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FIT for FUNCTION: study protocol for a randomized controlled trial.

Julie Richardson1, Ada Tang2, Gordon Guyatt3

  • 1School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada. jrichard@mcmaster.ca.

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Summary
This summary is machine-generated.

This study investigates a community-based exercise program for stroke survivors, aiming to improve function and community reintegration. Results will inform the implementation of such programs for a wider stroke population.

Keywords:
Community-based programsExerciseFunctionReintegrationStroke

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Area of Science:

  • Rehabilitation Medicine
  • Exercise Science
  • Public Health

Background:

  • Community-based exercise programs show promise for improving outcomes in stroke survivors.
  • Existing research is limited by bias, feasibility, and cost concerns.
  • Structured programs are needed for community-dwelling individuals post-stroke.

Purpose of the Study:

  • To compare the effectiveness of a 12-week community-based wellness program (FIT for FUNCTION) against a standard YMCA membership for stroke survivors.
  • To evaluate the impact of the program on community reintegration, physical activity, balance, and lower extremity function.
  • To assess secondary outcomes including exercise capacity, strength, quality of life, and healthcare utilization.

Main Methods:

  • A single-blinded, randomized controlled trial (RCT) involving 216 participants with stroke.
  • The primary outcome measure is community reintegration using the Reintegration to Normal Living Index.
  • Secondary outcome measures include physical activity, balance, lower extremity function, exercise capacity, strength, quality of life, and self-efficacy.

Main Results:

  • This section is not available in the provided abstract.
  • Further analysis will involve generalized linear models for continuous variables and Mann-Whitney U tests for cost data.
  • The study is registered on ClinicalTrials.gov (NCT02703805).

Conclusions:

  • This RCT aims to recruit a diverse group of community-dwelling stroke survivors.
  • Positive findings would provide strong evidence for implementing structured, community-based exercise and self-management programs.
  • The study's broad eligibility criteria intend to support generalizable conclusions for a wide stroke population.