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Home » Uncategorized » Home Is a Better Bet Than Hospitals for Achieving More PA Poststroke

Home Is a Better Bet Than Hospitals for Achieving More PA Poststroke

There’s no place like home for engaging in the levels of physical activity (PA) that can aid in recovery poststroke—at least compared with the current hospital setting—according to a small study from Australia.

For the study, researchers used accelerometers and self-reports to track the PA and sitting time of 32 participants (mean age of 68, 53% male) who had experienced a stroke, comparing data gathered during their last week in the hospital with data gathered during their first week home. Participants were also assessed in a number of areas during their final week in the hospital, including physical function, functional independence, pain, anxiety, and depression.

The researchers were interested in finding out if an individual’s environment plays a role in PA poststroke—something they describe as “pivotal” to recovery—and whether other factors, such as depression, have an effect on any changes in PA levels. Results were e-published ahead of print in the Archives of Physical Medicine and Rehabilitation (abstract only available for free).

They found that environment does seem to make a difference—and a fairly big one at that. While the amount of time spent awake didn’t change much from hospital to home (13.1 hours a day in the hospital vs 13.5 hours per day at home), the amount of PA achieved—and time spent in sedentary behaviors—varied significantly. Participants sat for an average of 45 fewer minutes a day at home than they did in their last week in the hospital, were upright for 45 more minutes a day, spent 12 more minutes a day walking, and completed an average of 724 additional daily steps.

The results were similar when adjusted for demographic variables and didn’t seem to be significantly affected by any of the secondary factors assessed in the hospital, save one—depression, which when present was associated with no gains in PA at home.

The researchers don’t pin the improvement to any single factor but speculate that “the home environment may provide greater opportunity for activities of daily living such as cooking, cleaning, social and community activities, and there may be fewer external restrictions such as hospital routines and safety concerns around mobilization.”

Authors of the study also believe the gap between home and hospital PA poststroke could be closed if hospitals were to take more cues from the home environment.

“Physically, cognitively, and socially enriched stroke rehabilitation environments appear to increase activity by 20%,” they write. “Wards [that] include communal areas to promote more time spent upright, and the need to transport patients further for personal care may create opportunities for activity. The low activity levels in [the] hospital and at home found in our study, and in prior reports…indicate that there is clearly more work to be done in promoting activity after stroke.”

Research-related stories featured in PT in Motion News are intended to highlight a topic of interest only and do not constitute an endorsement by APTA. For synthesized research and evidence-based practice information, visit the association’s PTNow website.

 

The original article can be found here.

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  • All were neat, pleasant, friendly & helpful.
  • These employees are excellent. I could not begin to tell you how much I think of each of those who came to see me. I was treated so wonderful!
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  •  They were excellent in their care for me always.
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  •  The nurses are top notch & very kind & pleasant
  •  Caring, able to answer my questions. Treated with respect
  •  Great people who helped me with my rehab.
  •  Excellent care in all areas!
  •  Nurse Ashley and physical therapist Glenda were excellent!!
  •  They are very good!
  •  All the care I received was excellent. I was treated with courtesy and respect
  •  Excellent care - excellent people
  •  The help was very polite and nice.
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  •  I was pleased with the help , they took good care of me.
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  • The nurses were real nice and treated me respect.
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  •  Ashley is absolutely wonderful. Thank you for sending her to us. We love her.
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Testimonials

  • Personnel great! Bruce is so good with my husband.
  • They were very good.
  •  Always very timely.
  • Best nurses: Sara & Kenyata
  •  This care was very professional.
  • They were great.
  •  Thank you! The exercises were not that painful as I have had others before that were.
  •  Great care!
  •  The PTs were very professional.
  •  Ashley, Debbie & Leslie are fantastic Ladies! Wonderful Employees for your company!
  •  Excellent care was given!
  •   Good.
  •  All Good.
  •   They truly exceeded the care that I had expected. Very polite, informed, punctual and careful and protective of my care I am grateful.
  •   I got very good care. The were very nice to me.
  •  My providers talk to me about my pain and advice me what to expect for my pain
  •  Everyone was very nice and treated me with kindness.
  •  All providers were awesome!!! Wish they could provide longer services.
  •   Thank you
  •  They were excellent. Ginger, Nikki & Lynn was sweet, nice, and "done a excellent job". Would recommend Three Rivers Home Health
  •  I was satisfied
  • All were neat, pleasant, friendly & helpful.
  • These employees are excellent. I could not begin to tell you how much I think of each of those who came to see me. I was treated so wonderful!
  • This is very good service The worker are very kind & gentle well trained thank you for the service.
  • They were great!
  •   As always very good.
  •  They were very nice
  •  My care has been excellent.
  •  Excellent people
  •  I want only this agency for my daughter.
  •  It was excellent.
  •  Great Job!
  •  Very Good
  •  Everyone was so nice, they would smile and be so concern about me. Thank you all.
  •  They cared each time they came.
  •  The care was excellent and they were polite
  •  Well satisfied. Had them before.
  •   I just want to say that everyone did a great job and I would like to say thank you all.
  •  Good job home health care.
  •  Very good
  •  Excellent care. Always called to let me know when coming. Consider them friends now. Used them for my husband also.
  •  They are so kind & take you back to feeling like it is only you they care about.
  •  Cris was very caring, kind, sweet and interacted with mom proficiently & on a friendly basis.
  •  They both did a good job!!!
  •  I am perfectly satisfied. They are friendly and nice.
  •  Excellent care, courteous & friendly
  •  Excellent care!
  •  Very knowledgeable, caring people
  •  Your people did a good job.
  •  Very Good
  •  Tammy & Shawn were great. I would request or refer them in the future if needed
  •  Renae A+ excellent help Deanne A+ excellent help Cris A+ excellent help! Thank you very much.
  •  They were excellent in their care for me always.
  •  Exceptional people.
  •  The nurses are top notch & very kind & pleasant
  •  Caring, able to answer my questions. Treated with respect
  •  Great people who helped me with my rehab.
  •  Excellent care in all areas!
  •  Nurse Ashley and physical therapist Glenda were excellent!!
  •  They are very good!
  •  All the care I received was excellent. I was treated with courtesy and respect
  •  Excellent care - excellent people
  •  The help was very polite and nice.
  •  Excellent care enjoyed every visit.
  •  I was pleased with the help , they took good care of me.
  •  Very good - I love and respect this agency. It's the best when you need care at home.
  •  Very professional, friendly, courteous, and consistent.
  •  The staff was very pleasant to work with because they also listen and encouraged you to keep up the good work. 
  • The nurses were real nice and treated me respect.
  •  Excellent
  •  The Best!
  •  Ashley is absolutely wonderful. Thank you for sending her to us. We love her.
  •  If I have to have it again, I will ask for Three River's!


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