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dc.contributor.authorGunnes, Mari
dc.contributor.authorLanghammer, Birgitta
dc.contributor.authorAamot, Inger Lise
dc.contributor.authorLydersen, Stian
dc.contributor.authorIhle-Hansen, Hege
dc.contributor.authorIndredavik, Bent
dc.contributor.authorReneflot, Kristine Helen
dc.contributor.authorSchroeter, Walburga
dc.contributor.authorAskim, Torunn
dc.date.accessioned2019-04-23T08:04:47Z
dc.date.available2019-04-23T08:04:47Z
dc.date.created2018-11-20T14:57:11Z
dc.date.issued2018
dc.identifier.issn0031-9023
dc.identifier.urihttp://hdl.handle.net/11250/2594969
dc.description.abstractBackground Persistent physical activity is important to maintain motor function across all stages after stroke. Objective The objective of this study was to investigate adherence to an 18-month physical activity and exercise program. Design The design was a prospective, longitudinal study including participants who had had a stroke randomly allocated to the intervention arm of a randomized controlled trial. Methods The intervention consisted of individualized monthly coaching by a physical therapist who motivated participants to adhere to 30 minutes of daily physical activity and 45 minutes of weekly exercise over an 18-month period. The primary outcome was the combination of participants' self-reported training diaries and adherence, as reported by the physical therapists. Mixed-effect models were used to analyze change in adherence over time. Intensity levels, measured by the Borg scale, were a secondary outcome. Results In total, 186 informed, consenting participants who had had mild-to-moderate stroke were included 3 months after stroke onset. Mean age was 71.7 years (SD = 11.9). Thirty-four (18.3%) participants withdrew and 9 (4.8%) died during follow-up. Adherence to physical activity and exercise each month ranged from 51.2% to 73.1%, and from 63.5% to 79.7%, respectively. Adherence to physical activity increased by 2.6% per month (odds ratio = 1.026, 95% CI = 1.014–1.037). Most of the exercise was performed at moderate-to-high intensity levels, ranging from scores of 12 to 16 on the Borg scale, with an increase of 0.018 points each month (95% CI = 0.011–0.024). Limitations Limitations included missing information about adherence for participants with missing data and reasons for dropout. Conclusions Participants with mild and moderate impairments after stroke who received individualized regular coaching established and maintained moderate-to-good adherence to daily physical activity and weekly exercise over time.nb_NO
dc.language.isoengnb_NO
dc.publisherOxford University Press (OUP)nb_NO
dc.titleAdherence to a Long-Term Physical Activity and Exercise Program After Stroke Applied in a Randomized Controlled Trialnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.journalPhysical Therapynb_NO
dc.identifier.doi10.1093/ptj/pzy126
dc.identifier.cristin1632736
dc.description.localcodeLocked until 17.10.2019 due to copyright restrictions. This is a pre-copyedited, author-produced version of an article accepted for publication in [Physical Therapy] following peer review. The version of record is available online at: https://doi.org/10.1093/ptj/pzy126nb_NO
cristin.unitcode194,65,30,0
cristin.unitcode194,65,25,0
cristin.unitcode194,65,35,5
cristin.unitnameInstitutt for nevromedisin og bevegelsesvitenskap
cristin.unitnameInstitutt for sirkulasjon og bildediagnostikk
cristin.unitnameRKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode2


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