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- Title
Energy expenditure of dressing in patients with stroke.
- Authors
Singh, Anupa; Stewart, Aimee; Franzsen, Denise; MacKay-Lyons, Marilyn
- Abstract
Aims: The primary aim of this study was to compare the energy expended and time taken in dressing the upper and lower body of 23 subjects who had survived a stroke within the previous 18 months, with a control group of subjects at risk from stroke. Secondary aims were to establish a relationship between energy costs and motor impairment, and the relationship between the energy expenditure and the subjects' perceived level of exertion. Methods: Measurement of the energy expenditure and time taken to dress was done by means of a triaxial accelerometer. The accelerometer was used to convert total caloric expenditure (in kilocalories) to metabolic equivalents (METs) allowing comparability of the energy costs in the physical activity undertaken. The degree of motor impairment present in the limbs was also documented. Parametric data were analyzed using t-tests to establish if a difference between the two groups existed for age, height, gender, and energy expenditure. A linear regression was performed to determine a relationship between variables such as energy expenditure, time, and weight. An ANOVA was used to establish variances between the groups. Findings: Results indicated that significantly more energy was expended in dressing the upper body in the experimental group (P<0.05). No significant differences were found in the energy expenditure in dressing the lower limbs. Subjects with stroke took four times longer to dress than controls. Despite having active movement, stroke survivors were not able to translate this into the functional task of dressing. There was a linear relationship between the energy expenditure and perception of difficulty indicating a significant relationship between these variables. Conclusions: Recommendations include an increased awareness of therapists to understand the elevated energy expenditure in routine activities of daily living (ADL) tasks such as dressing in patients with a neurological disorder in order to re-engage them into ADL.
- Publication
International Journal of Therapy & Rehabilitation, 2011, Vol 18, Issue 12, p683
- ISSN
1741-1645
- Publication type
Journal Article