SavedAdd your journal

Journals / Selçuk Sağlık Dergisi / 2026 / Volume: 7 Issue: 2

INPATIENT REHABILITATION AND ITS IMPACT ON POSTURAL CONTROL, BALANCE, MOBILITY, MOTOR PERFORMANCE, AND PHYSICAL ACTIVITY IN PEOPLE WITH ACUTE STROKE: A CASE SERIES

Akut İnme Tanılı Bireylerde Hastane İçi Rehabilitasyonun Postüral Kontrol, Denge, Mobilite, Motor Performans ve Fiziksel Aktivite Üzerindeki Etkileri: Bir Olgu Serisi

Burcin Aktar(DOKUZ EYLUL UNIVERSITY)0000-0002-5753-7138
Sinan Buran(HACETTEPE UNIVERSITY)0000-0003-1378-9584
Kürşad Kutluk(DOKUZ EYLUL UNIVERSITY)0000-0003-4807-0289
Birgül Balcı(DOKUZ EYLUL UNIVERSITY)0000-0002-0873-0900
Pages
—
Publication Date
2026-06-26
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The overall physical activity levels of all participants were sedentary; however, despite daily variability, energy expenditure, light intensity physical activity, moderate to vigorous physical activity, and vector magnitude counts increased from baseline to discharge.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: Early rehabilitation in people with stroke has been demonstrated to be important for the maintenance of functional independence, but there is little data on their physical activity during inpatient rehabilitation.
📊
Key Findings & Data:This study aimed to investigate the effects of inpatient rehabilitation on postural control, balance, mobility, motor performance, and physical activity parameters in people with acute ischemic stroke.
💡
Conclusion & Impact:The overall physical activity levels of all participants were sedentary; however, despite daily variability, energy expenditure, light intensity physical activity, moderate to vigorous physical activity, and vector magnitude counts increased from baseline to discharge.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Rehabilitation · Stroke · Physical Activity

Abstract

Purpose: Early rehabilitation in people with stroke has been demonstrated to be important for the maintenance of functional independence, but there is little data on their physical activity during inpatient rehabilitation. This study aimed to investigate the effects of inpatient rehabilitation on postural control, balance, mobility, motor performance, and physical activity parameters in people with acute ischemic stroke. Case Reports: Six people with acute stroke received inpatient rehabilitation for the duration of their inpatient stay. The postural control, balance, mobility, and motor performance of participants were evaluated with the Postural Assessment Scale for Stroke Patients (PASS-T), Mobility Scale for Acute Stroke Patients (MSAS), Rivermead Mobility Index (RMI) and Fugl-Meyer Assessment (FMA) before and after rehabilitation, respectively. The ActiGraph GT9X link accelerometer was used to detect the physical activity behavior. Results: Following inpatient rehabilitation, no improvements were observed in PASS-T, MSAS, RMI, and FMA scores except for Case 5. The overall physical activity levels of all participants were sedentary; however, despite daily variability, energy expenditure, light intensity physical activity, moderate to vigorous physical activity, and vector magnitude counts increased from baseline to discharge. Conclusion: Inpatient rehabilitation has a positive effect on the activity participation of people with acute stroke. For early mobilization and increasing activity participation of people with acute conditions, early inpatient rehabilitation is recommended.

Özet

Amaç: Akut inme tanılı bireylerde erken rehabilitasyonun, fonksiyonel bağımsızlığın sürdürülmesi açısından önemli olduğu gösterilmiştir; ancak hastane içi rehabilitasyon süresince gösterdikleri fiziksel aktivite düzeylerine ilişkin veriler sınırlıdır. Bu çalışmanın amacı, akut iskemik inme tanılı bireylerde hastane içi rehabilitasyonun postüral kontrol, denge, mobilite, motor performans ve fiziksel aktivite parametreleri üzerindeki etkilerini incelemekti. Olgu raporları: Akut inme tanılı 6 birey, hastanede yatış süreleri boyunca hastane içi rehabilitasyon programına alındı. Katılımcıların rehabilitasyon öncesi ve sonrasında postüral kontrol, denge, mobilite ve motor performansları sırasıyla İnmeli Hastalar için Postüral Değerlendirme Ölçeği (İHİPDÖ), Akut İnme Hastaları için Geliştirilmiş Mobilite Ölçeği (AİHGMÖ), Rivermead Mobilite İndeksi (RMİ) ve Fugl-Meyer Değerlendirme Ölçeği (FMDÖ) ile değerlendirildi. Fiziksel aktivite davranışlarının belirlenmesinde ActiGraph GT9X link akselerometre kullanıldı. Bulgular: Hastane içi rehabilitasyonu takiben, Olgu 5 haricinde İHİPDÖ, AİHGMÖ, RMI ve FDMÖ skorlarında belirgin bir iyileşme gözlenmedi. Tüm katılımcıların genel fiziksel aktivite düzeyleri olarak sedanterdi; ancak gün içerisindeki değişkenliğe rağmen enerji harcaması, hafif yoğunlukta fiziksel aktivite, orta-yüksek yoğunlukta fiziksel aktivite ve vektör büyüklüğü sayımları başlangıç değerlendirmesinden taburculuğa kadar artış gösterdi. Sonuç: Hastane içi rehabilitasyon, akut inme tanılı bireylerin aktivitelere katılımı üzerinde olumlu etkiye sahiptir. Akut inme tanılı bireylerin erken mobilizasyonu ve aktivitelere katılımını arttırmak için erken dönemde hastane içi rehabilitasyon önerilmektedir.

🔖

Cite This Article

Aktar, B., Buran, S., Kutluk, K., Balcı, B. (2026). INPATIENT REHABILITATION AND ITS IMPACT ON POSTURAL CONTROL, BALANCE, MOBILITY, MOTOR PERFORMANCE, AND PHYSICAL ACTIVITY IN PEOPLE WITH ACUTE STROKE: A CASE SERIES. Selçuk Sağlık Dergisi, Volume: 7 Issue: 2. https://doi.org/10.70813/ssd.1929295

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (35)

  1. Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
  2. Jambi LK, Hamad A, Salah H, Sulieman A. Stroke and disability: Incidence, risk factors, management, and impact. JDR. 2024;3(7):1-7. doi: 10.57197/JDR-2024-0094.
  3. Shahid J, Kashif A, Shahid MK. A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals. Brain Sci. 2023;13(5):1-22. doi: 10.3390/brainsci13050717.
  4. Parikh S, Parekh S, Vaghela N. Pharmacy and Pharmacology Impact of stroke on quality of life and functional independence. NJPP. 2018;8(12):1595-1598. doi: 10.5455/njppp.2018.8.0723807092018.
  5. Kang S-M, Kim S-H, Han K-D, Paik N-J, Kim W-S. Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study. Top Stroke Rehabil. 2021;28(3):170-180. doi: 10.1080/10749357.2020.1799292.
  6. Barrett M, Snow JC, Kirkland MC, Kelly LP, Gehue M, Downer MB, et al. Excessive sedentary time during in-patient stroke rehabilitation. Top Stroke Rehabil. 2018;25(5):366-374. doi: 10.1080/10749357.2018.1458461.
  7. Satapathy P, Shabil M, Khatib MN, Ganesan S, Kaur M, Srivastava M, et al. Association of cardiometabolic index and risk of stroke: A systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2025; 34(8):108337. doi: 10.1016/j.jstrokecerebrovasdis.2025.1083.
  8. Åstrand A, Saxin C, Sjöholm A, Skarin M, Linden T, Stoker A, et al. Poststroke physical activity levels no higher in rehabilitation than in the acute hospital. J Stroke Cerebrovasc Dis. 2016;25(4):938-945. doi: 10.1016/j.jstrokecerebrovasdis.2015.12.04.
  9. Saa JP, Lipson-Smith R, White M, Davis A, Yang T, Wilde J, et al. Stroke inpatient rehabilitation environments: Aligning building construction and clinical practice guidelines through care process mapping. Stroke. 2023; 54(11):2946-2957. doi: 10.1161/STROKEAHA.123.044216.
  10. Coleman ER, Moudgal R, Lang K, Hyacinth HI, Awosika OO, Kissela BM, et al. Early rehabilitation after stroke: a narrative review. Curr Atheroscler Rep. 2017; 19(12):59. doi: 10.1007/s11883-017-0686-6.
  11. Foley N, McClure JA, Meyer M, Salter K, Bureau Y, Teasell R. Inpatient rehabilitation following stroke: amount of therapy received and associations with functional recovery. Disabil Rehabil. 2012; 34(25):2132-2138. doi: 10.3109/09638288.2012.676145.
  12. Balcı B, Ertekin Ö, Kara B, Yaka E. Akut inme hastalarında hastane içi rehabilitasyon programının etkileri. J Neurol Sci. 2011;28(2):142-154.
  13. Braakhuis HE, Berger MA, Regterschot RG, van Wegen EE, Selles RW, Ribbers GM, et al. Physical activity dimensions after stroke: patterns and relation with lower limb motor function. J Neuroeng Rehabil. 2021;18(1):1-9. doi: 10.1186/s12984-021-00960-x.
  14. Raine S, Meadows L, Lynch-Ellerington, M. Bobath concept: theory and clinical practice in neurological rehabilitation. Wiley-Blackwell; 2013.
  15. Benaim C, Pérennou DA, Villy J, Rousseaux M, Pelissier JY. Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS). Stroke. 1999;30(9):1862-1868. doi: 10.1161/01.str.30.9.1862.
  16. Zöngür S, Aksoy CC, Taşpınar F, Taşpınar B, Kenar B. İnmeli Hastalar için Postüral Değerlendirme Ölçeği (Postural Assesment Scale for Stroke patients) türkçe versiyonu geçerlik ve güvenirliği. IDUHES. 2018;1:23-35.
  17. Simondson JA, Goldie P, Greenwood KM. The mobility scale for acute stroke patients: concurrent validity. Clin Rehabil. 2003;17(5):558-564. doi: 10.1191/0269215503cr650oa.
  18. Collen FM, Wade DT, Robb G, Bradshaw CM. The Rivermead mobility index: a further development of the Rivermead motor assessment. Int Disabil Stud. 1991;13(2):50-54. doi: 10.3109/03790799109166684.
  19. Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002;16(3):232-240. doi: 10.1177/154596802401105171.
  20. Kelly LA, McMillan DG, Anderson A, Fippinger M, Fillerup G, Rider, J. Validity of actigraphs uniaxial and triaxial accelerometers for assessment of physical activity in adults in laboratory conditions. BMC Med Phys. 2013;13(1):1-7. doi: 10.1186/1756-6649-13-5.
  21. McClain JJ, Sisson SB, Tudor-Locke C. Actigraph accelerometer interinstrument reliability during free-living in adults. Med Sci Sports Exerc. 2007;39(9):1509-1514. doi: 10.1249/mss.0b013e3180dc9954.
  22. Copeland JL, Esliger DW. Accelerometer assessment of physical activity in active, healthy older adults. J Aging Phys Act. 2009;17(1):17-30. doi: 10.1123/japa.17.1.17.
  23. Bindawas SM, Vennu V, Moftah E. Improved functions and reduced length of stay after inpatient rehabilitation programs in older adults with stroke: a systematic review and meta-analysis of randomized controlled trials. NeuroRehabilitation. 2017;40(3):369-390. doi: 10.3233/NRE-161425.
  24. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-131.
  25. Hobo K, Kurita H, Momose K. The relationship between energy expenditure and physical functions in patients hospitalised for stroke. Sci Rep 2021;11(1):21685. doi: 10.1038/s41598-021-01135-3.
  26. Saunders DH, Greig CA, Mead GE. Physical activity and exercise after stroke: review of multiple meaningful benefits. Stroke 2014;45(12):3742-3747. doi: 10.1161/STROKEAHA.114.004311.
  27. Church G, Ali A, Smith CL, Broom D, Sage K. Examining Clinical Practice Guidelines for Exercise and Physical Activity as Part of Rehabilitation for People with Stroke: A Systematic Review. Int J Environ Res Public Health 2022;19(3):1707. doi: 10.3390/ijerph19031707.
  28. Xiao J. Physical exercise for human health. Springer Singapore: Singapore; 2020.
  29. Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, et al. What is the effect of interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors? A scoping review. PLoS One. 2019;14(6):1-24. doi: 10.1371/journal.pone.0217981.
  30. Bernhardt J, Dewey H, Thrift A, Donnan G. Inactive and alone: physical activity within the first 14 days of acute stroke unit care. Stroke. 2004;35(4):1005-1009. doi: 10.1161/01.STR.0000120727.40792.40.
  31. Tieges Z, Mead G, Allerhand M, Duncan F, Van Wijck F, Fitzsimons C, et al. Sedentary behavior in the first year after stroke: a longitudinal cohort study with objective measures. Arch Phys Med Rehabil. 2015;96(1):15-23. doi: 10.1016/j.apmr.2014.08.015.
  32. Mattlage AE, Redlin SA, Rippee MA, Abraham MG, Rymer MM, Billinger SA. Use of accelerometers to examine sedentary time on an acute stroke unit. J Neurol Phys Ther. 2015;39(3):166-171. doi: 10.1097/NPT.0000000000000092.
  33. Norton K, Norton L, Sadgrove D. Position statement on physical activity and exercise intensity terminology. J Sci Med Sport. 2010;13(5):496-502. doi: 10.1016/j.jsams.2009.09.008.
  34. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C, et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575-1581. doi: 10.1249/MSS.0b013e31821ece12.
  35. English C, Healy GN, Coates A, Lewis L, Olds T, Bernhardt J. Sitting and activity time in people with stroke. Phys Ther. 2016;96(2):193-201. doi: 10.2522/ptj.20140522.