L’évaluation de l’activité physique chez le patient en phase subaiguë de l’accident vasculaire cérébral

Abstract : The aim of this work was to 1) determine whether daily therapeutic care offered to patients in subacute stroke phase was demanding enough to reach hospitalization activity recommendations 2) determine the possible methods to measure physical activity and its usefulness in post-stroke therapeutic care.The studied population was composed of subacute stroke phase patients admitted to the Physical Medicine and Rehabilitation unit. The results showed that one third of the patients did not reach physical activity recommendations once they left the unit. Furthermore, most of the daily energy expenditure (3 METs) was achieved outside the therapeutic care. Regarding the physical activity evaluation methods, results highlighted that perceived exertion did not seem valuable to evaluate physical activity intensity during reeducation session. Additionally, actimeters were not accurate enough to measure patient's daily energy expenditure except for Armband SenseWear. Knowing that physical activity recommendations are not reached by part of the population, it seems useful to measure physical activity during subacute stroke phase in order to ensure these activities are performed as requested. However, should the evaluation methods be subjective or objective, it is hard to obtain an accurate physical activity measurement during subacute stroke phase.
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Justine Lacroix. L’évaluation de l’activité physique chez le patient en phase subaiguë de l’accident vasculaire cérébral. Médecine humaine et pathologie. Université de Limoges, 2016. Français. ⟨NNT : 2016LIMO0088⟩. ⟨tel-01467054⟩

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