Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1259
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dc.contributor.authorWilliams, Gavin-
dc.contributor.otherThilarajah, Shamala-
dc.contributor.otherMentiplay, Benjamin-
dc.contributor.otherBower, Kelly-
dc.contributor.otherTan, Dawn-
dc.contributor.otherYong Hao, Pua-
dc.contributor.otherKoh, Gerald-
dc.contributor.otherClark, Ross-
dc.date.accessioned2017-11-15T01:10:30Z-
dc.date.available2017-11-15T01:10:30Z-
dc.date.issued2017-10-
dc.identifier.citationArch Phys Med Rehabil. 2017 Oct 19. pii: S0003-9993(17)31264-9en_US
dc.identifier.issn1532-821Xen_US
dc.identifier.urihttp://hdl.handle.net/11434/1259-
dc.description.abstractOBJECTIVE: To integrate the literature investigating factors associated with post-stroke physical activity. DATA SOURCES: A search was conducted from database inception to June 2016 across nine databases: Cochrane, Medline, ProQuest, Web of Science ISI, PsycInfo, Scopus, Embase, CINAHL and AMED. The reference lists of included articles were screened for secondary literature. STUDY SELECTION: Cohort and cross-sectional studies were included if they recruited community-dwelling stroke survivors and measured factors associated with physical activity. DATA EXTRACTION: Risk of bias was evaluated using the Quality in Prognosis Studies checklist. A meta-analysis was conducted for correlates where there were at least two studies that reported a correlation value. Correlation values were used in an effect size measure and converted to a standardised unit with Fisher r to z transformation and conversion back to r method. Results were described qualitatively for studies that could not be pooled. DATA SYNTHESIS: 2161 studies were screened and 26 studies were included. Age (meta r=-0.17; p=<0.001) and gender (meta r=-0.01; p=0.02) were the non-modifiable factors that were found to be associated with post-stroke physical activity. The modifiable factors were physical function (meta r=0.68-0.73; p<0.001), cardiorespiratory fitness (meta r=0.35; p=<0.001), fatigue (meta r=-0.22; p=0.01), falls self-efficacy (meta r=-0.33; p<0.001), balance self-efficacy (meta r=0.37; p<0.001), depression (meta r=-0.58-0.48; p<0.001) and health-related quality of life (meta r=0.38-0.43; p<0.001). The impact of side of infarct, neglect and cognition on post-stroke physical activity were inconclusive. CONCLUSIONS: Age, gender, physical function, depression, fatigue, self-efficacy and quality of life were factors associated with post-stroke physical activity. The cause and effect of these relationships are unclear and the possibility of reverse causality needs to be addressed.en_US
dc.publisherElsevieren_US
dc.subjectPhysical activityen_US
dc.subjectStrokeen_US
dc.subjectCorrelatesen_US
dc.subjectAssociationsen_US
dc.subjectFactorsen_US
dc.subjectPost-Strokeen_US
dc.subjectQuality in Prognosis Studies Checklisten_US
dc.subjectPhysical Functionen_US
dc.subjectCardiorespiratory Fitnessen_US
dc.subjectFatigueen_US
dc.subjectSelf-Efficacyen_US
dc.subjectDepressionen_US
dc.subjectQuality of Lifeen_US
dc.subjectQoLen_US
dc.subjectAgeen_US
dc.subjectGenderen_US
dc.subjectRehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleFactors associated with post-stroke physical activity: a systematic review and meta-analysis.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1016/j.apmr.2017.09.117en_US
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitationen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/29056502en_US
dc.description.affiliatesSchool of Health and Exercise Science, The University of the Sunshine Coast, Queensland, Australia; Department of Physiotherapy, Singapore General Hospital, Singapore.en_US
dc.description.affiliatesSchool of Health and Exercise Science, The University of the Sunshine Coast, Queensland, Australia.en_US
dc.description.affiliatesDepartment of Physiotherapy, Singapore General Hospital, Singapore.en_US
dc.description.affiliatesSaw Swee Hock School of Public Health, National University of Singapore, Singapore.en_US
dc.description.affiliatesThe University of Melbourne, Melbourne, Australia.en_US
dc.type.studyortrialReviews/Systematic Reviewsen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences
Rehabilitation

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