PTOTSLPOtherJournal of physical therapy science2025

Association between walking space and physical activity for hospitalized patients with stroke: a cross-sectional study.

Sota Kobayashi, Satoshi Hasegawa, Shun Yamazaki and 5 others

PMID 40895760

WHAT IT FOUND

Stroke patients allowed to walk in the ward or hospital had more light activity and less sitting than those walking only in their room.

Room-bound independence matched dependent patients. Set mobility goals by space, not just walking ability.

Key findings

01Patients who could walk in the ward or facility had more light-intensity activity than those who could only walk in their room or were dependent.

02Walking independence inside the room did not increase light activity or reduce sedentary time compared with walking dependence.

03Patients allowed to walk in the ward or facility spent less time in prolonged sedentary bouts than dependent patients.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study was cross-sectional, so it cannot show that giving patients more walking space caused them to be more active. Patients who were already more active may have been cleared for more space. Only 52 patients were included, and the study was underpowered for some comparisons, meaning real differences could have been missed. The study did not measure how often patients actually walked in their allowed space, so it is unclear whether the space itself or the act of walking drove the activity levels. All participants came from a single hospital, which limits how well the findings apply to other settings.

Declared interests

The authors declare no conflicts of interest, and the work received no funding.

The easy way to misread this

Do not assume that a patient who can walk independently in their room is getting enough exercise. The study found that room-bound patients were no more active than those who could not walk at all.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →