None listed
Conditions
Brief summary
Stroke is a major cause of disability in Australia, it affects over 50,000 people annually. Stroke survivors are at increased risk of health problems, particularly a second stroke. Many of the risk factors for a second stroke, such as smoking, poor diet and lack of physical activity could be reduced with increased awareness, education and support. We plan to conduct a longitudinal study to investigate physical activity levels and cardiovascular risk factors in the 2 years following discharge from therapy after first ever stroke. Participants will be reviewed at baseline and at 6, 12 and 24 months following this. They will answer questions around their medical history and health status, complete questionnaires, have physical measurements taken (for example, blood pressure and walking tests) and be given activity monitors to wear for 5 days. At the baseline, 12 and 24 month assessments they will also be asked to have a blood sample taken within the following week. We hope to identify relationships between physical activity, cardiovascular risk, physical function and fatigue levels. This study has not previously been undertaken and will provide essential information for clinicians, allowing them to target their interventions to specific risk factors and reduce risk of further stroke. If a link between physical activity and cardiovascular risk is demonstrated, a strong rationale will be provided for therapies that improve physical activity participation.
Interventions
Observational study, no intervention applied. Measures will be taken at discharge from physiotherapy post stroke, 6, 12 & 24 months post this time. The measures that are being taken include: - Physical activity: the participants will wear a Sense-wear activity monitor for 5-7 days at each assessment point. The Sensewear activity monitor will measure energy expenditure, number of steps, position and physical activity duration. Questions will also be asked regarding regular physical activity. - Cardiovascular risk factors: seated blood pressure, waist circumference, BMI & brief questions about smoking, diet & alcohol intake. Blood cholesterol & blood glucose measures will be taken at baseline, 12 & 24 months only. - Physical mobility measures: 10 metre walk test, timed up & go, 6 minute walk test & functional ambulation category. - Fatigue Severity Scale - Hospital Anxiety & Depression Scale - Montreal Cognitive Assessment - Self-Report Barthel Index
Sponsors
Eligibility
Inclusion criteria
First ever stroke Admitted to the neuro-rehabilitation unit at Caulfield Hospital.
Exclusion criteria
Length of stay <5 days Palliative diagnosis Live greater than 2 hours from Caulfield Hospital