{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:11:01Z","timestamp":1777533061630,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100022512","name":"THIS Institute, University of Cambridge","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022512","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008420","name":"Homerton College, University of Cambridge","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008420","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018956","name":"NIHR Cambridge Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018956","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesise the evidence of the effectiveness of interventions to increase levels of physical activity or reduce levels of sedentary activity of inpatients after a new stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Medline, PsychINFO, AMED and CINAHL were search between inception and June 2025 for randomised controlled studies of in-hospital interventions for adults after stroke which measured physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>Interventions were grouped by common components. For each intervention group, the outcomes of physical activity (primary outcome), physical functional ability, and quality of life were analysed with meta-analysis. Adverse events were synthesised narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten studies (696 participants) were included in the review. General activity feedback (SMD\u2009=\u20090.52, 95% CI: \u22120.07 to 1.10;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200976.7%, 4 trials,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009272) and additional physiotherapy (SMD\u2009=\u20090.89, 95% CI: \u22120.02 to 0.99;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200994.2%, 4 trials,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009246) may result in moderate to large increases of in-hospital physical activity (very low certainty). Patient-directed activity programmes (one study) may have no effect on physical activity (low certainty). Upper-limb activity feedback (one study) may increase upper-limb activity (very low certainty).\n                    <\/jats:p>\n                    <jats:p>The evidence regarding the secondary outcomes demonstrated no effect (very low to moderate certainty), with the exception that additional physiotherapy may increase the risk of falls (low certainty).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interventions incorporating activity feedback or additional physiotherapy are promising, but further evidence is required for all interventions to increase the certainty in their estimates of effect.<\/jats:p>\n                    <jats:p>PROSPERO ID: CRD42024611456<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251362735","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T07:19:23Z","timestamp":1754983163000},"page":"1277-1295","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of interventions in increasing physical activity of inpatients after stroke: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1033-5897","authenticated-orcid":false,"given":"Peter","family":"Hartley","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK"},{"name":"The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Bond","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Dance","sequence":"additional","affiliation":[{"name":"Integrated Therapies Department, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2879-4020","authenticated-orcid":false,"given":"Isla","family":"Kuhn","sequence":"additional","affiliation":[{"name":"Medical Library, University of Cambridge, Cambridge, \rUK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"McPeake","sequence":"additional","affiliation":[{"name":"The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2107-3690","authenticated-orcid":false,"given":"Faye","family":"Forsyth","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"},{"name":"PACE Section (Perioperative, Acute, Critical Care and Emergency Medicine), Department of Medicine, University of Cambridge, Cambridge, UK"},{"name":"KU Leuven Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organisation. 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