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Titre : | Factors Associated With Post-Stroke Physical Activity: A Systematic Review and Meta-Analysis (2018) |
Auteurs : | Shamala Thilarajah ; Benjamin F. Mentiplay ; Kelly J. Bower |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 9, 2018) |
Article en page(s) : | p. 1876-1889 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Exercice physique ; Rééducation et réadaptation |
Mots-clés: | Exercise ; Physical fitness ; Aptitude physique ; Stroke |
Résumé : |
Objective 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 9 databases: Cochrane, MEDLINE, ProQuest, Web of Science, PsycINFO, Scopus, Embase, CINAHL, and Allied and Complementary Medicine Database. 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 2 studies that reported a correlation value. Correlation values were used in an effect size measure and converted to a standardized 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 There were 2161 studies screened and 26 studies included. Age (meta r=−.17; P≤.001) and sex (meta r=−.01; P=.02) were the nonmodifiable factors that were found to be associated with post-stroke physical activity. The modifiable factors were physical function (meta r=.68.73; P<.001 cardiorespiratory fitness r=".35;" p fatigue falls self-efficacy balance depression to .48 and health-related quality of life the effect side infarct neglect cognition on post-stroke physical activity was inconclusive.> Conclusions Age, sex, physical function, depression, fatigue, self-efficacy, and quality of life were factors associated with post-stroke physical activity. The cause and effect of these relations are unclear, and the possibility of reverse causality needs to be addressed. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317312649 |