COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE

Karadag-Saygi, Evrim; KURTEL, Hizir; Giray, Esra; Eren, Nurullah; Gunduz, Osman

doi:10.31086/tjgeri.2022.278

COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE

Esra GİRAY, (Sağlık Bilimleri Üniversitesi, Fatih Sultan Mehmet Araştırma ve Eğitim Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, TÜRKİYE)

Naime Evrim Karadağ SAYGI, (Marmara Üniversitesi, Tıp Fakültesi, Fiziksel Tıp Anabilim Dalı ve Rehabilitasyon, İstanbul, TÜRKİYE)

Nurullah EREN, (Trakya Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Edirne, TÜRKİYE)

Hizir KURTEL, (Marmara Üniversitesi, Tıp Fakültesi, Fizyoloji Bölümü, İstanbul, TÜRKİYE)

Osman Hakan GÜNDÜZ (Marmara Üniversitesi, Tıp Fakültesi, Fiziksel Tıp Anabilim Dalı ve Rehabilitasyon, İstanbul, TÜRKİYE)

Türk Geriatri Dergisi

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Yıl: 2022 Cilt: 25 Sayı: 2 Sayfa Aralığı: 215 - 222 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2022.278 İndeks Tarihi: 09-05-2023

COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE

Öz:

Introduction: This study aimed to evaluate the validity of the Physical Activity Scale for the Elderly in stroke patients by comparing its scores with activity data derived from an accelerometer. Materials and Method: Twenty-five patients with stroke who walked independently or with an assistive device were included in the study. An accelerometer was held on participants’ non-paretic hips on Monday–Friday, and data were collected during three valid weekdays: Tuesday, Wednesday and Thursday. To evaluate validity, accelerometer-derived physical activity data and the Stroke Impact Scale were used. Results: A statistically significant moderate correlation was found between the Physical Activity Scale for Elderly and activity counts during moderate physical activity (Spearman correlation rho = 0.43, p = 0.03), energy expenditure during moderate activity, and total step count (rho = 0.41, p = 0.04; rho = 0.45, p = 0.03; rho = 0.45, p = 0.03; consecutively), while no significant correlations were found between Physical Activity Scale for Elderly score and total activity counts and activity counts during sedentary, light activity, or total energy expenditure (p >0.05). There was a moderately positive, statistically significant correlation between PASE and Stroke Impact Scale scores (rho = 0.49, p = 0.01) showing convergent validity. Conclusions: There is uncertainty about the validity of the Physical Activity Scale for Elderly for specifically reflecting total, light, and sedentary activity. Physical Activity Scale for Elderly was not designed to be used to measure and evaluate different physical activity levels. Accelerometers enabled an assessment of the amount and intensity of physical activity. The findings of this study support the use of accelerometers for assessing physical activity in patients with stroke rather than Physical Activity Scale if these factors are importantly considered.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Rand, D., J.J. Eng, P.F. Tang, et al., Daily physical activity and its contribution to the health-related quality of life of ambulatory individuals with chronic stroke. Health Qual Life Outcomes, 2010. 8: p. 80. (PMID: 20682071)
2. Trost, S.G. and M. O’Neil, Clinical use of objective measures of physical activity. Br J Sports Med, 2014. 48(3): p. 178-81. 10.1136/bjsports-2013-093173
3. Askim, T., J. Bernhardt, L. Churilov, et al., Changes in physical activity and related functional and disability levels in the first six months after stroke: a longitu dinal follow-up study. J Rehabil Med, 2013. 45(5): p. 423-8. (PMCID: PMC3804988)
4. Billinger, S.A., R. Arena, J. Bernhardt, et al., Physi cal activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2014. 45(8): p. 2532-53. (PMID: 24846875)
5. Sylvia, L.G., E.E. Bernstein, J.L. Hubbard, et al., Prac tical guide to measuring physical activity. J Acad Nutr Diet, 2014. 114(2): p. 199-208. (PMID: 24290836)
6. Hills, A.P., N. Mokhtar and N.M.J.F.i.n. Byrne, Assess ment of physical activity and energy expenditure: an overview of objective measures. Front Nutr, 2014. 1: p. 5. (PMID: 25988109)
7. van der Ploeg, H.P., K.R. Streppel, A.J. van der Beek, et al., The Physical Activity Scale for Individuals with Physical Disabilities: test-retest reliability and com parison with an accelerometer. J Phys Act Health, 2007. 4(1): p. 96-100. (PMID: 17489011)
8. Phusuttatam, T., J. Saengsuwan and P. Kittipan ya-Ngam, Development and Preliminary Validation of a Stroke Physical Activity Questionnaire. Stroke Res Treat, 2019. 2019: p. 6764834. (PMID: 31428300)
9. Washburn, R.A. and J.L. Ficker, Physical Activity Scale for the Elderly (PASE): the relationship with activity measured by a portable accelerometer. J Sports Med Phys Fitness, 1999. 39(4): p. 336-40. (PMID: 10726435)
10. Schuit, A.J., E.G. Schouten, K.R. Westerterp, et al., Validity of the Physical Activity Scale for the Elderly (PASE): according to energy expenditure assessed by the doubly labeled water method. J Clin Epide miol, 1997. 50(5): p. 541-6. (PMID: 9180646)
11. Ayvat, E., M. Kilinc and N. Kirdi, The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci, 2017. 47(3): p. 908-915. (PMID: 28618742)
12. Bujang, M.A. and N. Baharum, Sample size guide line for correlation analysis. World Journal of Social Science Research, 2016. 3(1). (DOI:10.22158/wjssr. v3n1p37)
13. Danielsson, A., C. Meirelles, C. Willen, et al., Phys ical activity in community-dwelling stroke survivors and a healthy population is not explained by motor function only. PM R, 2014. 6(2): p. 139-45. (PMID: 23978463)
14. Barton, J.L. and P. Katz, Patient Reported Outcomes in Rheumatic Diseases, An Issue of Rheumatic Dis ease Clinics of North America, E-Book. Vol. 42. 2016: Elsevier Health Sciences.
15. Danielsson, A., C. Willén and K.S. Sunnerhagen, Physical activity, ambulation, and motor impairment late after stroke. Stroke Res Treat, 2012. 2012: p. 818513. (PMID: 21941689)
16. Lindahl, M., L. Hansen, A. Pedersen, et al., Self-reported physical activity after ischemic stroke correlates with physical capacity. J Ad vances in Physiotherapy, 2008. 10(4): p. 188-194. (DOI:10.1080/14038190802490025)
17. Persson, C.U., P.O. Hansson, G. Lappas, et al., Phys ical Activity Levels and Their Associations With Pos tural Control in the First Year After Stroke. Phys Ther, 2016. 96(9): p. 1389-96. (PMID: 27013578)
18. Serra, M.C., E. Balraj, B.L. DiSanzo, et al., Validating accelerometry as a measure of physical activity and energy expenditure in chronic stroke. Top Stroke Re habil, 2017. 24(1): p. 18-23. (PMID: 27322733)
19. Tinlin, L., N. Fini, J. Bernhardt, et al., Best practice guidelines for the measurement of physical activity levels in stroke survivors: a secondary analysis of an observational study. Int J Rehabil Res, 2018. 41(1): p. 14-19. 10.1097/mrr.0000000000000253
20. Richardson, M., N. Campbell, L. Allen, et al., The stroke impact scale: Performance as a quality of life measure in a community-based stroke rehabilitation setting. Disabil Rehabil, 2016. 38(14): p. 1425-1430. (PMID: 26517368)
21. Hantal, A.O., B. Dogu, R. Buyukavci, et al., Stroke Impact Scale Version 3.0: Study of Reliability and Validity in Stroke Patients in the Turkish Popula tion. Turk J Phys Med Rehab 2014. 60(2): p. 106-117. (DOI:10.5152/tftrd.2014.70487)
22. Svege, I., E. Kolle and M.A. Risberg, Reliability and validity of the Physical Activity Scale for the Elderly (PASE) in patients with hip osteoarthritis. BMC Mus culoskelet Disord, 2012. 13: p. 26. (PMID: 22353558)
23. Casartelli, N.C., S. Bolszak, F.M. Impellizzeri, et al., Reproducibility and validity of the physical activity scale for the elderly (PASE) questionnaire in patients after total hip arthroplasty. Phys Ther, 2015. 95(1): p. 86-94. (PMID: 25147185)
24. Terwee, C.B., L.B. Mokkink, M.N. van Poppel, et al., Qualitative attributes and measurement properties of physical activity questionnaires: a checklist. Sports Med, 2010. 40(7): p. 525-37. (PMID: 20545379)
25. Wood, J., N. Freemantle, M. King, et al., Trap of trends to statistical significance: likelihood of near significant P value becoming more significant with extra data. BMJ, 2014. 348: p. g2215. (PMID: 24687314)

APA	Giray E, Karadag-Saygi E, Eren N, KURTEL H, Gunduz O (2022). COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. , 215 - 222. 10.31086/tjgeri.2022.278
Chicago	Giray Esra,Karadag-Saygi Evrim,Eren Nurullah,KURTEL Hizir,Gunduz Osman COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. (2022): 215 - 222. 10.31086/tjgeri.2022.278
MLA	Giray Esra,Karadag-Saygi Evrim,Eren Nurullah,KURTEL Hizir,Gunduz Osman COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. , 2022, ss.215 - 222. 10.31086/tjgeri.2022.278
AMA	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. . 2022; 215 - 222. 10.31086/tjgeri.2022.278
Vancouver	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. . 2022; 215 - 222. 10.31086/tjgeri.2022.278
IEEE	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O "COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE." , ss.215 - 222, 2022. 10.31086/tjgeri.2022.278
ISNAD	Giray, Esra vd. "COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE". (2022), 215-222. https://doi.org/10.31086/tjgeri.2022.278

APA	Giray E, Karadag-Saygi E, Eren N, KURTEL H, Gunduz O (2022). COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. Türk Geriatri Dergisi, 25(2), 215 - 222. 10.31086/tjgeri.2022.278
Chicago	Giray Esra,Karadag-Saygi Evrim,Eren Nurullah,KURTEL Hizir,Gunduz Osman COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. Türk Geriatri Dergisi 25, no.2 (2022): 215 - 222. 10.31086/tjgeri.2022.278
MLA	Giray Esra,Karadag-Saygi Evrim,Eren Nurullah,KURTEL Hizir,Gunduz Osman COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. Türk Geriatri Dergisi, vol.25, no.2, 2022, ss.215 - 222. 10.31086/tjgeri.2022.278
AMA	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. Türk Geriatri Dergisi. 2022; 25(2): 215 - 222. 10.31086/tjgeri.2022.278
Vancouver	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE. Türk Geriatri Dergisi. 2022; 25(2): 215 - 222. 10.31086/tjgeri.2022.278
IEEE	Giray E,Karadag-Saygi E,Eren N,KURTEL H,Gunduz O "COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE." Türk Geriatri Dergisi, 25, ss.215 - 222, 2022. 10.31086/tjgeri.2022.278
ISNAD	Giray, Esra vd. "COMPARATIVE VALIDITY OF PHYSICAL ACTIVITY SCALE FOR ELDERLY WITH AN ACCELEROMETER IN PATIENTS WITH STROKE". Türk Geriatri Dergisi 25/2 (2022), 215-222. https://doi.org/10.31086/tjgeri.2022.278