Physical Activities and Health-related Quality of Life of Individuals Post Stroke

Choi, Young-eun;Kim, Ji-hye

  • Received : 2015.04.08
  • Accepted : 2015.05.06
  • Published : 2015.05.31


PURPOSE: The purpose of this study is to examine the relationship between the physical activities of individuals post-stroke and their HRQL, as well as to determine whether their functional abilities contribute to their amounts of physical activity. METHODS: The study's subjects included 90 individuals post-stroke. Their amounts of physical activity were measured using the International Physical Activity Questionnaire (IPAQ), and their HRQL was measured using the Medical Outcomes Study 36-Item Short-form Health Survey (SF-36). In addition, the functional abilities of the subjects were measured. For the measures of physical activities and the HRQL, Pearson's correlation coefficients were used to identify the strengths of the associations between the measures. A hierarchical linear regression model was used to determine whether physical activities had independent impacts on the HRQL. RESULTS: This study found that the physical activities performed by the subjects affected the SF-36 physical component score (PCS) (12%). However, the physical activities and the SF-36 mental component score (MCS) showed no statistically significant relationship, whereas functional abilities and physical activities had a statistically significant relationship (r = .57~.86, p<.001). CONCLUSION: The present study identified a correlation between physical activity and the PCS. Therefore, individuals post-stroke should be encouraged to carry out more physical activities, including more frequent walking activities.


Stroke;Physical activity;Health-related quality of life;Functional ability


  1. Abell JE, Hootman JM, Zack MM, et al. Physical Activity and Health Related Quality of Life among People with Arthritis. J Epidemiol Community Health. 2005;59(5):380-5.
  2. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2013 update: a report from the American Heart Association. Circulation. 2013;127(1):e6-e245.
  3. Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther. 2008;88(5):559-66.
  4. Buck D, Jacoby A, Massey A, et al. Evaluation of Measures Used to Assess Quality of Life after Stroke. Stroke. 2002;31(8):2004-10.
  5. Carod-Artal FJ. Post-stroke depression(I): Epidemiology, diagnostic criteria and risk factors. Rev Neurol. 2006;42(3):169-75.
  6. Gordon NF, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors:an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing;the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation. 2004;109(16):2031-41.
  7. Courbon A, Calmels P, Roche F, et al. Relationship Between Maximal Exercise Capacity and Walking Capacity in Adult Hemiplegic Stroke Patients. Am J Phys Med Rehabil. 2006;85(5):436-42.
  8. Franceschini M, La Porta F, Agosti M, et al. Is Health-Related Quality of Life of Stroke Patients Influenced by Neurological Impairments at One Year after Stroke?. Eur J Phys Rehabil Med. 2010;46(3):389-99.
  9. Gowland C, Stratford P, Ward M, et al. Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke. 1993;24(1):58-63.
  10. Granger CV, Hamilton BB, Keith RA, et al. Advances in functional assessment for medical rehabilitation. Top Geriatr Rehabil. 1986;1(3):59-74.
  11. Greenlund KJ, Giles WH, Keenan NL, et al. Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke through Diet and Exercise. Stroke. 2002;33(2):565-70.
  12. Gresham GE, Duncan PW, Stason WB. Post-Stroke Rehabilitation. Maryland. US Department of Health and Human Services. 1997.
  13. Harper A, Power M. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551-8.
  14. Liu-Ambrose TY, Ashe MC, Marra C. Independent and inverse association of healthcare utilisation with physical activity in older adults with multiple chronic conditions. Br J Sports Med. 2010;44(14):1024-8.
  15. Mayo NE, Wood-Dauphinee S, Cote R, et al. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002;83(8):1035-42.
  16. Michael KM, Allen JK, Macko RF. Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil. 2005;86(8):1552-6.
  17. Moon YS, Kim SJ, Kim HC, et al. Correlates of quality of life after stroke. J Neurol Sci. 2004;224(1-2):37-41.
  18. Moore SA, Hallsworth K, Plotz T, et al. Physical Activity, Sedentary Behaviour and Metabolic Control following Stoke: a cross-sectional and longitudinal study. PLoS One. 2013;8(1):e55263.
  19. Muren MA, Hutler M, Hooper J. Functional capacity and health-related quality of life in individuals post stroke. Top Stroke Rehabil. 2008;15(1):51-8.
  20. Pang MY, Eng JJ, Dawson AS. Relationship Between Ambulatory Capacity and Cardiorespiratory Fitness in Chronic Stroke: influence of stroke-specific impairments. Chest. 2005;127(2):495-501.
  21. Pate RR, Pratt M, Blair SN, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402-7.
  22. Patel MD, Tilling K, Lawrence E, et al. Relationships between Long-Term Stroke Disability, Handicap and Health-Related Quality of Life. Age Ageing. 2006;35(3):273-9.
  23. Patterson KK, Parafianowiez I, Danells CJ, et al. Gait asymmetry in the community ambulating stroke survivors. Arch Phys Med Rehabil. 2008;89(2):304-10.
  24. Patterson SL, Forrester LW, Rodgers MM, et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil. 2007;88(1):115-9.
  25. Rejeski WJ, Mihalko SL. Physical Activity is Related to Quality of Life in Oder Adults. J Gerontol Biol A Sci Med Sci. 2001;56(2):23-35.
  26. Roth EJ, Harvey RL. Physical Medicine and Rehabilitation(2nd ed). Philadelphia. WB Sauders. 2000.
  27. Sacco RL, Gan R, Boden-Albala B, et al. Leisure-time physical activity and ischemic stroke risk: the Northern Manhattan Stroke Study. Stroke. 1998;29(2):380-7.
  28. Sawatzky R, Liu-Ambrose T, Miller WC, et al. Physical Activity as Mediator of the Impact of Chronic Conditions on Quality of Life in Older Adults. Health Qual Life Outcomes. 2007;5(1):68-78.
  29. Sturm JW, Osborne RH, Dewey HM, et al. Brief comprehensive quality of life assessment after stroke: the assessment of quality of life instrument in the north East melbourne stroke incidence study (NEMESIS). Stroke. 2002;33(12):2888-94.
  30. US Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta. US Department of Health and Human Services. 1996.
  31. Valach L, Signer S, Hartmeier A, et al. Chedoke-McMaster stroke assessment and modified Barthel Index self-assessment in patients with vascular brain damage. Int J Rehabil Res. 2003;26(2):93-9.
  32. van der Ploeg HP, Streppel KR, van der Beek AJ, et al. The Physical Activity Scale for Individuals with Physical Disabilities: test-retest reliability and comparison with an accelerometer. J Phys Act Health. 2007;4(1):96-100.