Topics in Stroke Rehabilitation最新文献

{"title":"Comparison of the effects of robot-assisted gait training using FES versus virtual reality for stroke patients. A randomized clinical trial.","authors":"Jaeho Park","doi":"10.1080/10749357.2025.2532421","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532421","url":null,"abstract":"<p><strong>Background: </strong>Robot-assisted gait training is becoming an effective alternative to therapist-assisted gait training in stroke rehabilitation. This method has the potential to reduce therapist burden and treatment costs, and is receiving considerable attention for the functional recovery of stroke patients.</p><p><strong>Objectives: </strong>The purpose of this study was to compare the effects of robot-assisted gait training using Functional electrical stimulation (FES) and Virtual Reality(VR) on balance and gait abilities in stroke patients and to suggest an effective treatment strategies.</p><p><strong>Methods: </strong>All subjects were randomly divided into three groups: Robot-assisted gait training using FES Group (RFG) (<i>n</i> = 22), Robot-assisted gait training using VR Group (RVG) (<i>n</i> = 23) and control group (<i>n</i> = 20). Subjects in RFG or RVG underwent robot-assisted gait training for 30 minutes, three times a week for six weeks. All Subjects were assessed for lower extremity muscle strength, balance, gait, motor function, and ADL pre- and post-intervention.</p><p><strong>Results: </strong>All subjects showed that all outcome measures significantly improved post-intervention (<i>p</i> < 0.05). In addition, it has been confirmed that RFG had significantly improved in MRC and BBS scores compared with RVG (<i>p</i> < 0.05). And, both groups showed significant differences compared to the control group in all areas except MBI (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>These results suggest that showed improved lower extremity muscle strength and balance abilities after RFG compared with RVG and may be effective strategy to enhance the functional recovery of persons with stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and validation of the Stroke Self-Efficacy Questionnaire to European Portuguese.","authors":"Carlos Figueira, André Vieira, Carla Mendes Pereira","doi":"10.1080/10749357.2025.2530260","DOIUrl":"https://doi.org/10.1080/10749357.2025.2530260","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy is recognized as a key determinant in post-stroke adjustment. Adapting the Stroke Self-Efficacy Questionnaire (SSEQ) into European Portuguese is needed, due to the lack of reliable and valid measures to assess self-efficacy in post-stroke populations within this context.</p><p><strong>Objective: </strong>To conduct the cross-cultural adaptation of the SSEQ to European Portuguese and investigate its validity, reliability, and interpretability for the European Portuguese stroke population.</p><p><strong>Methods: </strong>A two-phase study was conducted: i) translation and cultural adaptation of the English version of SSEQ to European Portuguese (SSEQ-PT); and ii) psychometric assessment ofSSEQ-PT. The initial phase encompassed the content index validation by an expert committee with seven professionals and verbal probing by nine stroke survivors. The second phase involved 103 participants and assessed construct validity through Confirmatory Factor Analysis (CFA) and concurrent validity, test-retest reliability, and interpretability measures.</p><p><strong>Results: </strong>The SSEQ-PT demonstrated adequate content validity and comprehensibility. The original two-factor structure was confirmed through CFA where Chi-Square (χ2)(64) = 114.11, Comparative Fix Index (CFI) = 0.93, Standardized Root Mean Square Residual (SRMR) = 0.06, with factor correlation of 0.63. Adequate construct validity was demonstrated with expected correlations between the SSEQ-PT subscales and selected scales. The activity subscale demonstrated a Cronbach's α of 0.91 and the self-management subscale of 0.80. The total instrument demonstrated an Interclass CorrelationCoefficient (ICC) of 0.87.</p><p><strong>Conclusions: </strong>The SSEQ-PT proved to be a highly relevant and easily comprehensible measure for assessing self-efficacy in stroke survivors. This study demonstrates that the European Portuguese version of the instrument is valid and reliable for assessing self-efficacy in stroke patients.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of family Social support in stroke recovery and desired rehabilitation outcomes in U.S. adults: a scoping review.","authors":"Goodness Okwaraji, Helena Miranda, Jhon Ostanin, Sahar Kaleem, Ayden Dunn, Diana Lobaina, Samantha Jimenez, Austin Lent, Madison Etzel, Tiffany Follin, Lea Sacca","doi":"10.1080/10749357.2025.2532416","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532416","url":null,"abstract":"<p><strong>Background: </strong>Family and social support can have a large impact on the recovery of stroke patients. The purpose of this scoping review is to explore patient-centered strategies that can be implemented to ensure long-term and sustained family support for US adult stroke patients.</p><p><strong>Methods: </strong>The development of the study sections was guided by the PRISMA-ScR checklist (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). The methodology used in the review followed the York framework by Arksey and O'Malley (2005). Additionally, recommendations from the Joanna Briggs Institute (JBI) were incorporated for the extraction, analysis, and presentation of results in scoping reviews.</p><p><strong>Results: </strong>A total of 6 articles were retained for analysis. Hands-on caregiver training was associated with improved physical function and enhanced quality of life for both caregivers and stroke survivors. Improvements were also seen in caregiver mental health outcomes such as experiencing fewer depressive symptoms. Caregiver burden often stemmed from the intense nature of caregiving responsibilities and the complex needs of stroke survivors. Major themes in lessons learned for future evidence-based caregiver-oriented stroke were also highlighted.</p><p><strong>Conclusion: </strong>Findings can provide informed patient- and family-centered recommendations for sustaining positive rehabilitation outcomes for adults who have experienced stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter- and intra-rater reliability, construct validity and feasibility of the independently get off the floor scoring system for Japanese stroke survivors.","authors":"Eiji Kobayashi, Yoshihiko Shibukawa, Tomoyasu Sakaguchi, Sayo Miura, Hirohumi Kamiyama, Akane Shimoyama, Yuri Ishikawa, Youhei Muraoka, Nobuaki Himuro","doi":"10.1080/10749357.2025.2532409","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532409","url":null,"abstract":"<p><strong>Background: </strong>Although assessment of the capacity to get up from the floor after a fall is considered beneficial in maintaining physical safety for stroke survivors, measurement properties of the Independently Get Off the Floor Scoring System (IGO) for this population is not well established.</p><p><strong>Objective: </strong>To translate the IGO into Japanese, and to investigate reliability, construct validity, and feasibility of it for stroke survivors.</p><p><strong>Design: </strong>Sixty-five Japanese stroke survivors participated in this study. This study was designed based on COSMIN standards. The IGO was translated into Japanese using forward and backward translation. For the inter- and intra-rater reliability, weighted Cohen's kappa values and Fleiss's kappa values were used. For the construct validity, hypotheses testing method was used. Correlations between the IGO and standard measurements, the Stroke Impairment Assessment Set, knee extensor muscle strength, range of motion in the shoulder and ankle joint, the 5-repetition Sit-To-Stand test, and the Timed Up and Go test were examined using the Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>The IGO demonstrates moderate inter-rater reliability between three raters (κ = 0.620) and strong to almost perfect reliability between two raters (κ = 0.824 to 0.862) and strong to almost perfect intra-rater reliability for each rater (κ = 0.884 to 0.959). Seven of 8 hypotheses to test construct validity were confirmed. The significant correlation coefficients obtained ranged from 0.345 to 0.633.</p><p><strong>Conclusions: </strong>The IGO is a reliable, valid, and feasible measurement to assess the capacity of stroke survivors to get up from the floor.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The course of anxiety symptoms in the 24 months after start of stroke rehabilitation and its relation with psychological care and unmet needs: an observational prospective cohort study.","authors":"Daniëlla M Oosterveer, Desi Stokman-Meiland, Aleid de Rooij, Henk Arwert, Jorit Meesters, Thea P M Vliet Vlieland","doi":"10.1080/10749357.2025.2524994","DOIUrl":"https://doi.org/10.1080/10749357.2025.2524994","url":null,"abstract":"<p><strong>Background: </strong>Anxiety after stroke is common and has a negative impact on quality of life but might be underdiagnosed or undertreated.</p><p><strong>Objectives: </strong>To describe the course of anxiety symptoms post-stroke, and the relation with psychological care and unmet needs.</p><p><strong>Methods: </strong>In an observational prospective cohort study, patients with stroke completed the Hospital Anxiety and Depression Scale (HADS) at 3, 6, 12 and 24 months after the start of rehabilitation; 1 item about psychological care; and the Longer-Term Unmet Needs after Stroke. Chi-square and Kruskal-Wallis tests were used to compare patients within three different trajectories of anxiety symptoms based on the HADS anxiety subscale: no (all times <8), non-consistent (one to three times ≥8) or persistent anxiety symptoms (all times ≥8).</p><p><strong>Results: </strong>Six hundred and ninety patients were included (37.7% females, median age 62 years). At 3, 6, 12 and 24 months after baseline, 136/612 (22.2%), 129/586 (22.0%), 125/548 (22.8%), and 96/487 (19.7%) patients reported anxiety symptoms, respectively. There were 248/384 (64.6%) patients with no, 97/384 (25.3%) with non-consistent, and 39/348 (10.2%) with persistent anxiety symptoms. A minority of patients with non-consistent or persistent anxiety symptoms received psychological care. They had more unmet needs and more often an unmet need related to mood.</p><p><strong>Conclusion: </strong>The prevalence of post-stroke anxiety remains around 20%, and in 10.2% of patients persistent anxiety symptoms were found. Optimization of screening and treatment seems of value.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between post-traumatic stress disorder and fear of progression in stroke patients: the mediating role of perceived social support and coping styles.","authors":"Xuechun Guan, Qinyuan Zhu, Hailan Qian","doi":"10.1080/10749357.2024.2417646","DOIUrl":"10.1080/10749357.2024.2417646","url":null,"abstract":"<p><strong>Objective: </strong>Fear of progression (FoP) among stroke patients is closely associated with post-traumatic stress disorder (PTSD), perceived social support, and coping styles. However, there is still limited research on the mechanism of interaction among these four factors. The purpose of this study was to investigate the mediating role of coping styles and perceived social support in the relationship between FoP and PTSD among stroke patients.</p><p><strong>Methods: </strong>The study included 240 stroke patients and utilized a cross-sectional design. Data was collected using a general data questionnaire, the Fear of Progression-Questionnaire-Short Form (FoP-Q-SF), the Perceived Social Support Scale (PSSS), Medical Coping Modes Questionnaire (MCMQ), and the Post-traumatic Stress Disorder Check-list-Civilian Version (PCL-C). Structural equation modeling was used to assess the mediating relationship between PSSS and MCMQ between FoP and PTSD.</p><p><strong>Result: </strong>A total of 112 (46.7%) patients exhibited mental dysfunction with FoP scores ≥34, and 89 (37.1%) patients presented with a PTSD score of at least 38 had certain PTSD symptoms. FoP was negatively correlated with PSSS and facing coping styles, and positively correlated with PTSD and yielding coping styles. PSSS, facing coping styles, and yielding coping styles partially mediated the relationship between FoP and PTSD, accounting for 42.69% of the total effect.</p><p><strong>Conclusion: </strong>PTSD can impact FoP directly or indirectly through perceived social support, confrontation, and submissive coping styles. Therefore, it is important to urge patients to reasonably use social support and coping styles to increase well-being, and strive to mitigate the ongoing impact of PTSD symptoms, and reduce the risk of FoP.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"544-552"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The minimally clinically important difference in the 2-minute walk test for people in the subacute phase after a stroke.","authors":"Thomas Bowman, Fabiola Giovanna Mestanza Mattos, Cristina Allera Longo, Serena Bocini, Michele Gennuso, Francesca Marazzini, Francesco Giuseppe Materazzi, Elisa Pelosin, Martina Putzolu, Silvia Salvalaggio, Andrea Turolla, Susanna Mezzarobba, Davide Cattaneo","doi":"10.1080/10749357.2024.2417643","DOIUrl":"10.1080/10749357.2024.2417643","url":null,"abstract":"<p><strong>Background: </strong>The 2-Minute Walk Test (2MWT) is a simple and reliable test used by clinicians to assess gait function in people with stroke (pwST). No studies established the minimal clinically important difference (MCID) of the 2MWT.</p><p><strong>Objective: </strong>To determine the MCID of the 2MWT in subacute pwST using data from a longitudinal cohort study.</p><p><strong>Methods: </strong>PwST within 180 days of stroke onset were recruited from the Italian National Health System (NHS) rehabilitation services across the country. Participants underwent physical therapy to improve balance and gait according to their specific needs. The 2MWT was used to assess gait performance at the beginning (T0) and after a minimum of 10 rehabilitation sessions (T1). The Global Perceived Effect (GPE), Activities-specific Balance Confidence Scale (ABC) and the ABC_gait were used to assess balance confidence and the perceived effect of the intervention at T1.</p><p><strong>Results: </strong>51 pwST (69 ± 12 years; 66.7% males) were included in the analysis. Statistically significant improvements were observed in 2MWT, ABC, and ABC_gait scores after rehabilitation using the Wilcoxon signed-rank test. Using an anchor-based approach the receiver operating characteristic (ROC) curves were calculated to establish the MCID. The MCID of the 2MWT was 31 meters with an Area under the curve (AUC) = 0.74 [0.60-0.89], a specificity of 71% and a sensitivity of 63%.</p><p><strong>Conclusions: </strong>An improvement of 31 meters on the 2MWT can be considered clinically significant in subacute pwST undergoing rehabilitation. This study provides valuable insights for clinicians to assess walking performance in pwST and determine clinically meaningful changes post-rehabilitation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"553-561"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body mass index is associated with disability at discharge as indicated by the modified Rankin Scale in patients with ischemic stroke: a JROAD-DPC study.","authors":"Yuji Kanejima, Masato Ogawa, Kodai Ishihara, Naofumi Yoshida, Michikazu Nakai, Koshiro Kanaoka, Yoko Sumita, Takuo Emoto, Yoshitada Sakai, Yoshitaka Iwanaga, Yoshihiro Miyamoto, Tomoya Yamashita, Kenichi Hirata, Kazuhiro P Izawa","doi":"10.1080/10749357.2024.2417644","DOIUrl":"10.1080/10749357.2024.2417644","url":null,"abstract":"<p><strong>Background: </strong>Body mass index (BMI) of patients with ischemic stroke (IS) has been associated with prognosis and disability in studies in the United States. Although the Asian population is leaner, the optimal BMI for stroke-related disability remains unknown.</p><p><strong>Objectives: </strong>To clarify the association between BMI and disability in patients with IS from a national database in Japan.</p><p><strong>Methods: </strong>The present study included 522,421 patients with IS identified in the JROAD-DPC database from April 2016 to March 2020. We used the WHO classification of BMI, which divides Asia-Pacific patients into five groups, to categorize BMI and the modified Rankin Scale (mRS) to assess stroke-related disability at admission and discharge. After multiple imputation for missing values, we conducted a multiple mixed-effect logistic regression analysis for poor mRS score (>2) in September 2023. In addition, we created a restricted cubic spline model between the odds ratio (OR) for poor mRS and BMI.</p><p><strong>Results: </strong>The mRS score worsened during hospitalization in 60.1% of the patients with IS, and 45.7% had a poor mRS score at discharge. Overweight patients had the lowest OR of having a poor mRS score (OR: 0.898, 95% confidence interval: 0.895-0.902). The spline curve for the OR for poor mRS score was U-shaped with a BMI of 24.7 kg/m²as the apex value.</p><p><strong>Conclusion: </strong>The present study revealed a U-shaped relationship between BMI and stroke-related disability, with overweight patients having the lowest OR for disability at discharge.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"502-511"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of five different body positions on lung function in stroke patients with tracheotomy.","authors":"Juan Wang, Fang Liu, Mingchao Zhou, Dan Li, Meiling Huang, Shanshan Guo, Dianrui Hou, Jiao Luo, Zhenhua Song, Yulong Wang","doi":"10.1080/10749357.2024.2420545","DOIUrl":"10.1080/10749357.2024.2420545","url":null,"abstract":"<p><strong>Background: </strong>In stroke patients with tracheotomy, reduced lung function heightens pulmonary infection risk. Body position can affect lung function; however, its impact in stroke patients with tracheostomy remains unclear.</p><p><strong>Objective: </strong>To investigate the influence of five body positions on pulmonary function in stroke patients with tracheotomy.</p><p><strong>Methods: </strong>Pulmonary function was assessed in five body positions (supine, supine 30°, supine 60°, sitting, and prone) in 47 stroke patients who underwent tracheotomy. Diaphragmatic excursion during quiet breathing (DE_Q), diaphragmatic thickening fraction during quiet breathing (DTF_Q), and diaphragmatic excursion during coughing (DE_C) were measured using ultrasound. Peak cough flow (PCF) was measured using an electronic peak flow meter.</p><p><strong>Results: </strong>Different positions had a significant impact on DE_Q, DE_C, and PCF in stroke patients with tracheotomy, although not on DTF_Q. DE_Q showed no significant differences between supine 60°, sitting, and prone positions. Both DE_C and PCF reached their maximum values in the sitting position. In the sub-group analysis, DE_Q in females did not show significant differences across different positions. Both males and females exhibited significantly higher PCF in the sitting compared to supine position. The lung function of obese patients was significantly better in the sitting than in the supine and supine 30° position. Regardless of the patient's level of consciousness and whether the brainstem was injured, lung function in the sitting position was significantly higher than in the supine position.</p><p><strong>Conclusions: </strong>Body posture influences lung function in stroke patients with tracheotomy. Patients should adopt a sitting position to enhance pulmonary function.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"481-491"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and stability of the international physical activity questionnaire short-form for stroke survivors with preserved walking ability.","authors":"Cristina de Diego-Alonso, Julia Blasco-Abadía, Víctor Doménech-García, Pablo Bellosta-López","doi":"10.1080/10749357.2024.2417645","DOIUrl":"10.1080/10749357.2024.2417645","url":null,"abstract":"<p><strong>Background: </strong>Stroke survivors usually present sedentary lifestyles and fail to comply with the World Health Organization physical activity recommendations. Reliable, low-cost, and fast tools are needed to monitor physical activity levels in this population.</p><p><strong>Objectives: </strong>This study aimed to evaluate the content and face validity, construct validity, and test-retest stability of the International Physical Activity Questionnaire Short-Form (IPAQ-SF) in stroke survivors.</p><p><strong>Methods: </strong>One hundred and twenty stroke survivors able to walk independently and preserved comprehension and communication abilities (61 ± 12 years, 35% female) were involved in this psychometric study. Participants completed the interview form of the IPAQ-SF via standardized videoconference twice, one week apart, under identical conditions, to evaluate test-retest stability. Correlations between IPAQ-SF and the caloric expenditure during the minutes of activity registered with the Fitbit Inspire 2 activity tracker wristband and 6-Metre Timed Walk (6MTW) were explored to assess construct validity.</p><p><strong>Results: </strong>The IPAQ-SF showed good content and face validity. \"Moderate\" to \"strong\" correlations were found with the Fitbit Inspire 2 (rho: 0.40 to 0.63), while \"weak\" to \"moderate\" correlations were found with the 6MTW (rho: 0.35 to 0.50). Test-retest stability was \"moderate\" to \"excellent\" (κ: 0.844 to 0.881; ICC: 0.533 to 0.917).</p><p><strong>Conclusions: </strong>The IPAQ-SF demonstrated satisfactory content and construct validity, and stability in stroke survivors, supporting its clinical and research utility when the data collection is conducted by trained evaluators using a standardized interview protocol in large samples.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"562-571"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}