The relationship between levels of physical activity and participation in everyday life in stroke survivors: A systematic review and meta-analysis

Disabil Health J. 2024 Oct;17(4):101640. doi: 10.1016/j.dhjo.2024.101640. Epub 2024 May 16.

Abstract

Background: Stroke survivors demonstrate decreased physical activity (PA) and take time to return to participation in everyday life, but the relationship between the two variables is unknown.

Objective: To investigate the correlation and trajectory over time between levels of PA and participation in everyday life in stroke survivors.

Methods: PubMed, Web of Science, Scopus, SPORTDiscus, Rehabilitation&Sport Medicine Source, and PEDro databases were searched from inception to January 2024. Cross-sectional and prospective studies evaluating both levels of PA and participation in stroke survivors were included. Two reviewers independently conducted the study selection, data extraction, and quality assessment. Meta-analyses of pooled correlation coefficients were calculated when at least two studies reported a correlation coefficient between the same PA and participation outcomes.

Results: Of 4962 studies identified, 49 were included in the systematic review. Studies were rated high (55%%) or fair (45%) quality. A wide range of monitoring methodologies for assessing PA and participation were found in the 23 prospective studies. Seven studies were included in the meta-analyses, showing a positive moderate correlation between PA time and participation in activities of daily living (n = 148; r = 0.52; P < 0.01; I2 = 81%) in participants <6 months post-stroke, and between PA time and the participation in all areas (n = 126; r = 0.44; P < 0.01; I2 = 0%) in participants ≥6 months post-stroke. Overall, while PA showed significant improvements over time, participation only showed a tendency.

Conclusion: Despite the heterogeneity, consistent positive associations were found between PA time and participation levels in some areas. Establishing consensus is crucial to reduce heterogeneity and facilitate data pooling.

Keywords: Correlation; Daily life activities; Participation; Physical activity; Stroke.

Publication types

  • Systematic Review
  • Meta-Analysis
  • Review

MeSH terms

  • Activities of Daily Living*
  • Cross-Sectional Studies
  • Exercise* / psychology
  • Humans
  • Social Participation
  • Stroke Rehabilitation* / methods
  • Stroke Rehabilitation* / statistics & numerical data
  • Stroke* / psychology
  • Survivors* / psychology
  • Survivors* / statistics & numerical data