About Careers MedBlog Contact us

Repeated Encouragement Fails To Increase Physical Activity After Stroke

by VR Sreeraman on July 27, 2009 at 6:19 PM
Font : A-A+

 Repeated Encouragement Fails To Increase Physical Activity After Stroke

Repeated encouragement and verbal instruction do not motivate stroke survivors to be physically active, and other more intensive strategies need to be found, concludes a study published on bmj.com today.

It is well known that even moderate physical activity can reduce the risk of cardiovascular disease and first stroke and physical exercise is also recommended for stroke survivors. Counseling on physical activity can motivate some elderly sedentary people to improve their level of physical activity, and previous studies have shown that physical activity can improve balance, walking ability and fitness in stroke patients.


But little is known about which interventions to promote physical activity in stroke survivors are effective.

So Professor Gudrun Boysen and her team carried out a randomized trial to examine if the low-cost intervention of repeated encouragement and verbal instructions on how to exercise could persuade stroke patients to be more physically active in the long-term.

They recruited 314 stroke patients aged 40 years or older from four stroke centers in Denmark, China, Poland, and Estonia and randomized them to receive either an instructed training programme from a physiotherapist to promote physical activity prior to discharge and at six follow-up visits, or to follow-up visits with no instructions about physical activity.

Levels of physical activity were measured using the Physical Activity Scale for the Elderly (PASE) including walking, light sport, housework and working. A higher score represented a higher level of activity.

Findings showed that repeated encouragement and verbal instruction did not result in a measurable increase in physical activity. Mean PASE scores were 69.1 in the intervention group and 64.0 in the control group. In addition, the intervention had no significant effect on death, recurrent stroke, heart attacks, or falls or fractures.

Our results show that stroke patients are: "Inclined to low levels of physical activity...and more intensive strategies seem to be needed to promote physical activity after ischemic stroke," conclude the authors.

Source: BMJ


Recommended Reading

Latest Senior Health News

Depression May Speed Up Aging Process in Older Adults
Comparing the levels of proteins along with physical health, brain function, and the severity of their depression, showed evidence of accelerated biological aging.
Postoperative Delirium Linked to Accelerated Cognitive Decline
Is postoperative delirium linked to cognitive decline? Yes, delirium is associated with a faster cognitive decline in all periods from six months to six years.
Being Social can Make Older People Live Longer: Here's How
Happy long life to you: Being more social can increase the life span of older people. So, start socializing to add more years to your life.
 Late-Life Depression and Memory Loss Linked to Shorter DNA Sequences
The sequences of DNA at the extremity of chromosomes called telomeres seem to be a hallmark of depression and cognitive complaints in older adults.
Fracture Risk Lower Among Older Wheelchair Users
A new study has found that being a frail elderly person and using a wheelchair involves a substantially decreased risk of fractures.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close

Repeated Encouragement Fails To Increase Physical Activity After Stroke Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests