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Stroke Research and Treatment
Volume 2012, Article ID 820673, 9 pages
http://dx.doi.org/10.1155/2012/820673
Review Article

How Physically Active Are People with Stroke in Physiotherapy Sessions Aimed at Improving Motor Function? A Systematic Review

1School of Health Sciences, University of South Australia, P.O. Box 2471, Adelaide, SA 5001, Australia
2International Centre for Allied Health Evidence, School of Health Sciences, University of South Australia, P.O. Box 2471, Adelaide, SA 5001, Australia

Received 7 October 2011; Revised 19 December 2011; Accepted 12 January 2012

Academic Editor: Ching-yi Wu

Copyright © 2012 Gurpreet Kaur et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Targeted physical activity drives functional recovery after stroke. This review aimed to determine the amount of time stroke survivors spend physically active during physiotherapy sessions. Summary of Review. A systematic search was conducted to identify published studies that investigated the use of time by people with stroke during physiotherapy sessions. Seven studies were included; six observational and one randomised controlled trial. People with stroke were found to be physically active for an average of 60 percent of their physiotherapy session duration. The most common activities practiced in a physiotherapy session were walking, sitting, and standing with a mean (SD) practice time of 8.7 (4.3), 4.5 (4.0), and 8.3 (2.6) minutes, respectively. Conclusion. People with stroke were found to spend less than two-thirds of their physiotherapy sessions duration engaged in physical activity. In light of dosage studies, practice time may be insufficient to drive optimal motor recovery.