ArticleInternational journal of stroke : official journal of the International Stroke Society2023
How should we measure physical activity after stroke? An international consensus.
Article in International journal of stroke : official journal of the International Stroke Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of Physical Rehabilitation Interventions on Walking Capacity and Wearable Sensor-Derived Performance After Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Sensors (Basel, Switzerland) · 2026Pooled it
- Physical Therapist Involved Physical Activity Interventions: A Systematic Review and Meta-Analysis.Journal of neurologic physical therapy : JNPT · 2026Pooled it
- What factors at discharge predict physical activity and walking outcomes 6 months after stroke? A systematic review.Clinical rehabilitation · 2024Pooled it
- Adherence to and Engagement With an mHealth Physical Activity Intervention After Mild Stroke or Transient Ischemic Attack: Secondary Analysis of a Feasibility Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Using Compositional Data Analysis to Explore Movement Behaviors in People Who Have Experienced a Stroke.Journal of neurologic physical therapy : JNPT · 2026Article
- Feasibility and Outcomes of Device and Self-Reported Physical Activity Measurement after Stroke in the ENAbLE Randomized Pilot Trial.Cerebrovascular diseases (Basel, Switzerland) · 2026Article
- Exploring the Perspectives of People With Stroke on Exercise During Rehabilitation: A Qualitative Descriptive Study Focused on Aerobic Exercise Participation.Brain & NeuroRehabilitation · 2026Article
- Every Step Counts-How Can We Accurately Count Steps with Wearable Sensors During Activities of Daily Living in Individuals with Neurological Conditions?Sensors (Basel, Switzerland) · 2025Article
- The Longitudinal Course of Physical Activity Behavior Poststroke and Its Variation Across Subgroups: The Norwegian Cognitive Impairment After Stroke Study.Physical therapy · 2025Observational
- Evaluating the Usability of Inertial Measurement Units for Measuring and Monitoring Activity Post-Stroke: A Scoping Review.Sensors (Basel, Switzerland) · 2025Article
- Criterion and Construct Validity of the Pocket-Worn RISE Device to Assess Movement Behaviour in Community-Dwelling People with Stroke.Sensors (Basel, Switzerland) · 2025Article
- Self-reported physical activity more than 1 year after stroke and its determinants in relation to the WHO recommendations.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Impact of Insufficient or Excessive Sleep Duration on Cognitive Function After Stroke: The Norwegian Cognitive Impairment After Stroke Study.Journal of the American Heart Association · 2025Article
- A Home-Based Behaviour Change Intervention With Sedentary Behaviour and Physical Activity in People With Stroke and Diabetes-A Feasibility and Safety Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025Article
- Article
- Associations between objective and self-perceived physical activity and participation in everyday activities in mild stroke survivors.PloS one · 2025Article
- Characterizing physical activity bouts in people with stroke with different ambulation statuses.PloS one · 2025Article
- Association between physical activity levels and stroke risk among Chinese adults aged 45 and over based on CHARLS.Scientific reports · 2024Article
- Improvements in Walking During Subacute Stroke Rehabilitation Translate to Physical Activity at the Chronic Stage: A Sub-Analysis From the Phys Stroke Trial.Brain & NeuroRehabilitation · 2024Article
- Patient experiences of physical activity and inactivity in the stroke unit: an interview study.Journal of rehabilitation medicine · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical activity is important for secondary stroke prevention. Currently, there is inconsistency of outcomes and tools used to measure physical activity following stroke.
aimTo establish internationally agreed recommendations to enable consistent measurement of post-stroke physical activity.
methodsStroke survivors and carers were surveyed online once regarding what is important in physical activity measurement. Three survey rounds with expert stroke researchers and clinicians were conducted using Keeney's Value-Focused Thinking Methodology. Survey 1 identified physical activity tools, outcomes, and measurement considerations which were ranked in Survey 2. Consensus recommendations on tools were then formulated by the consensus group based on survey responses. In Survey 3, participants reviewed ranked results and evidence gathered to determine their support for consensus recommendations.
resultsTwenty-five stroke survivors, 5 carers, 18 researchers, and 17 clinicians from 16 countries participated. Time in moderate-vigorous physical activity and step count were identified as the most important outcomes to measure. Key measurement considerations included the ability to measure across frequency, intensity, duration domains in real-world settings; user-friendliness, comfort, and ability to detect changes. Consensus recommendations included using the Actigraph, Actical, and Activ8 devices for physical activity intensity; ActivPAL for duration and Step Activity Monitor for frequency; and the IPAQ and PASE questionnaires. Survey 3 indicated 100% support for device and 96% for questionnaire recommendations.
conclusionsThese consensus recommendations can guide selection of physical activity measurement tools and outcomes. Tool selection will depend on measurement purpose, user-knowledge, and resources. Comprehensive measurement requires the use of devices and questionnaires.
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