A community-based group exercise program for persons with chronic stroke.
PURPOSE: The purpose of this study was to evaluate the physical and psychosocial effects of an 8-wk community-based functional exercise program in a group of individuals with chronic stroke. METHODS: Twenty-five subjects (mean age 63 yr) participated in a repeated measures design that evaluated the...
| Publicado en: | Medicine & Science in Sports & Exercise Vol. 35; no. 8; pp. 1271 - 1279 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Aug2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106720374&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106720374 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01959131 4DP jtl: Medicine & Science in Sports & Exercise issn: 01959131 maglogo: N pubinfo: dt: Aug2003 vid: 35 iid: 8 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106720374 106720374 2004052950 10.1249/01.mss.0000079079.58477.0b NLM12900678 106720374 ppf: 1271 ppct: 8 formats: tig: atl: A community-based group exercise program for persons with chronic stroke. aug: au: Eng JJ Chu KS Kim CM Dawson AS Carswell A Hepburn KE affil: School of Rehabilitation Sciences, University of BC, T325-2211 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5; janicee@interchange.ubc.ca sug: subj: Stroke Rehabilitation Therapeutic Exercise Functional Training Functional Status Balance, Postural Health Status Quality of Life Community Living Middle Age Aged Aged, 80 and Over Descriptive Statistics Pretest-Posttest Design Clinical Assessment Tools Walking Evaluation Gait Time Factors Statistical Significance Physical Mobility Evaluation Functional Assessment Activities of Daily Living Evaluation Questionnaires Neuropsychological Tests Cognition Evaluation Community Reintegration Evaluation Single-Blind Studies Reliability and Validity Self Report Internal Consistency Coefficient alpha Test-Retest Reliability Intraclass Correlation Coefficient Exertion Evaluation Scales Analysis of Variance Repeated Measures Post Hoc Analysis Data Analysis Software Paired T-Tests Two-Tailed Test Male Female Body Weights and Measures Interpersonal Relations Evaluation Adaptation, Psychological Evaluation Funding Source Human Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: PURPOSE: The purpose of this study was to evaluate the physical and psychosocial effects of an 8-wk community-based functional exercise program in a group of individuals with chronic stroke. METHODS: Twenty-five subjects (mean age 63 yr) participated in a repeated measures design that evaluated the subjects with two baseline assessments 1 month apart, one postintervention assessment, and one retention assessment 1 month postintervention. Physical outcome measures assessed were the Berg Balance Test, 12-Minute Walk Test distance, gait speed, and stair climbing speed. Psychosocial measures assessed were the Reintegration to Normal Living Index (RNL) and Canadian Occupational Performance Measure (COPM). The 8-wk training consisted of a 60-min, 3 x wk-1 group program that focused on balance, mobility, functional strength, and functional capacity. The program was designed to be accessible by reducing the need for costly one-on-one supervision, specialized settings, and expensive equipment. RESULTS: Improvements from the exercise program were found for all physical measures and these effects were retained 1-month postintervention. Subjects with lower function improved the most relative to their initial physical status. Significant effects were found for the COPM, but not the RNL Index; however, subjects with lower RNL improved the most relative to their initial RNL Score. CONCLUSION: A short-term community-based exercise program can improve and retain mobility, functional capacity, and balance and result in a demonstrable impact upon the performance of activities and abilities that were considered meaningful to the subjects. Implementation of such community-based programs has potential for improving activity tolerance and reducing the risk for secondary complications common to stroke (e.g., falls resulting in fractures and cardiac events). pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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