) | Outcomes: 6 months after discharge | Walking recovery: Perceived behavioural control (adj R2 = 0.11, p < 0.001) | |||
Sex = 79 F, 124 M | |||||
Time after stroke = Not reported | |||||
Katz-Leurer 200518 (Israel) | n = 44 |
|
Walking speed (10MWT) | Predictors: 15 days post stroke | Walking speed: Ability to cycle at 50 r/min with and without 10 W resistance (R2 = 0.40, p < 0.01) |
Walking distance until fatigue | |||||
Age (y) = 65 (11) | Number of stairs climbed until fatigue | Outcomes: 3 months after stroke | |||
Walking distance: Ability to cycle at 50 r/min against 10 W resistance (R2 = 0.21, p < 0.01) | |||||
Sex =22 F, 22 M | |||||
Time after stroke (days) = 15 | Number of stairs climbed: Ability to cycle at 50 r/min with and without 10 W resistance (R2 = 0.26, p < 0.01) | ||||
Nakao 202020 (Japan) | n = 1023 |
|
Walking participation via life–space assessment (LSA) | Predictors: At discharge from inpatient rehabilitation | Walking participation (LSA): Female sex, age, falls efficacy FIM cognitive score and walking speed and length of stay together (R2 = 0.54, p < 0.05) |
Age (y) = 65 (58–73) | |||||
Sex = 347 F, 676 M | Outcomes: 2 months after discharge | ||||
Time after stroke (days) = median 97 (IQR 66–134) | |||||
Park 201721 (Korea) | n = 72 |
|
Walking independence (FAC) | Predictors: Within 2 weeks of discharge from inpatient rehabilitation | Walking independence: Verbal fluency (R2 = 0.454), word list memory (R2 = 0.449), construction praxis (R2 = 0.433) and Boston naming test (R2 = 0.424), when adjusted for age, lower limb strength and side of stroke |
Walking participation via ambulatory zones (household versus community ambulator) | |||||
Age (y) = 69 (11) | |||||
Sex = 41 F, 31 M | Outcomes: 6 months after stroke | ||||
Time after stroke (days) = 27 (12) | Walking participation: Word list memory (R2 = 0.613), verbal fluency test (R2 = 0.506), construction praxis (R2 = 0.497) and Boston naming test (R2 = 0.413) when adjusted for age, lower limb strength and side of stroke |
All data is presented as mean (SD) unless otherwise specified.
r/min: repetitions per minute; SSS: Scandinavian Stroke Scale; 10MWT: 10-metre walk test; PASE: physical activity scale for the elderly; FSS-7: Fatigue Severity Scale (7-item); HDS: Happiness and Depression Scale; TMT-A: Trail Making Test Part A; TMT-B: Trail Making Test Part B; 6MWT: 6-minute walk test; ASCQ: Ambulatory Self-Confidence Questionnaire; SIS: Stroke Impact Scale; EQ-5D: European Quality of Life Instrument; FIM: Functional Independence Measure; FES: Falls Efficacy Scale; TUG: Timed Up and Go test; LSA: life–space assessment; NIHSS: National Institutes of Health Stroke Scale; FM: Fugl–Meyer Scale; WMT: word list memory test; VFT: verbal fluence test; BNT: Boston naming test; CPT: construction praxis test; FES-I: Falls Efficacy Scale (International); FAC: functional ambulation categories; 10-minWT: 10-minute walk test; MoCA: Montreal cognitive assessment; HADS: Hospital Anxiety and Depression Scale; BREQ-2: Behavioural Regulation in Exercise Questionnaire-2; ACS: activity card sort – high demand leisure; IPAQ-S7: International Physical Activity Questionnaire-Short 7 Days.