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Updated: Jun 1, 2026

A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients

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Adherence to a home-based exercise program for individuals after stroke.

Michael T Jurkiewicz¹, Susan Marzolini, Paul Oh

¹Cardiac Rehabilitation and Secondary Prevention Program, Toronto Rehabilitation Institute, Toronto, Ontario, Canada.

Topics in Stroke Rehabilitation

|June 7, 2011

Summary

This summary is machine-generated.

Stroke patients adhere better to home exercise programs while in cardiac rehabilitation. Adherence declines significantly after program completion, highlighting the need for continued support to maintain functional improvements.

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Area of Science:

Neurology
Cardiology
Rehabilitation Medicine

Background:

Aerobic training (AT) and resistance training (RT) improve post-stroke functional abilities.
Limited patient participation and short adherence duration are significant challenges.

Purpose of the Study:

To identify factors influencing adherence to home-based exercise programs for stroke patients in cardiac rehabilitation.
To understand adherence during and after program completion.

Main Methods:

Retrospective analysis of 14 stroke patients (63 ± 3 years) in a cardiac rehabilitation program.
Participants completed weekly/monthly center visits and prescribed home AT/RT sessions.
Adherence assessed via a 16-item survey.

Main Results:

Current participants showed higher adherence to AT (100%) and RT (100%) compared to graduated participants (AT 76%, RT 55%).
Key motivators included improving health, function, confidence, and reducing musculoskeletal issues.
Lack of motivation, musculoskeletal problems, and fatigue were primary barriers.

Conclusions:

Home-based exercise adherence is higher during structured group program participation.
Adherence significantly decreases after program graduation, indicating a need for sustained support.