Evidence map›Paper›PMID 41802097›Full record

ArticleCerebrovascular diseases (Basel, Switzerland)2026

Feasibility and Outcomes of Device and Self-Reported Physical Activity Measurement after Stroke in the ENAbLE Randomized Pilot Trial.

Emily R Ramage, Femke Groen, Karly Zacharia, Margaret Galloway, Dawn B Simpson, Meredith Burke, Julie Bernhardt, Graeme J Hankey, Carlos Garcia-Esperon, Elizabeth Lynch and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cerebrovascular diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Emily R RamageThe Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia, emily.ramage@unimelb.edu.au.
Femke GroenDepartment of Rehabilitation, Physiotherapy Science and Sport, UMC Utrecht, Utrecht University, Utrecht, The Netherlands.
Karly ZachariaSchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Margaret GallowaySchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Dawn B SimpsonSchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Meredith BurkeHeart and Stroke Program, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
Julie BernhardtThe Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.
Graeme J HankeyPerron Institute Chair in Stroke Research, Perth, Washington, Australia.
Carlos Garcia-EsperonDepartment of Neurology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Elizabeth LynchCaring Futures Institute, Flinders University, Adelaide, South Australia, Australia.
Lesley MacDonald-WicksSchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Christopher OldmeadowHunter Medical Research Institute, Newcastle, New South Wales, Australia.
Amanda PattersonSchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Catherine M SaidWestern Health, St Albans, Victoria, Australia.
Lauren M SandersUniversity of Melbourne, Parkville, Victoria, Australia.
Coralie EnglishSchool of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysical activity is recommended for secondary stroke prevention. Remote telehealth delivery of complex stroke interventions (e.g., exercise) offers potential to meet the challenges of accessible stroke care. However, the feasibility of remotely evaluating recommended outcomes, such as device-measured physical activity via wearable technology, is unknown. Furthermore, the effectiveness of physical activity interventions aimed at improving long-term physical activity for people with stroke is unclear. We aimed to evaluate the feasibility of remote measurement of physical activity via a research grade wearable device in the ENAbLE Pilot trial and report the effect of the physical activity intervention on device- and self-report measure physical activity.

methodsAnalyses of secondary outcomes from a randomized trial (ENAbLE Pilot ACTRN12620000189921) involving adults 3 months to 10 years post-stroke or TIA who were able to walk independently (with or without aid). Physical activity was measured using the International Physical Activity Questionnaire (IPAQ; self-report measure) and activPAL physical activity device. Feasibility outcomes included proportion of the IPAQ collected, and proportion of activPAL devices returned and days of valid data. To assess the effect of the intervention on physical activity outcomes, we used descriptive statistics and linear mixed models.

resultsNearly all self-report (99%) and over three quarters (80%) of device-based measurements were available for analyses. No statistically significant differences in device measured physical activity were identified between participants who received the physical activity intervention and those who did not at the 3- or 6-month time points. Participants who undertook the physical activity intervention were more active (as measured by the activPAL) at 12 months than non-physical activity intervention participants (time spent in moderate to vigorous physical activity: 0.31, 95% CI [0.07-0.55] hours/day; light physical activity [LPA]: 0.22, 95% CI [0.05-0.39] hours/day, and daily step count 2,321, 95% CI [578-4,064] steps). No statistically significant differences between groups were identified in the type of physical activity undertaken (IPAQ data), except at 12 months, when walking activity was greater in physical activity intervention participants.

conclusionRemote measurement of physical activity using a wearable device after stroke and via self-report is feasible. The piloted physical activity intervention shows potential to improve physical activity.

Indexed as

DeviceMeasurementPhysical activitySecondary preventionSelf-reportStrokeWearable device

Identifiers

PMID41802097
PMCPMC13157272

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.