Related Experiment Video
Updated: Jul 4, 2026
06:00
A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients
Published on: May 16, 2025
Barriers associated with exercise and community access for individuals with stroke
James H Rimmer1, Edward Wang, Donald Smith
1Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL 60608, USA. jrimmer@uic.edu
Journal of Rehabilitation Research and Development
|June 21, 2008
Summary
Barriers like cost, transportation, and lack of knowledge hinder exercise for stroke survivors. Addressing these issues is crucial for increasing physical activity participation in this population.
Area of Science:
- Rehabilitation Medicine
- Neurology
- Physical Therapy
Background:
- Promoting physical activity in stroke survivors is essential for recovery and quality of life.
- Participation in exercise programs remains a significant challenge for individuals post-stroke.
Purpose of the Study:
- To identify and rank the perceived barriers to exercise among adults with unilateral stroke.
- To inform healthcare professionals about obstacles hindering physical activity adherence in stroke patients.
Main Methods:
- A survey was administered to 83 adults diagnosed with unilateral stroke.
- Participants reported perceived barriers to engaging in physical activity.
Main Results:
- The most common barriers included program cost (61%), lack of awareness of fitness centers (57%), and transportation issues (57%).
- Knowledge deficits regarding how (46%) and where (44%) to exercise were also significant barriers.
- Less common barriers were lack of interest (16%), time constraints (11%), and fear of worsening the condition (1%).
Conclusions:
- Multiple barriers impede exercise participation among people with stroke.
- Healthcare providers must actively identify and mitigate these barriers to enhance physical activity engagement.
Related Concept Videos
01:20Exercise and Cardiovascular Response
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
01:25Physiological Barriers
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
01:30Barriers to Effective Communication I
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
01:23Atherosclerosis IV: Nursing Management
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...