An observational study of physical activity levels on the acute stroke unit of a large teaching hospital in Dublin, Ireland

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1110-e1111
Author(s):  
O. O’Keeffe ◽  
H. Kavanagh ◽  
C. Egan ◽  
N. Murphy ◽  
J. Harbison
Keyword(s):  
Physical Activity ◽  
Observational Study ◽  
Acute Stroke ◽  
Teaching Hospital ◽  
Stroke Unit ◽  
Activity Levels ◽  
Large Teaching Hospital ◽  
Physical Activity Levels ◽  
Acute Stroke Unit

Body image in COPD and its relation with physical activity levels, lung function and body composition: An observational study

2020 ◽  
Vol 14 (12) ◽  
pp. 1182-1190
Author(s):  
Ana Paula Coelho Figueira Freire ◽  
Aline Duarte Ferreira ◽  
Caroline Pereira Santos ◽  
Isabela Cristina Duarte Araújo ◽  
Juliana Souza Uzeloto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Image ◽  
Body Composition ◽  
Lung Function ◽  
Observational Study ◽  
Activity Levels ◽  
Physical Activity Levels

The impact of environmental enrichment in an acute stroke unit on how and when patients undertake activities

2018 ◽  
Vol 33 (4) ◽  
pp. 784-795 ◽  
Author(s):  
Ingrid CM Rosbergen ◽  
Rohan S Grimley ◽  
Kathryn S Hayward ◽  
Sandra G Brauer
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Environmental Enrichment ◽  
Control Group ◽  
Activity Levels ◽  
Stroke Patients ◽  
Group Activities ◽  
Acute Stroke Unit ◽  
Communal Areas ◽  
The Impact

Objectives: To explore the effect of environmental enrichment within an acute stroke unit on how and when patients undertake activities, and the amount of staff assistance provided, compared with a control environment (no enrichment). Design: This is a substudy of a controlled before–after observational study. Setting: The study was conducted in an Australian acute stroke unit. Participants: The study included stroke patients admitted to (1) control and (2) environmental enrichment period. Intervention: The control group received standard therapy and nursing care, which was delivered one-on-one in the participants’ bedroom or a communal gym. The enriched group received stimulating resources and communal areas for mealtimes, socializing and group activities. Furthermore, participants and families were encouraged to increase patient activity outside therapy hours. Main measures: Behavioral mapping was performed every 10 minutes between 7.30 a.m. and 7.30 p.m. on weekdays and weekends to estimate activity levels. We compared activity levels during specified time periods, nature of activities observed and amount of staff assistance provided during patient activities across both groups. Results: Higher activity levels in the enriched group ( n = 30, mean age 76.7 ± 12.1) occurred during periods of scheduled communal activity ( P < 0.001), weekday non-scheduled activity ( P = 0.007) and weekends ( P = 0.018) when compared to the control group ( n = 30, mean age 76.0 ± 12.8), but no differences were observed on weekdays after 5 p.m. ( P = 0.324). The enriched group spent more time on upper limb ( P < 0.001), communal socializing ( P < 0.001), listening ( P = 0.007) and iPad activities ( P = 0.002). No difference in total staff assistance during activities was observed ( P = 0.055). Conclusion: Communal activities and environmental resources were important contributors to greater activity within the enriched acute stroke unit.

Physical activity levels after hip and knee joint replacement surgery: an observational study

2018 ◽  
Vol 38 (3) ◽  
pp. 665-674
Author(s):  
Lyndon J. Hawke ◽  
Nora Shields ◽  
Michelle M. Dowsey ◽  
Peter F. M. Choong ◽  
Nicholas F. Taylor
Keyword(s):  
Physical Activity ◽  
Observational Study ◽  
Knee Joint ◽  
Joint Replacement ◽  
Activity Levels ◽  
Knee Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Physical Activity Levels

Embedding an enriched environment in an acute stroke unit increases activity in people with stroke: a controlled before–after pilot study

2017 ◽  
Vol 31 (11) ◽  
pp. 1516-1528 ◽  
Author(s):  
Ingrid CM Rosbergen ◽  
Rohan S Grimley ◽  
Kathryn S Hayward ◽  
Katrina C Walker ◽  
Donna Rowley ◽  
...  
Keyword(s):  
Pilot Study ◽  
Adverse Events ◽  
Acute Stroke ◽  
Usual Care ◽  
Stroke Unit ◽  
Enriched Environment ◽  
Activity Levels ◽  
Stroke Patients ◽  
Serious Adverse Events ◽  
Acute Stroke Unit

Objectives: To determine whether an enriched environment embedded in an acute stroke unit could increase activity levels in acute stroke patients and reduce adverse events. Design: Controlled before–after pilot study. Setting: An acute stroke unit in a regional Australian hospital. Participants: Acute stroke patients admitted during (a) initial usual care control period, (b) an enriched environment period and (c) a sustainability period. Intervention: Usual care participants received usual one-on-one allied health intervention and nursing care. The enriched environment participants were provided stimulating resources, communal areas for eating and socializing and daily group activities. Change management strategies were used to implement an enriched environment within existing staffing levels. Main Measures: Behavioural mapping was used to estimate patient activity levels across groups. Participants were observed every 10 minutes between 7.30 am and 7.30 pm within the first 10 days after stroke. Adverse and serious adverse events were recorded using a clinical registry. Results: The enriched environment group ( n = 30, mean age 76.7 ± 12.1) spent a significantly higher proportion of their day engaged in ‘any’ activity (71% vs. 58%, P = 0.005) compared to the usual care group ( n = 30, mean age 76.0 ± 12.8). They were more active in physical (33% vs. 22%, P < 0.001), social (40% vs. 29%, P = 0.007) and cognitive domains (59% vs. 45%, P = 0.002) and changes were sustained six months post implementation. The enriched group experienced significantly fewer adverse events (0.4 ± 0.7 vs.1.3 ± 1.6, P = 0.001), with no differences found in serious adverse events (0.5 ± 1.6 vs.1.0 ± 2.0, P = 0.309). Conclusions: Embedding an enriched environment in an acute stroke unit increased activity in stroke patients.

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