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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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  • Very satisfied with the physical therapy I received. This agency is great They treated my husband with much respect and care.
  • The best care: Sara needs a medal - she's great! All of them were good.
    Care and therapy was excellent. The initial visit and follow-up by Wendy was greatly appreciated.
  • The care I've gotten is wonderful. Each person is so kind, friendly.
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  • I like Three Rivers Home Health - Macon, services very well. They were everything I needed.
  • Jen is such a wonderful person. She did everything she could to help me. When I was crying & upset she consoled me.
  • I was well pleased.
  • My answers on survey reflect how pleased I have been with services I received. The nurses who came were very personable and professional.
  • Everyone was super nice to me and the therapy I received helped me to recover nicely.
  • Jon & Shay were excellent!!
  • They were awesome!
  • Three Rivers Home Health is outstanding! If I ever have to have in-home therapy again, I want these folks.
  • Nurses and therapist were so kind & knowledgeable. Everyone was very personable also.
  • She was very good. I like her very much.
  • All the providers I dealt with were very professional care givers.
  • Very good.
  • Couldn't do it without them.
  • Everyone that came out was very nice.
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Testimonials

  • Very good care.
  • Friendly and courteous and made feel like you were their friend.
  • The care was very good.
  • They were friendly and on time & I would recommend them to anyone.
  • It was excellent!
  • The nurses: Lindsay, Sonya, and Donna were outstanding and very caring. Jason was second to none as my physical therapist.
  • Very good. Deborah  & Renae  were great as well as Michelle  & Chris.
  • Everything was excellent.
  • I appreciate having a home health agency - like Three Rivers in our area. They were very nice and always listening to my questions.
  • Staff were very knowledgeable and excellent. Very caring.
  • Excellent Nursing & Physical Therapy - by Bruce and Georgia.
  • My therapist Cynthia is a great therapist and really motivates you!
  • They are awesome!
  • I appreciated all they did for me.
  • I had hip replacement and what I got from Three Rivers was a nurse's visit once and physical therapy three times a week for 6 weeks.
  • My PT was the best and my wound care nurse was also the best. And I thank them very much!
  • Courteous, friendly pleasant, knowledgeable.
  • They were very kind, co-operative & efficient.
  • I have already recommended the agency to them. I received excellent care.
  • Very respectful and always courtesy.
  • They all were real nice & and concerned.
  • Keep up the good work!
  • They were great!
  • I am very appreciative for the services of Three Rivers, thank you for your care, understanding and friendship.
  • I got excellent service all the time.
  • Ms. Angie, Ms Jenny & the staff of Three Rivers are providing "outstanding service" & "superb health care"!
  • All the health agency took good care of me, I miss them so much.
  • A very caring group.
  • Very caring & helpful.
  • Everyone was very nice and caring. If I needed help again I would be sure to use your service. Thank you!
  • I just want to thank the caregivers of Three Rivers for their excellent services.
  • They have all been very helpful.
  • Libby was the best!! She went above and beyond to give the best care possible.
  • Good job!
    Very Good!!
  • Satisfied with everything.
  • I think the progression of the way a personal aid came and totally bathed me. I was in much pain & she respected that.
  • Glenda was awesome! Very thorough, caring, & knowledgeable. Outstanding!
  • Very happy with the care I received from home health.
    Excellent. Always kind and professional.
  • I had great care from everybody. Charlotte was better than I could have ever asked for.
  • While under this agency I was always treat nice.
  • Very good.
  • Everyone I dealt with was excellent.
  • I was very pleased. My provider was very knowledgeable, concerned, clear with instruction - Always pleasant.
  • They could not have been any nicer each one holds a special place in our heart. My wife used them almost a year and they are #1!
  • Very satisfied with the physical therapy I received. This agency is great They treated my husband with much respect and care.
  • The best care: Sara needs a medal - she's great! All of them were good.
    Care and therapy was excellent. The initial visit and follow-up by Wendy was greatly appreciated.
  • The care I've gotten is wonderful. Each person is so kind, friendly.
  • I feel like the care that I received was very helpful to my recovering.
  • I like Three Rivers Home Health - Macon, services very well. They were everything I needed.
  • Jen is such a wonderful person. She did everything she could to help me. When I was crying & upset she consoled me.
  • I was well pleased.
  • My answers on survey reflect how pleased I have been with services I received. The nurses who came were very personable and professional.
  • Everyone was super nice to me and the therapy I received helped me to recover nicely.
  • Jon & Shay were excellent!!
  • They were awesome!
  • Three Rivers Home Health is outstanding! If I ever have to have in-home therapy again, I want these folks.
  • Nurses and therapist were so kind & knowledgeable. Everyone was very personable also.
  • She was very good. I like her very much.
  • All the providers I dealt with were very professional care givers.
  • Very good.
  • Couldn't do it without them.
  • Everyone that came out was very nice.
  • They were really good at all times.
  • Extremely professional, courteous, thoughtful & caring.
  • Keep up the good work.
  • Very caring. Patient fell & broke hip at memory care facility & nurse called me (patient's daughter & medical POA) to check on her.
  • Excellent work!
  • They were competent, courteous, & thorough.



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