Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden
Objectives This study aimed to identify factors related to changes in walking performance in individuals 3 months after a stroke or TIA.Design Cross-sectional study with post hoc analysis of a randomised controlled study.Setting University Hospital, Sweden.Participants 79 individuals, 64 (10) years,...
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e078180.full |
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| author | Staffan Eriksson Erik Lundström Birgit Maria Vahlberg Ulf Holmback |
| author_facet | Staffan Eriksson Erik Lundström Birgit Maria Vahlberg Ulf Holmback |
| author_sort | Staffan Eriksson |
| collection | DOAJ |
| description | Objectives This study aimed to identify factors related to changes in walking performance in individuals 3 months after a stroke or TIA.Design Cross-sectional study with post hoc analysis of a randomised controlled study.Setting University Hospital, Sweden.Participants 79 individuals, 64 (10) years, 37% women, who were acutely hospitalised because of stroke or TIA between November 2016 and December 2018. Inclusion criteria were patients aged 18 or above and the major eligibility criterion was the ability to perform the 6 min walking test.Intervention The intervention group received standard care plus daily mobile phone text messages (short message service) with instructions to perform regular outdoor walking and functional leg exercises in combination with step counting and training diaries. The control group received standard care.Outcome measures Multivariate analysis was performed and age, sex, group allocation, comorbidity, baseline 6 min walk test, body mass index (BMI), cognition and chair-stand tests were entered as possible determinants for changes in the 6 min walk test.Results Multiple regression analyses showed that age (standardised beta −0.33, 95% CI −3.8 to −1.05, p<0.001), sex (−0.24, 95% CI −66.9 to −8.0, p=0.014), no comorbidity (−0.16, 95% CI −55.5 to 5.4, p=0.11), baseline BMI (−0.29, 95% CI −8.1 to −1.6, p=0.004), baseline 6 min walk test (−0.55, 95% CI −0.5 to −0.3, p<0.001) were associated with changes in 6 min walk test 3 months after the stroke event. The regression model described 36% of the variance in changes in the 6 min walk test.Conclusions Post hoc regression analyses indicated that younger age, male sex, lower BMI and shorter 6 min walk test at baseline and possible no comorbidity contributed to improvement in walking performance at 3 months in patients with a recent stroke or TIA. These factors may be important when planning secondary prevention actions.Trial registration number NCT02902367. |
| format | Article |
| id | doaj-art-917fe7da8e8c466b97bc9814cb1176a2 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-917fe7da8e8c466b97bc9814cb1176a22025-08-20T03:11:39ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-078180Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in SwedenStaffan Eriksson0Erik Lundström1Birgit Maria Vahlberg2Ulf Holmback3Department of Public Health and Caring Sciences, Geriatrics, Uppsala University, Uppsala, SwedenDepartment of Medical Sciences, Neurology, Uppsala University, Uppsala, SwedenDepartment of Public Health and Caring Sciences, Geriatrics, Uppsala University, Uppsala, SwedenDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, SwedenObjectives This study aimed to identify factors related to changes in walking performance in individuals 3 months after a stroke or TIA.Design Cross-sectional study with post hoc analysis of a randomised controlled study.Setting University Hospital, Sweden.Participants 79 individuals, 64 (10) years, 37% women, who were acutely hospitalised because of stroke or TIA between November 2016 and December 2018. Inclusion criteria were patients aged 18 or above and the major eligibility criterion was the ability to perform the 6 min walking test.Intervention The intervention group received standard care plus daily mobile phone text messages (short message service) with instructions to perform regular outdoor walking and functional leg exercises in combination with step counting and training diaries. The control group received standard care.Outcome measures Multivariate analysis was performed and age, sex, group allocation, comorbidity, baseline 6 min walk test, body mass index (BMI), cognition and chair-stand tests were entered as possible determinants for changes in the 6 min walk test.Results Multiple regression analyses showed that age (standardised beta −0.33, 95% CI −3.8 to −1.05, p<0.001), sex (−0.24, 95% CI −66.9 to −8.0, p=0.014), no comorbidity (−0.16, 95% CI −55.5 to 5.4, p=0.11), baseline BMI (−0.29, 95% CI −8.1 to −1.6, p=0.004), baseline 6 min walk test (−0.55, 95% CI −0.5 to −0.3, p<0.001) were associated with changes in 6 min walk test 3 months after the stroke event. The regression model described 36% of the variance in changes in the 6 min walk test.Conclusions Post hoc regression analyses indicated that younger age, male sex, lower BMI and shorter 6 min walk test at baseline and possible no comorbidity contributed to improvement in walking performance at 3 months in patients with a recent stroke or TIA. These factors may be important when planning secondary prevention actions.Trial registration number NCT02902367.https://bmjopen.bmj.com/content/14/3/e078180.full |
| spellingShingle | Staffan Eriksson Erik Lundström Birgit Maria Vahlberg Ulf Holmback Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden BMJ Open |
| title | Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden |
| title_full | Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden |
| title_fullStr | Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden |
| title_full_unstemmed | Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden |
| title_short | Factors associated with changes in walking performance in individuals 3 months after stroke or TIA: secondary analyses from a randomised controlled trial of SMS-delivered training instructions in Sweden |
| title_sort | factors associated with changes in walking performance in individuals 3 months after stroke or tia secondary analyses from a randomised controlled trial of sms delivered training instructions in sweden |
| url | https://bmjopen.bmj.com/content/14/3/e078180.full |
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