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Promoting physical activity after stroke via self-management: a feasibility study.

Elisabeth Preston1, Catherine M Dean2, Louise Ada3

  • 1a Discipline of Physiotherapy , University of Canberra , Canberra , Australia.

Topics in Stroke Rehabilitation
|March 25, 2017
PubMed
Summary

A self-management program is a feasible strategy to increase physical activity and exercise self-efficacy in stroke survivors with mild disability. Further research is recommended to confirm these findings.

Keywords:
Strokeexercisephysical activityself-management (MESH Headings)

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Area of Science:

  • Rehabilitation medicine
  • Stroke recovery
  • Physical activity interventions

Background:

  • Many stroke survivors with mild disability remain physically inactive, increasing their risk of recurrent stroke.
  • Physical inactivity post-stroke is a significant concern despite available rehabilitation services.

Purpose of the Study:

  • To assess the feasibility of a home-based self-management program for stroke survivors.
  • To determine if self-management improves physical activity, exercise self-efficacy, cardiovascular risk, walking ability, participation, and quality of life.

Main Methods:

  • A Phase I, single-group, pre-post intervention study.
  • Twenty stroke survivors with mild disability received a 3-month, 5-session home-based self-management program.
  • Feasibility assessed by adherence, duration, usefulness, and safety; outcomes included physical activity, self-efficacy, and quality of life.

Main Results:

  • The program was feasible, with 96% session completion and average session time under an hour.
  • Participants reported the program as useful with minimal adverse events.
  • Moderate physical activity increased by 27 min/day at 3 months post-intervention.

Conclusions:

  • Self-management is a viable approach to enhance physical activity in stroke survivors with mild disability.
  • The findings support the need for a Phase II randomized controlled trial to validate these results.