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Nonleisure-time physical activity guidance following minor ischemic stroke: a randomized clinical trial
Ashizawa R, Yamashita K, Take K, Okawara K, Mochizuki E, Sakamoto A, Yoshimoto Y
Adapted Physical Activity Quarterly 2021 Apr;38(2):329-347
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The purpose of this single-masked randomized clinical trial was to examine whether nonleisure-time physical activity guidance (NLTPAG) improves physical activity levels in patients after minor ischemic stroke. Patients who had been hospitalized for minor ischemic stroke in an acute care hospital (National Health Institute Stroke Scale <= 5) were randomized to either an NLTPAG group (n = 17) or a leisure-time physical activity guidance group (n = 16). NLTPAG focused on reducing sedentary behavior and increasing the frequency of walking for shopping and household activities to improve physical activity levels in daily life. Physical activity levels significantly improved only in participants in the NLTPAG group (initial assessment metabolic equivalents of task 12.6; final assessment metabolic equivalents of task 14.8; p = 0.035, r = 0.51). These results suggest that NLTPAG may be effective for improving physical activity levels in patients after minor ischemic stroke.
Copyright Human Kinetics. Reprinted with permission from Human Kinetics (Champaign, IL).

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