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A randomized trial of two home-based exercise programmes to improve functional walking post-stroke.

Nancy E Mayo¹, Marilyn J MacKay-Lyons, Susan C Scott

¹McGill University, Montreal, QC, Canada. nancy.mayo@mcgill.ca

Clinical Rehabilitation

|March 19, 2013

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Home-based exercise programs, including stationary cycling and mobility exercises with walking, showed similar effectiveness in maintaining post-stroke walking capacity. Neither program significantly improved walking ability, but the exercise group demonstrated better role participation.

Area of Science:

Neurology
Rehabilitation Medicine
Exercise Science

Background:

Stroke significantly impacts mobility and quality of life.
Home-based exercise programs are crucial for post-stroke recovery.
Comparing different exercise modalities is essential for optimizing rehabilitation strategies.

Purpose of the Study:

To compare the effectiveness of two home-based exercise programs—stationary cycling versus an exercise and walking program—on post-stroke mobility and health outcomes.
To evaluate the impact of these interventions on walking capacity, physical function, role participation, and quality of life.

Main Methods:

An observer-blinded, randomized, pragmatic trial was conducted.
Participants were individuals within 12 months post-stroke, capable of walking independently.

Keywords:

Stroke exercise health-related quality of life mobility participation rehabilitation

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Interventions included daily moderate-intensity stationary cycling or mobility exercises and brisk walking for 30 minutes.

Main Results:

The study did not meet recruitment targets, with 87 participants enrolled.
No significant differences were observed between groups for the primary outcome, the six-minute walk test (6MWT).
The exercise and walking group showed a significant improvement in role participation compared to the stationary cycling group.

Conclusions:

Both home-based exercise programs were equally effective (or ineffective) in maintaining walking capacity post-stroke.
The exercise and walking program may offer benefits in terms of role participation.
Further research with adequate recruitment is needed to confirm these findings.