2024 |
Kuppuswamy A, Billinger S, Coupland KG, English C, Kutlubaev MA, Moseley L, et al., 'Mechanisms of Post-Stroke Fatigue: A Follow-Up From the Third Stroke Recovery and Rehabilitation Roundtable.', Neurorehabil Neural Repair, 38 52-61 (2024) [C1]
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Nova |
2024 |
English C, Simpson DB, Billinger SA, Churilov L, Coupland KG, Drummond A, et al., 'A roadmap for research in post-stroke fatigue: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable.', Neurorehabil Neural Repair, 38 7-18 (2024) [C1]
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Nova |
2024 |
English C, Simpson DB, Billinger SA, Churilov L, Coupland KG, Drummond A, et al., 'A roadmap for research in post-stroke fatigue: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable.', Int J Stroke, 19 133-144 (2024) [C1]
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Nova |
2023 |
Sanctuary C, Hewitt L, Demeyere N, Kankkunen K, Oxenham DV, Simpson DB, et al., 'The Oxford Cognitive Screen for use with Australian people after stroke (OCS-AU): The adaptation process and determining cut scores for cognitive impairment using a cross-sectional normative study.', Aust Occup Ther J, 70 73-85 (2023) [C1]
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Nova |
2023 |
Blackwell S, Crowfoot G, Davey J, Drummond A, English C, Galloway M, et al., 'Management of post-stroke fatigue: an Australian health professional survey', DISABILITY AND REHABILITATION, 45 3893-3899 (2023) [C1]
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Nova |
2023 |
Delbridge A, Davey J, Galloway M, Drummond A, Lanyon L, Olley N, et al., 'Exploring post-stroke fatigue from the perspective of stroke survivors: what strategies help? A qualitative study.', Disabil Rehabil, 1-7 (2023) [C1]
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2023 |
Pogrebnoy D, Dennett AM, Simpson DB, MacDonald-Wicks L, Patterson AJ, English C, 'Effects of Using Websites on Physical Activity and Diet Quality for Adults Living With Chronic Health Conditions: Systematic Review and Meta-Analysis', JOURNAL OF MEDICAL INTERNET RESEARCH, 25 (2023)
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2023 |
Fini NA, Simpson D, Moore SA, Mahendran N, Eng JJ, Borschmann K, et al., 'How should we measure physical activity after stroke? An international consensus.', International journal of stroke : official journal of the International Stroke Society, 18 1132-1142 (2023) [C1]
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Nova |
2022 |
Simpson DB, Jose K, English C, Gall SL, Breslin M, Callisaya ML, 'Factors influencing sedentary time and physical activity early after stroke: a qualitative study', Disability and rehabilitation, 44 3501-3509 (2022) [C1]
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Nova |
2022 |
Bird M-L, Peel F, Schmidt M, Fini NA, Ramage E, Sakakibara BM, et al., 'Mobility-Focused Physical Outcome Measures Over Telecommunication Technology (Zoom): Intra and Interrater Reliability Trial.', JMIR rehabilitation and assistive technologies, 9 e38101 (2022) [C1]
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Nova |
2021 |
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM, et al., 'An Exploration of Sedentary Behavior Patterns in Community-Dwelling People with Stroke: A Cluster-Based Analysis', Journal of Neurologic Physical Therapy, 45 221-227 (2021) [C1]
Background and Purpose: Long periods of daily sedentary time, particularly accumulated in long uninterrupted bouts, are a risk factor for cardiovascular disease. People with strok... [more]
Background and Purpose: Long periods of daily sedentary time, particularly accumulated in long uninterrupted bouts, are a risk factor for cardiovascular disease. People with stroke are at high risk of recurrent events and prolonged sedentary time may increase this risk. We aimed to explore how people with stroke distribute their periods of sedentary behavior, which factors influence this distribution, and whether sedentary behavior clusters can be distinguished? Methods: This was a secondary analysis of original accelerometry data from adults with stroke living in the community. We conducted data-driven clustering analyses to identify unique accumulation patterns of sedentary time across participants, followed by multinomial logistical regression to determine the association between the clusters, and the total amount of sedentary time, age, gender, body mass index (BMI), walking speed, and wake time. Results: Participants in the highest quartile of total sedentary time accumulated a significantly higher proportion of their sedentary time in prolonged bouts (P < 0.001). Six unique accumulation patterns were identified, all of which were characterized by high sedentary time. Total sedentary time, age, gender, BMI, and walking speed were significantly associated with the probability of a person being in a specific accumulation pattern cluster, P < 0.001 - P = 0.002. Discussion and Conclusions: Although unique accumulation patterns were identified, there is not just one accumulation pattern for high sedentary time. This suggests that interventions to reduce sedentary time must be individually tailored. Video Abstract available for more insight from the authors (see the Video Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A343).
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Nova |
2021 |
Weerasekara I, Baye J, Burke M, Crowfoot G, Mason G, Peak R, et al., 'What do stroke survivors' value about participating in research and what are the most important research problems related to stroke or transient ischemic attack (TIA)? A survey', BMC MEDICAL RESEARCH METHODOLOGY, 21 (2021) [C1]
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Nova |
2021 |
De Jong AU, Smith M, Callisaya ML, Schmidt M, Simpson DB, 'Sedentary time and physical activity patterns of stroke survivors during the inpatient rehabilitation week', International Journal of Rehabilitation Research, 44 131-137 (2021) [C1]
Physical activity is recommended after stroke. However, the rehabilitation day is largely spent sedentary. Understanding patterns of physical activity across the rehabilitation we... [more]
Physical activity is recommended after stroke. However, the rehabilitation day is largely spent sedentary. Understanding patterns of physical activity across the rehabilitation week may help identify opportunities to improve participation. We aimed to examine: (1) differences between weekday and weekend sedentary time and physical activity, (2) the pattern of 24-h rehabilitation activity. Participants with stroke (n = 29) wore an activity monitor continuously during the final 7-days of inpatient rehabilitation. Linear mixed models (adjusted for waking hours) were performed with activity (sedentary, steps per day, walking time) as the dependent variable, and day type (weekday or weekend) as the independent variable. Patterns of upright time during the 24-h period were determined by averaging daily activity in 60-min intervals and generating a heat map of activity levels as a function of time. Participant mean age was 69 (SD 13) years (52% male) and mean National Institutes of Health Stroke Scale score was 7.0 (SD, 5.5). There was no significant difference in sedentary time between weekdays and weekends. At the weekend, participants spent 8.4 min less time walking (95% CI,-12.1 to-4.6) taking 624 fewer steps/day (95% CI,-951 to-296) than during the week. Activity patterns showed greatest upright time in the morning during the week. Afternoon and evening activities were low on all days. Sedentary time did not change across the 7-day rehabilitation week, but less walking activity occurred on the weekend. There are opportunities for stroke survivors to increase physical activity during afternoons and evenings and on weekend mornings during rehabilitation.
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Nova |
2021 |
Simpson DB, Breslin M, Cumming T, de Zoete SA, Gall SL, Schmidt M, et al., 'Sedentary time and activity behaviors after stroke rehabilitation: Changes in the first 3 months home', Topics in Stroke Rehabilitation, 28 42-51 (2021) [C1]
Background: Sedentary time is prevalent following stroke, limiting functional improvement, and increasing cardiovascular risk. At discharge we examined: 1) change in sedentary tim... [more]
Background: Sedentary time is prevalent following stroke, limiting functional improvement, and increasing cardiovascular risk. At discharge we examined: 1) change in sedentary time and activity over the following 3 months¿ and 2) physical, psychological or cognitive factors predicting any change. A secondary aim examined cross-sectional associations between factors and activity at 3 months. Methods: People with stroke (n¿=¿34) were recruited from two rehabilitation units. An activity monitor (ActivPAL3) was worn for 7 days during the first week home and 3 months later. Factors examined included physical, psychological, and cognitive function. Linear mixed models (adjusted for waking hours) were used to examine changes in sedentary time, walking, and step count over time. Interaction terms between time and each factor were added to the model to determine if they modified change over time. Linear regression was performed to determine factors cross-sectionally associated with 3-month activity. Results: ActivPAL data were available at both time points for 28 (82%) participants (mean age 69 [SD 12] years). At 3 months, participants spent 39 fewer minutes sedentary (95%CI -70,-8 p =¿.01), 21¿minutes more walking (95%CI 2,22 p =¿.02) and completed 1112 additional steps/day (95%CI 268,1956 p =¿.01), compared to the first week home. No factors predicted change in activity. At 3 months, greater depression (ß 22¿mins (95%CI 8,36) p =¿.004) and slower gait speed (ß¿-¿43¿mins 95%CI -59,-27 p =¿0.001) were associated with more sedentary time and less walking activity, respectively. Conclusions: Sedentary time reduced and walking activity increased between discharge home and 3 months later. Interventions targeting mood and physical function may warrant testing to reduce sedentary behavior 3 months following discharge.
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Nova |
2020 |
Simpson DB, Bird ML, English C, Gall SL, Breslin M, Smith S, et al., ' Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke ', Topics in Stroke Rehabilitation, 27 93-102 (2020) [C1]
Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the interne... [more]
Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the internet, a tablet application, and a chair sensor that connected to a therapist was feasible in monitoring adherence and progressing a functional exercise at home. Methods: Ten participants with stroke completed a 4-week sit-to-stand exercise using the technology at home (ACTRN12616000051448). A therapist remotely monitored exercise adherence, progressed goals, and provided feedback via the app. Measures of feasibility (design, recruitment/withdrawals, adherence, safety, participant satisfaction and estimates of effect on function) were collected. Results: Participants' mean age was 73.6 years [SD 9.9 years]. The system was feasible to deliver and monitor exercise remotely. All participants completed the study performing a mean 125% of prescribed sessions and 104% of prescribed repetitions. Participants rated the system usability (78%), enjoyment (70%) and system benefit (80%) as high. No adverse events were reported. The mean pre- and post-intervention difference in the total short performance physical battery score was 1.4 (95% CI 0.79, 2.00). Conclusions: It was feasible and safe to prescribe and monitor exercises using an app and sensor-based system. A definitive trial will determine whether such technology could facilitate greater exercise participation after stroke.
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Nova |
2019 |
Lynch EA, Jones TM, Simpson DB, Fini NA, Kuys S, Borschmann K, et al., 'Activity Monitors for Increasing Physical Activity in Adult Stroke Survivors', STROKE, 50 E4-E5 (2019)
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2019 |
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM, et al., 'Identifying factors associated with sedentary time after stroke. Secondary analysis of pooled data from nine primary studies.', Topics in Stroke Rehabilitation, 26 327-334 (2019) [C1]
Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with... [more]
Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with high sedentary time in community-dwelling people with stroke. Methods: For this data pooling study, authors of published and ongoing trials that collected sedentary time data, using the activPAL monitor, in community-dwelling people with stroke were invited to contribute their raw data. The data was reprocessed, algorithms were created to identify sleep-wake time and determine the percentage of waking hours spent sedentary. We explored demographic and stroke-related factors associated with total sedentary time and time in uninterrupted sedentary bouts using unique, both univariable and multivariable, regression analyses. Results: The 274 included participants were from Australia, Canada, and the United Kingdom, and spent, on average, 69% (SD 12.4) of their waking hours sedentary. Of the demographic and stroke-related factors, slower walking speeds were significantly and independently associated with a higher percentage of waking hours spent sedentary (p = 0.001) and uninterrupted sedentary bouts of >30 and >60 min (p = 0.001 and p = 0.004, respectively). Regression models explained 11¿19% of the variance in total sedentary time and time in prolonged sedentary bouts. Conclusion: We found that variability in sedentary time of people with stroke was largely unaccounted for by demographic and stroke-related variables. Behavioral and environmental factors are likely to play an important role in sedentary behavior after stroke. Further work is required to develop and test effective interventions to address sedentary behavior after stroke.
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Nova |
2018 |
Simpson DB, Breslin M, Cumming T, de Zoete S, Gall SL, Schmidt M, et al., 'Go Home, Sit Less: The Impact of Home Versus Hospital Rehabilitation Environment on Activity Levels of Stroke Survivors', ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 99 2216-2221 (2018) [C1]
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Nova |
2018 |
Lynch EA, Jones TM, Simpson DB, Fini NA, Kuys SS, Borschmann K, et al., 'Activity monitors for increasing physical activity in adult stroke survivors', Cochrane Database of Systematic Reviews, 2018 (2018) [C1]
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Nova |
2017 |
Simpson D, Callisaya ML, English C, Thrift AG, Gall SL, 'Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke: The North East Melbourne Stroke Incidence Study', Journal of Stroke and Cerebrovascular Diseases, 26 2855-2863 (2017) [C1]
Background Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identi... [more]
Background Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results The prevalence of exercise at 5 years (n = 520) was 18.5% (n = 96) (mean age 74.7 [standard deviation {SD} 14] years, 50.6% male) and 24% (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9% male), 15% (n = 42) continued exercising, 10% (n = 27) commenced exercising, 14% (n = 38) ceased exercising, and 61% (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR].47 95% confidence interval [CI].25-0.89), greater Barthel score (RR 2.97 95% CI 1.00-8.86), independent walking (RR 2.32 95% CI 1.16-4.68), better quality of life (RR 10.9 95% CI 2.26-52.8), exercising before stroke (RR 16.0 95%CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95% CI 1.73-5.16). Conclusions Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.
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Nova |
2017 |
Lynch EA, Borschmann K, Callisaya ML, Fini NA, Janssen H, Johnson L, et al., 'Activity monitors for increasing physical activity in adult stroke survivors', Cochrane Database of Systematic Reviews, 2017 (2017)
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To summarise the available evidence regarding the effectiveness of commercially available w... [more]
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To summarise the available evidence regarding the effectiveness of commercially available wearable devices and smart phone applications for increasing physical activity levels for people with stroke.
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