Evidence map›Paper›PMID 42819675›Full record

ArticlePhysical therapy research2026

Effects of Sit-to-stand Exercise Instruction and Goal-setting on Reducing Sitting Time in Chronic Stroke Survivors: A Randomized Crossover Trial.

Mitsutaka Shibuya, Kazuhiro Harada, Yohsuke Yamashita, Katsuki Takaoka, Keiji Ikewaki, Kenichi Hirashima, Haruo Uguisu

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Article in Physical therapy research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mitsutaka ShibuyaDepartment of Physical Therapy, Faculty of Health and Welfare, Tokushima Bunri University, Japan.
Kazuhiro HaradaGraduate School of Health Science Studies, Kibi International University, Japan.
Yohsuke YamashitaHashimoto Rehabilitation Clinic, Japan.
Katsuki TakaokaLong-Life Care Section, Health and Welfare Division, Naruto City Hall, Japan.
Keiji IkewakiDepartment of Rehabilitation Technology, Tokushima Prefectural Central Hospital, Japan.
Kenichi HirashimaDepartment of Physical Therapy, Faculty of Health and Welfare, Tokushima Bunri University, Japan.
Haruo UguisuDepartment of Physical Therapy, Faculty of Health and Welfare, Tokushima Bunri University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study compared the effects of sit-to-stand exercise instruction (STS instruction) and participant-led goal-setting on sedentary behavior in chronic stroke survivors with reduced walking ability. We hypothesized that STS instruction would reduce prolonged sitting bouts more effectively than goal-setting. Methods: Twelve chronic stroke survivors completed a randomized crossover trial consisting of two 2-week interventions (STS instruction and participant-led goal-setting) separated by a 1-month washout. Physical activity time was measured using a thigh-worn activPAL4 accelerometer. The primary outcomes were the number and total duration of prolonged sitting bouts ≥30 min. Secondary outcomes included total sitting/lying time, standing/walking time, sit-to-stand transitions, and prolonged sitting bouts ≥60 min. Results: A significant intervention × time interaction was observed for prolonged sitting bouts ≥30 min (p = 0.049), with different pre-post patterns between intervention phases (STS: 8.4-7.0/day; goal-setting: 8.1-9.3/day). The interaction for the total duration of ≥30-min bouts was not statistically significant (p = 0.156). No significant intervention × time interactions were observed for total sedentary time, standing/walking time, or for the number or total duration of sitting bouts ≥60 min. Conclusions: STS instruction may contribute to modifying sitting patterns in chronic stroke survivors with limited walking ability, even without changes in total sedentary or upright time. These preliminary findings suggest that a simple, task-oriented approach may help modify sedentary patterns, although clear superiority over participant-led goal-setting was not demonstrated. Larger and longer-term trials are needed.

Indexed as

Chronic strokeCrossover trialSedentary behaviorSit-to-stand

Identifiers

PMID42819675
PMCPMC13624552

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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.