Evidence map›Paper›PMID 42017655›Full record

Observational studyJournal of neurologic physical therapy : JNPT2026

Clustering of Sedentary Behavior and Longitudinal Changes in Patients With Stroke Undergoing Rehabilitation.

Masashi Kanai, Yosuke Kimura, Toshiya Sakoda, Tomoya Ishigaki, Tatsuya Ogawa, Natsuki Shimizu, Hiroki Kubo, Sota Kobayashi, Mutsuo Takeuchi, Shu Tanaka and 7 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of neurologic physical therapy : JNPT, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. Article
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

17 authors.

Masashi KanaiInstitute of Transdisciplinary Sciences for Innovation, Kanazawa University, Ishikawa, Japan (M.K.); J-SPURT: Japanese Stroke & Physical Activity mUltiple Center Research Team, Saitama, Japan (Y.K., T.S., T.I., T. Ogawa, N.S., H.K., S.K., M.T., S.T., K.Y., S.Y., K.M., T.K., Y.S., T.Y., T. Ota); Faculty of Life Sciences, Department of Biomedical Engineering, Toyo University, Saitama, Japan (Y.K.); Rehab for JAPAN Co, Ltd., Tokyo, Japan (T.S.); Faculty of Health Sciences, Department of Physical Therapy, Kio University, Nara, Japan (T.I.); Department of Rehabilitation, Nishiyamato Rehabilitation Hospital, Nara, Japan (T. Ogawa); Department of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University, Saitama, Japan (N.S.); Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Hyogo, Japan (H.K.); Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan (S.K.); Department of Comprehensive Rehabilitation, Kumamoto Kinoh Hospital, Kumamoto, Japan (M.T.); Major of Physical Therapy, Department of Rehabilitation, School of Health Sciences, Tokyo University of Technology, Tokyo, Japan (S.T.); Department of Rehabilitation, Senri-Chuo Hospital, Osaka, Japan (K.Y.); Department of Rehabilitation, Toranomon Hospital Kajigaya, Kanagawa, Japan (S.Y.); Department of Rehabilitation, Funabashi Municipal Rehabilitation Hospital, Chiba, Japan (K.M.); Department of Rehabilitation, Hatsudai Rehabilitation Hospital, Tokyo, Japan (T.K.); Department of Rehabilitation, Tokyo Shinjuku Medical Center, Tokyo, Japan (Y.S.); Department of Rehabilitation, Chiba Rehabilitation Center, Chiba, Japan (T.Y.); and General Affairs Division, Setagaya Memorial Hospital, Tokyo, Japan (T. Ota).
Yosuke Kimura
Toshiya Sakoda
Tomoya Ishigaki
Tatsuya Ogawa
Natsuki Shimizu
Hiroki Kubo
Sota Kobayashi
Mutsuo Takeuchi
Shu Tanaka
Keishi Yoshida
Seiya Yamamoto
Kohei Moronaga
Takumi Kai
Yoshiki Suzuki
Tomohiro Yoshimura
Tomohiro Ota

Funding

JSPS KAKENHI JP22K17665
6 · The paper itself

Abstract

background and purposeSedentary behavior (SB) is highly prevalent during stroke rehabilitation. Evaluating both the duration and pattern of SB may inform tailored interventions. This study aimed to classify patients with stroke undergoing inpatient rehabilitation into distinct subgroups based on multiple SB indicators at admission and examine their longitudinal changes in SB outcomes over a 1-month period.

methodsThis multicenter prospective longitudinal study was conducted across 14 rehabilitation hospitals in Japan. SB was objectively assessed using triaxial accelerometers at admission and at 1 month. K -means clustering was applied to the following 5 SB-related variables: short (<30 minutes), medium (30-59 minutes), and long (≥60 minutes) sedentary bout ratios; total SB time; and break frequency. Longitudinal changes were examined using generalized linear mixed models.

resultsA total of 420 participants (median age 71.0 years; 57.9% male) were enrolled. Clustering analysis identified 3 subgroups: low SB (n = 109), moderate SB (n = 196), and high SB (n = 115). Generalized linear mixed models showed significant main effects of time for most SB indicators, except the long SB bout ratio. Significant group × time interactions were observed for the short and medium SB bout ratios and break frequency in the low SB group and for the medium and long SB bout ratios in the high SB group ( P < 0.05). DISCUSSION AND

conclusionsThree distinct SB phenotypes were identified among patients with stroke during inpatient rehabilitation. Early behavioral profiling using SB indicators may support the development of individualized strategies to reduce sedentary time.

Indexed as

Sedentary BehaviorStrokeStroke RehabilitationAccelerometryAgedAged, 80 and overCluster AnalysisFemaleHumansJapanLongitudinal StudiesMaleMiddle AgedProspective Studiesmotor activitymovement behaviorneurological rehabilitationphysical inactivitysitting time

Identifiers

PMID42017655
PMCPMC13592838

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.