Physiotherapists' perspectives on aerobic exercise early after stroke: A preliminary study

Area of Science:

• Neurology
• Rehabilitation Medicine
• Exercise Physiology

Background:

• Aerobic exercise is crucial for stroke rehabilitation according to clinical guidelines.
• Despite recommendations, stroke survivors often remain inactive during hospitalization.
• Understanding physiotherapists' perspectives is key to improving exercise implementation.

Purpose of the Study:

• To explore physiotherapists' views on aerobic exercise prescription and implementation in inpatient stroke rehabilitation.
• To compare perspectives between centers with and without structured aerobic exercise programs.
• To identify barriers and facilitators to aerobic exercise in stroke recovery.

Main Methods:

• A survey was conducted across three Canadian rehabilitation centers.
• Physiotherapists' perceptions of stroke patients, the practice environment, and training were evaluated.
• Data were collected from physiotherapists at centers with (n=6) and without (n=10) structured programs.

Main Results:

• Centers without structured programs cited lack of resources, staff, and patient impairment as barriers.
• Centers with structured programs identified time constraints and patient risks (cardiovascular, cognitive) as barriers.
• Fatigue was a common barrier reported by both groups.
• Only physiotherapists at the structured program center had received relevant continuing education.

Conclusions:

• Resource limitations in rehabilitation centers hinder aerobic exercise implementation.
• Structured programs require addressing time constraints and patient-specific risks.
• Continuing education on standardized aerobic exercise assessment and prescription for stroke is needed.