Determining the factors that most affect the level of physical activity in ambulatory individuals following a stroke: an observational study
International Journal of Therapy and Rehabilitation, cilt.32, sa.7, 2025 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 7
- Basım Tarihi: 2025
- Doi Numarası: 10.12968/ijtr.2024.0099
- Dergi Adı: International Journal of Therapy and Rehabilitation
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, Public Affairs Index
- Anahtar Kelimeler: Balance, Fatigue, Fear of falling, Physical activity, Sleep quality, Stroke
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Hayır
Özet
Background/Aims Physical activity levels after stroke can be influenced by a variety of factors. However, the specific determinants that most significantly affect physical activity in this population remain unclear. The aim of the present study was to determine the physical activity level of patients who have had a stroke and examine the factors affecting this. Methods A total of 78 individuals who had experienced a stroke were included. The physical activity levels of participants were determined using the Physical Activity Scale for Individuals with Physical Disabilities. Participants' perceived benefits of, and barriers to, exercise were determined using the Exercise Benefits/Barriers Scale, balance levels were determined using the Berg Balance Scale; fear of falling was determined using the Falls Efficacy Scale International; levels of fatigue were evaluated using the Fatigue Severity Scale; the degree of depression was evaluated using the Beck Depression Inventory; and sleep quality was evaluated using the Pittsburgh Sleep Quality Index. Results In the correlation analysis, a moderate negative relationship was detected between Physical Activity Scale for Individuals with Physical Disabilities and Falls Efficacy Scale International scores (r=0.515, P=0.001). A weak positive relationship was observed between the participants' Physical Activity Scale for Individuals with Physical Disabilities and Berg Balance Scale scores (r=0.283, P=0.006). A weak negative relationship was found between Physical Activity Scale for Individuals with Physical Disabilities score and age, body mass index, Exercise Benefits/Barriers Scale, Fatigue Severity Scale and Pittsburgh Sleep Quality Index scores (r=-0.210, P=0.032; r=-0.286, P=0.006, r=-0.334, P=0.001, r=-0.328, P=0.002, r=-0.330, P=0.002 respectively). Multiple linear regression analysis was used to determine the factors affecting Physical Activity Scale for Individuals with Physical Disabilities scores. It was determined that among the independent variables included in the model, the Falls Efficacy Scale International scores (t=-2.322, P<0.05) and sleep quality (t=-2.128, P<0.05) significantly affected physical activity levels. Conclusions The results found that the physical activity levels of stroke patients were low. Fear of falling, sleep quality, level of education, body mass index, perceived benefits of and barriers to exercise, balance and fatigue affected physical activity levels. When these factors are taken into consideration in interventions to increase physical activity levels, treatment success will increase.