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Validation of Physical Activity Scale for the Elderly (PASE) in Stroke Patients

Completed
Conditions
Stroke
Interventions
Device: Actical accelerometers (Philips Respironics)
Other: PASE
Registration Number
NCT04092322
Lead Sponsor
Marmara University
Brief Summary

The Physical Activity Scale for the Elderly (PASE) is a self-report questionnaire on exercise, home, and work-related physical activities performed during the last week. PASE has shown to be reliable and valid in different populations of people between 65 and 100 years of age and after stroke. However, its validation on stroke was based on another self report questionnaire that assess physical activity called ''Senior Fitness Test''. Since accelerometers are more objective methods to assess PA, to the best of our knowledge, self-report physical activity questionnaires should be validated based on accelerometer derived physical activity data. The aim of this study is to validate PASE in patients with stroke based on accelerometer data.

Detailed Description

The Physical Activity Scale for the Elderly (PASE) is a self-report questionnaire on exercise, home, and work-related physical activities performed during the last week. PASE has shown to be reliable and valid in different populations of people between 65 and 100 years of age and after stroke. However, its validation on stroke was based on another self report questionnaire that assess physical activity (PA) called ''Senior Fitness Test''. There are four methods to measure physical activity: 1. Self-Report Questionnaires 2.Self-Report Activity Diaries/Logs 3.Direct Observation 4. Devices (Accelerometers, pedometers, arm band, Heart-Rate Monitors). Accelerometers can measure PA accurately and have ability capture large amounts of data. Accelerometers measure acceleration (activity counts:AC) in real time and detect movement in up to three orthogonal planes (anteroposterior, mediolateral, and vertical) These counts are then translated into a metric of interest, which can be biological (e.g. energy expenditure) or PA patterns (e.g. stationary). There are pros and cons of measurement methods of physical activity. Strengths of accelerometers include minute-by-minute on-line monitoring, capturing intensity level. Accumulated AC provide an accurate estimate of the duration and intensity of body movement at the waist and were summed across the whole day to assess total PA volume. However, accelerometers are expensive and require technical expertise, specialized hardware, software, and individual programming. Self-report PA measurement methods are able to measure large numbers of participants at low cost. Since accelerometers are more objective methods to assess PA, to the best of our knowledge, self-report physical activity questionnaires should be validated based on accelerometer derived physical activity data. The aim of this study is to validate PASE in patients with stroke based on accelerometer data.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  1. Patients with first ever, unilateral stroke
  2. Patients with stroke who can walk independently or with an assistive device
  3. Being at between the ages of 40-80
Exclusion Criteria
  1. Illiteracy
  2. Having severely impaired mental function and being unable to complete questionnaires
  3. Presence of neglect, demantia, apraxia
  4. Having uncontrolled hypertension, cardiopulmonary disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with subacute chronic strokePASEPatients with subacute chronic stroke between the ages of 40-80
Patients with subacute chronic strokeActical accelerometers (Philips Respironics)Patients with subacute chronic stroke between the ages of 40-80
Primary Outcome Measures
NameTimeMethod
PASEDay 0

Physical Activity Score for Elderly

Secondary Outcome Measures
NameTimeMethod
EE totalDay 0

Total energy expenditure obtained from accelerometer

EE moderateDay 0

energy expenditure obtained from accelerometer during moderate physical activity

AC lightDay 0

activity counts derived from accelerometer during light physical activity

Stroke Impact Scale total scoreDay 0

Stroke Impact Scale is a stroke specific quality of life scale. The current version of the SIS (SIS version 3.0) is a 59-item patient-reported outcome measure, covering 8 domains: strength (4 items), hand function (5 items), mobility (9 items), activities of daily living (10 items), memory (7 items), communication (7 items), emotion (9 items), and handicap (8 items). Domains are scored on a metric of 0 to 100, with higher scores indicating better self-reported health. Four of the scales of the SIS can be combined into a composite physical domain (strength, hand function, physical and instrumental activities of daily living, and mobility), with scores also presented on a 0 to 100 metric.

AC vigorousDay 0

activity counts derived from accelerometer during vigorous physical activity

EE vigorousDay 0

energy expenditure obtained from accelerometer during vigorous physical activity

AC sedentaryDay 0

activity counts derived from accelerometer during sedentary physical activity

ACtotalDay 0

Total activity count obtained from accelerometer

AC moderateDay 0

activity counts derived from accelerometer during moderate physical activity

step countDay 0

total step count obtained from accelerometer

EE lightDay 0

energy expenditure obtained from accelerometer during light physical activity

EE sedentaryDay 0

energy expenditure obtained from accelerometer during sedentary physical activity

Trial Locations

Locations (1)

Esra Giray

🇹🇷

Istanbul, Turkey

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