Abstract
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | BMJ. British Medical Journal (International Ed.) |
| Vol/bind | 339 |
| Sider (fra-til) | b2810 |
| ISSN | 0959-8146 |
| Status | Udgivet - 2009 |
Bibliografisk note
Keywords: Adult; Age Distribution; Aged; Counseling; Exercise; Exercise Therapy; Female; Humans; Male; Middle Aged; Patient Education as Topic; Pilot Projects; Recurrence; Stroke; Treatment OutcomeCitationsformater
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I: BMJ. British Medical Journal (International Ed.), Bind 339, 2009, s. b2810.
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - ExStroke Pilot Trial of the effect of repeated instructions to improve physical activity after ischaemic stroke: a multinational randomised controlled clinical trial
AU - Boysen, Gudrun
AU - Krarup, Lars-Henrik
AU - Zeng, Xianrong
AU - Oskedra, Adam
AU - Kõrv, Janika
AU - Andersen, Grethe
AU - Gluud, Christian
AU - Pedersen, Anders
AU - Lindahl, Marianne
AU - Hansen, Lotte
AU - Winkel, Per
AU - Truelsen, Thomas
N1 - Keywords: Adult; Age Distribution; Aged; Counseling; Exercise; Exercise Therapy; Female; Humans; Male; Middle Aged; Patient Education as Topic; Pilot Projects; Recurrence; Stroke; Treatment Outcome
PY - 2009
Y1 - 2009
N2 - OBJECTIVES: To investigate if repeated verbal instructions about physical activity to patients with ischaemic stroke could increase long term physical activity. DESIGN: Multicentre, multinational, randomised clinical trial with masked outcome assessment. SETTING: Stroke units in Denmark, China, Poland, and Estonia. PARTICIPANTS: 314 patients with ischaemic stroke aged >or=40 years who were able to walk-157 (mean age 69.7 years) randomised to the intervention, 157 (mean age 69.4 years) in the control group. INTERVENTIONS: Patients randomised to the intervention were instructed in a detailed training programme before discharge and at five follow-up visits during 24 months. Control patients had follow-up visits with the same frequency but without instructions in physical activity. MAIN OUTCOME MEASURES: Physical activity assessed with the Physical Activity Scale for the Elderly (PASE) at each visit. Secondary outcomes were clinical events. RESULTS: The estimated mean PASE scores were 69.1 in the intervention group and 64.0 in the control group (difference 5.0 (95% confidence interval -5.8 to 15.9), P=0.36. The intervention had no significant effect on mortality, recurrent stroke, myocardial infarction, or falls and fractures. CONCLUSION: Repeated encouragement and verbal instruction in being physically active did not lead to a significant increase in physical activity measured by the PASE score. More intensive strategies seem to be needed to promote physical activity after ischaemic stroke. TRIAL REGISTRATION: Clinical Trials NCT00132483.
AB - OBJECTIVES: To investigate if repeated verbal instructions about physical activity to patients with ischaemic stroke could increase long term physical activity. DESIGN: Multicentre, multinational, randomised clinical trial with masked outcome assessment. SETTING: Stroke units in Denmark, China, Poland, and Estonia. PARTICIPANTS: 314 patients with ischaemic stroke aged >or=40 years who were able to walk-157 (mean age 69.7 years) randomised to the intervention, 157 (mean age 69.4 years) in the control group. INTERVENTIONS: Patients randomised to the intervention were instructed in a detailed training programme before discharge and at five follow-up visits during 24 months. Control patients had follow-up visits with the same frequency but without instructions in physical activity. MAIN OUTCOME MEASURES: Physical activity assessed with the Physical Activity Scale for the Elderly (PASE) at each visit. Secondary outcomes were clinical events. RESULTS: The estimated mean PASE scores were 69.1 in the intervention group and 64.0 in the control group (difference 5.0 (95% confidence interval -5.8 to 15.9), P=0.36. The intervention had no significant effect on mortality, recurrent stroke, myocardial infarction, or falls and fractures. CONCLUSION: Repeated encouragement and verbal instruction in being physically active did not lead to a significant increase in physical activity measured by the PASE score. More intensive strategies seem to be needed to promote physical activity after ischaemic stroke. TRIAL REGISTRATION: Clinical Trials NCT00132483.
M3 - Journal article
C2 - 19900934
SN - 0959-8146
VL - 339
SP - b2810
JO - BMJ. British Medical Journal (International Ed.)
JF - BMJ. British Medical Journal (International Ed.)
ER -