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Adherence to a Long-Term Physical Activity and Exercise Program After Stroke Applied in a Randomized Controlled

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Regular coaching improved physical activity and exercise adherence in stroke survivors. This 18-month study shows consistent engagement in daily activity and weekly exercise for better motor function post-stroke.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Persistent physical activity is crucial for maintaining motor function after stroke.
  • Stroke rehabilitation requires effective strategies to promote long-term engagement.

Purpose of the Study:

  • To investigate adherence to a long-term physical activity and exercise program in stroke survivors.
  • To assess the impact of individualized coaching on adherence over 18 months.

Main Methods:

  • Prospective, longitudinal study of 186 mild-to-moderate stroke participants.
  • Intervention: 18-month individualized monthly coaching for daily physical activity and weekly exercise.
  • Outcomes: Adherence (diaries, therapist reports), intensity (Borg scale), analyzed with mixed-effect models.

Main Results:

  • Monthly adherence ranged from 51.2%–73.1% for physical activity and 63.5%–79.7% for exercise.
  • Physical activity adherence increased by 2.6% monthly (OR=1.026).
  • Exercise intensity was moderate-to-high (Borg 12-16), increasing 0.018 points/month.

Conclusions:

  • Individualized coaching fosters moderate-to-good adherence to physical activity and exercise in stroke survivors.
  • Consistent engagement in prescribed programs supports motor function maintenance post-stroke.