ISPRM_Berlin_Barthel index as a physical activity measure.pptx

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Introduc2on! ! • Daily physical activity is recommended after stroke. • Based on aerobic consideration, an efficient activity is defined by : ➢ 20 minutes period at ...
Barthel(Index(as(a(physical(( ac2vity(measure! Dr Alice De Almeida[1,3], Dr Hervé Petit[2], Pr Jean-Michel Mazaux[3], Pr Pierre-Alain Joseph[3,4], Pr Patrick Dehail[3,4], Dr Emmanuelle Cugy[3,4,5] [1]

[2] CRF Les Grands Chênes, Bordeaux [3] CHU Pellegrin, Bordeaux CH Dax, Dax [4] EA 4136, Université de Bordeaux, Bordeaux [5] CH Arcachon, La Teste de Buch

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• 

( Introduc2on! ! Daily physical activity is recommended after stroke.

• 

Based on aerobic consideration, an efficient activity is defined by :

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!  20 minutes period at 3-5,99 METs (Metabolic Equivalent Task), !  3 times a week. • 

However, level of activity is still difficult to be measured at early stroke phase in rehabilitation.

• 

Hypothesis : Barthel index could be an activity level’s approach.

Dr Alice De Almeida, Bordeaux – 20-06-2015. !

Sofemer ETP AVC-2011. Morris CK. et al. American heart journal. 1991. Olney SJ. et al. Archives of physical medicine and rehabilitation. 1986!

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Material and Methods! • 

Patients with recent supratentorial stroke (day 7 to third month) T1 first week at admission

T2(( one month after!

T3(( one week before discharge!

Sexe,!age,!NIHSS!score!

4!

4!

Barthel!index!

Barthel!index!

Barthel!index!

Physical!!ac=vity!in!METs!

Physical!!ac=vity!in!METs!

Physical!!ac=vity!in!METs!

• 

Material : a triaxial acceloremeter Actigraph® wGT3x+ device

• 

Statistical regression was searched.!

Dr Alice De Almeida, Bordeaux – 20-06-2015. !

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Results! T1

T3

Sexe (M/W)

8 / 1 (N=9)

Age

63,1±13,7

(means±and, years)

Mean hospital stay (days)

Barthel (/100) Daily energy expenditure (average,

97,6±63,5 35±31,9

56±31

99,3±76,8

128,8±94,1

Kcal/day)

Twenty-one coupled data

(Barthel index and physical activity)

Linear regression is Y = 0.3929*X - 2.159 Dr Alice De Almeida, Bordeaux – 20-06-2015. !

were recorded.

(R square = 0,4660 ; p < 0,001).!

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Conclusion! •  Barthel Index could be used like physical activity’s reflection, in rehabilitation units. •  Further studies are needed to confirm this.

- Thank you for your attention -

Dr Alice De Almeida, Bordeaux – 20-06-2015. !

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