How Much, What, When, with Whom and Where? a Deeper Understanding of Individual Patterns of Physical Activity Behavior in an Inpatient Rehabilitation Center

Åsa Mennema^{1, 2,} , Aleid de Rooij^{1, 3}, Karen A van den Oever⁴, Thea PM Vliet Vlieland^{1, 3} and Jorit JL Meesters^{1, 2}

¹Department Innovation Quality + Research, Basalt Rehabilitation center the Hague, 2543 SW the Netherlands

²Department of Orthopedics, Rehabilitation and Physical Therapy, Leiden University Medical Centre (LUMC), Leiden, 2333 ZA, the Netherlands;Faculty of Health, Nutrition & Sport, The Hague University of Applied Sciences (THUAS), the Hague, 2501 EH, the Netherlands

³Department of Orthopedics, Rehabilitation and Physical Therapy, Leiden University Medical Centre (LUMC), Leiden, 2333 ZA, the Netherlands

⁴Department brain damage/stroke, Basalt Rehabilitation center Leiden, 2333 AL, the Netherlands

Cite this paper:
Åsa Mennema, Aleid de Rooij, Karen A van den Oever, Thea PM Vliet Vlieland and Jorit JL Meesters. How Much, What, When, with Whom and Where? a Deeper Understanding of Individual Patterns of Physical Activity Behavior in an Inpatient Rehabilitation Center. Journal of Physical Activity Research. 2023; 8(2):78-87. doi: 10.12691/jpar-8-2-4

Abstract

BACKGROUND: Although enhancing physical activity (PA) is important to improve physical and/or cognitive recovery, little is known about PA of patients admitted to an inpatient rehabilitation setting. Therefore, this study assessed the quantity, nature and context of inpatients PA admitted to a rehabilitation center. METHODOLOGY/PRINICIPAL FINDINGS: Prospective observational study using accelerometry & behavioral mapping. PA of patients admitted to inpatient rehabilitation was measured during one day between 7.00-22.00 by means of 3d-accelerometery (Activ8; percentage of sedentary/active time, number of sedentary/active bouts (continuous period of ≥1 minute), and active/sedentary bout lengths and behavioral mapping. Behavioral mapping consisted of observations (every 20 minutes) to assess: type of activity, body position, social context and physical location. Descriptive statistics were used to describe PA on group and individual level. At median the 15 patients spent 81% (IQR 74%-85%) being sedentary. Patients were most sedentary in the evening (maximum sedentary bout length minutes of 69 (IQR 54-95)). During 54% (IQR 50%-61%) of the observations patients were alone) and in their room (median 50% (IQR 45%-59%)), but individual patterns varied widely. CONCLUSION/SIGNIFICANCE: The results of this study enable a deeper understanding of the daily PA patterns of patients admitted for inpatient rehabilitation treatment. PA patterns of patients differ in both quantity, day structure, social and environmental contexts. This supports the need for individualized strategies to support PA behavior during inpatient rehabilitation treatment.

Keywords:
sedentary behavior rehabilitation accelerometry behavioral mapping physical activity

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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