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. 2022 Jan 12:54:jrm00251.
doi: 10.2340/jrm.v53.51.

Pre-stroke physical activity in relation to post-stroke outcomes - linked to the International Classification of Functioning, Disability and Health (ICF): A scoping review

Adam Viktorisson  1 , Malin Reinholdsson  2 , Anna Danielsson  3 , Annie Palstam  4 , Katharina S Sunnerhagen  5
Affiliations

Pre-stroke physical activity in relation to post-stroke outcomes - linked to the International Classification of Functioning, Disability and Health (ICF): A scoping review

Adam Viktorisson et al. J Rehabil Med. .

Abstract

Objective: This scoping review aims to identify how pre-stroke physical activity (PA) has been studied in relation to outcomes after stroke using the ICF framework.

Methods: MEDLINE, CINAHL, Scopus, and grey literature databases were systematically searched from inception to March 15, 2021, with no language restrictions. Risk of bias was evaluated for all included studies. Identified outcome measures were linked to ICF components using linking rules, and the main findings were summarized.

Results: Of 3664 records screened, 35 studies were included. The risk of bias was graded as moderate to critical for all studies. There were 60 unique outcome measures studied in relation to pre-stroke PA, covering the hyper acute to chronic phases of stroke recovery. Outcome measures linked to body functions were most common (n=19), followed by activities and participation (n=14), body structures (n=7), environmental factors (n=4) and personal factors (n=2). There were large differences in assessments of pre-stroke PA, and only one study analysed haemorrhagic cases separately.

Conclusions: Pre-stroke PA has been studied in relation to all components in the ICF framework. However, this review highlights the high risk of bias, heterogeneity in pre-stroke PA assessments, and the lack of information regarding haemorrhagic strokes in the current literature.

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Figures

Fig. 1
Fig. 1
Inclusion process: Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flowchart. PA: physical activity.
Fig. 2
Fig. 2
Risk of bias: frequency of assessments in each domain of the Risk Of Bias In Non-randomised Studies of Exposures (ROBINS-E) tool.
Fig. 3
Fig. 3
Outcome measures classified using the International Classification of Function, Disability, and Health (ICF) model. (See Table I for abbreviations.)
See this image and copyright information in PMC

References

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