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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Updated: Nov 12, 2025

Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis
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Developing and implementing an exercise-based group for stroke survivors and their carers: the Carers Count group.

Tamina Levy1,2, Maggie Killington3,4, Kate Laver1

  • 1Flinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia.

Disability and Rehabilitation
|March 18, 2021
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Summary

Engaging stroke survivors and their carers in rehabilitation through the Carers Count group increased physiotherapy time and participant satisfaction. This exercise-based intervention proved beneficial and enjoyable for both survivors and their support network.

Keywords:
Rehabilitationcarersgroup exerciseimplementationstroketherapy

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Area of Science:

  • Rehabilitation Medicine
  • Health Services Research
  • Patient and Caregiver Engagement

Background:

  • Guidelines emphasize early carer involvement in stroke survivor rehabilitation.
  • Limited research exists on exercise programs incorporating caregivers.
  • Developing and evaluating interventions for stroke survivors and their carers is crucial.

Purpose of the Study:

  • To develop, facilitate, and evaluate the Carers Count group, an exercise-based intervention for stroke survivors and their carers.
  • To explore the feasibility and impact of including carers in a group rehabilitation setting.
  • To assess the intervention's effectiveness on therapy dose and participant experience.

Main Methods:

  • A 5-month staged approach was used to design and implement the intervention within an inpatient stroke ward.
  • Implementation strategies included planning, education, restructuring, financing, and quality management.
  • Outcomes were evaluated via therapy time analysis, participant surveys (n=30), interviews (n=18), and a staff focus group.

Main Results:

  • Participation in the Carers Count group led to an increased dose of physiotherapy time.
  • Survey and interview data indicated that the group was a rewarding and engaging experience for stroke survivors and their carers.
  • The intervention demonstrated positive service and client outcomes.

Conclusions:

  • Multifaceted strategies enabled the successful implementation of a carer-inclusive group intervention on a stroke rehabilitation ward.
  • The intervention yielded positive outcomes, including increased therapy dose and high participant satisfaction.
  • Involving carers in rehabilitation is feasible and offers enjoyable, beneficial experiences for stroke survivors and their support network.