Toggle Main Menu Toggle Search

Open Access padlockePrints

How should we measure physical activity after stroke? An international consensus

Lookup NU author(s): Sarah Moore



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 2023 World Stroke Organization.Background: Physical activity is important for secondary stroke prevention. Currently, there is inconsistency of outcomes and tools used to measure physical activity following stroke. Aim: To establish internationally agreed recommendations to enable consistent measurement of post-stroke physical activity. Methods: Stroke survivors and carers were surveyed online once regarding what is important in physical activity measurement. Three survey rounds with expert stroke researchers and clinicians were conducted using Keeney’s Value-Focused Thinking Methodology. Survey 1 identified physical activity tools, outcomes, and measurement considerations which were ranked in Survey 2. Consensus recommendations on tools were then formulated by the consensus group based on survey responses. In Survey 3, participants reviewed ranked results and evidence gathered to determine their support for consensus recommendations. Results: Twenty-five stroke survivors, 5 carers, 18 researchers, and 17 clinicians from 16 countries participated. Time in moderate-vigorous physical activity and step count were identified as the most important outcomes to measure. Key measurement considerations included the ability to measure across frequency, intensity, duration domains in real-world settings; user-friendliness, comfort, and ability to detect changes. Consensus recommendations included using the Actigraph, Actical, and Activ8 devices for physical activity intensity; ActivPAL for duration and Step Activity Monitor for frequency; and the IPAQ and PASE questionnaires. Survey 3 indicated 100% support for device and 96% for questionnaire recommendations. Conclusions: These consensus recommendations can guide selection of physical activity measurement tools and outcomes. Tool selection will depend on measurement purpose, user-knowledge, and resources. Comprehensive measurement requires the use of devices and questionnaires.

Publication metadata

Author(s): Fini NA, Simpson D, Moore SA, Mahendran N, Eng JJ, Borschmann K, Moulaee Conradsson D, Chastin S, Churilov L, English C

Publication type: Article

Publication status: Published

Journal: International Journal of Stroke

Year: 2023

Pages: epub ahead of print

Online publication date: 10/06/2023

Acceptance date: 02/04/2023

Date deposited: 11/07/2023

ISSN (print): 1747-4930

ISSN (electronic): 1747-4949

Publisher: SAGE Publications Inc.


DOI: 10.1177/17474930231184108

PubMed id: 37300499


Altmetrics provided by Altmetric