Stroke survivors with limited walking ability have unique barriers and facilitators to physical activity
Notice bibliographique
Résumé
Stroke is a leading cause of morbidity and mortality in Canada. Approximately 73% of stroke survivors experience limited walking ability, requiring a gait aid or assistance. Physical activity is important for secondary stroke prevention, in addition to its benefits for physical and mental health. Little is known about the barriers and facilitators to physical activity in stroke survivors with limited walking ability. This qualitative study used inductive thematic analysis of structured interviews to explore the barriers and facilitators to physical activity in stroke survivors with limited walking ability. Perceived barriers to physical activity included scarcity of services, societal views, changes in ability, and inclement weather. Perceived facilitators included the desired benefits of physical activity, multidisciplinary rehabilitation services, durable medical equipment, encouragement, positive mindset, and self-efficacy. Improving access to rehabilitation services in the chronic phase of stroke and increasing the availability of structured exercise programmes are important strategies to address barriers to physical activity in this population. Supporting self-efficacy, addressing disability stigma, and policy changes are also needed to facilitate participation. Stroke rehabilitation programmes should prioritize education about exercise and adaptation strategies to improve self-efficacy and facilitate ongoing physical activity outside of structured settings.Rehabilitation teams should emphasize the benefits of physical activity for mental and physical health, as well as secondary stroke prevention, to enhance motivation and adherence to physical activity recommendations.Rehabilitation professionals should advocate for increased access to multidisciplinary services, including physical therapy, orthotics, and physiatry, to address physical impairments and activity limitations that hinder physical activity participation.Rehabilitation professionals should consider the impact of societal views and stigma when developing strategies to increase physical activity in stroke survivors with limited walking ability. Stroke rehabilitation programmes should prioritize education about exercise and adaptation strategies to improve self-efficacy and facilitate ongoing physical activity outside of structured settings. Rehabilitation teams should emphasize the benefits of physical activity for mental and physical health, as well as secondary stroke prevention, to enhance motivation and adherence to physical activity recommendations. Rehabilitation professionals should advocate for increased access to multidisciplinary services, including physical therapy, orthotics, and physiatry, to address physical impairments and activity limitations that hinder physical activity participation. Rehabilitation professionals should consider the impact of societal views and stigma when developing strategies to increase physical activity in stroke survivors with limited walking ability.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,003 | 0,002 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».