Effectiveness of a community-based low intensity exercise programme for ambulatory stroke survivors

Cramp, Mary; Greenwood, Richard; Gill, Michael; Lehmann, A. B.; Rothwell, John C.; Scott, Oona M.

doi:10.3109/09638280903095916

Cited by 32 publications

(39 citation statements)

References 27 publications

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“…), a time‐series experimental design ( n = 1 study; 7%) (Cramp et al . ), a case series ( n = 1 study; 7%) (Combs et al . ) and a qualitative study ( n = 1 study; 7%) (Wiles et al .…”

Section: Resultsmentioning

confidence: 99%

“…These included an 8 ± 2 week follow‐up ( n = 1 study; 7%) (Cramp et al . ), 12‐ and 24‐week follow‐ups ( n = 1 study; 7%) (Combs et al . ), a 3‐month follow‐up ( n = 3 studies; 20%; 5 articles) (Hassett et al .…”

Section: Resultsmentioning

confidence: 99%

“…), 1:6 ( n = 1 study; 7%) (Cramp et al . ), 1:6 or 1:3 ( n = 1 study; 7%) (Combs et al . ) and 1:9 ( n = 1 study; 7%; 2 articles) (Harrington et al .…”

Section: Resultsmentioning

confidence: 99%

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Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

Merali

Cameron

Barclay

et al. 2015

Health Soc Care Community

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What is known about this topic• Emerging healthcare-recreation partnership model where physical therapists train and support fitness instructors who deliver exercise programmes in recreation centres.• Involvement of knowledgeable and experienced healthcare professionals supports credibility of community exercise programmes.• Model helps increase access to safe and appropriate exercise programmes in the community for individuals with physical disabilities. What this paper adds• Understanding of the nature and extent of literature describing evaluations of community exercise programmes delivered by fitness instructors for people with neurological conditions.• Research is needed across neurological populations, targeting outcomes related to activity, participation, health services and caregivers, with improved reporting on the role of healthcare professionals. AbstractA scoping review was conducted to characterise evaluations of community-based exercise programmes (CBEPs) delivered by fitness instructors to people with neurological conditions. Literature published from 1946 to April 2014 in MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews and the grey literature were searched. Search terms included community, programme, exercise, adult, brain disease and spinal cord disease. Two reviewers independently screened titles and abstracts for inclusion. One author reviewed full-text articles to evaluate eligibility. Studies were included if the study objective was to evaluate an exercise programme, the programme was community-based and delivered by fitness instructors, exercise participants were ≥18 years of age and had a neurological condition, and a full-text article was available and written in English. After reviewing 1785 titles and abstracts, 18 (1.01%) articles describing 15 studies were included in the review. One author completed data abstraction from the included studies. A second reviewer independently verified the extracted data for accuracy. Exercise programmes most commonly included people with stroke (47%) and Parkinson's disease (40%), incorporated a stand-alone (80%), multicomponent (20%), group (67%), individual (20%) and combined format (13%), strength training (40%) and functional/task-oriented training (40%), reported a minimum walking requirement (67%), and involved a healthcare professional (HCP) with various roles (53%), including training (27%), advising and supporting (33%). The most commonly examined participant outcomes were health-related quality of life (60%) and functional balance (47%). More research is needed to develop CBEPs targeting individuals with low ambulatory function and multiple neurological conditions, to develop recommendations for the involvement of HCPs in CBEPs and document their involvement, and to evaluate system-level outcomes such as cost, healthcare utilisation and impact on caregivers. The findings support a number of considerations to guide future research into CBEPs delivered by fitness instructors for individuals with neurological conditions.

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“…), a time‐series experimental design ( n = 1 study; 7%) (Cramp et al . ), a case series ( n = 1 study; 7%) (Combs et al . ) and a qualitative study ( n = 1 study; 7%) (Wiles et al .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

Merali

Cameron

Barclay

et al. 2015

Health Soc Care Community

View full text Add to dashboard Cite

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“…Although the impact of low intensity functional training in the post-acute window of stroke recovery appears to support improvement in functional performance without clear change in underlying cardiorespiratory fitness [14, 15], whether this effect holds in the acute phases of stroke recovery is unknown. By contrast, other authors seem to support an exercise dosage of moderate intensity and short duration (30 minutes) optimize coronary risk reduction for people in the post-acute phase of stroke recovery [16].…”

Section: Discussionmentioning

confidence: 99%

A Case Report Exploring Activity Intensity in Inpatient Rehabilitation after Stroke

Zalewski

Kerk

Laundre

et al. 2010

Case Reports in Medicine

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Background and Purpose. Inpatient rehabilitation in countries other than the United States (US) has been described as a time where patients are often not engaged in intensive physical activity. The purpose of this case report is to explore the amount and intensity of physical activity provided in inpatient rehabilitation after stroke in the US. Methods. This study presents a case report of a person admitted to an inpatient rehabilitation unit after sustaining a first stroke. A customized data collection tracked type of activity, activity intensity and social interaction every 5 minutes during the rehabilitation day. Results. 74 percent of the day was spent in low intensity, often seated, physical activity; 14% of the day was spent resting or sleeping. Only 2.91% the day was spent in moderate or high intensity activity with a mobility focus. Conclusions. Consistent with other studies, this case report suggests a relatively low physical demand to rehabilitation delivered in inpatient stroke rehabilitation. This case begins to raise questions about optimized rehabilitation parameters for acute stroke rehabilitation.

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“…14 Relatively few studies of the effects of community-based exercise programs for strokes have been conducted; however, these have consistently found that community group exercise is associated with improvements in mobility, functioning, and quality of life in patients with chronic strokes. 5,15,16 Cramp et al 17 report that participants' muscle strength and walking speed increased significantly during the training period in a small community-based study. A larger randomized trial (N = 243) found that a community-based program improved physical functioning and psychological well-being.…”

mentioning

confidence: 99%

Impact of Adapted Physical Activity and Therapeutic Patient Education on Functioning and Quality of Life in Patients With Postacute Strokes

Taricco

Dallolio

Calugi

et al. 2014

Neurorehabil Neural Repair

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Effectiveness of a community-based low intensity exercise programme for ambulatory stroke survivors

Abstract: This community-based exercise programme was feasible and delivered positive improvements in physical function for participants. Further issues raised for investigation include the individual response to training and the benefits of extended training.

Cited by 32 publications

References 27 publications

Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

A Case Report Exploring Activity Intensity in Inpatient Rehabilitation after Stroke

Impact of Adapted Physical Activity and Therapeutic Patient Education on Functioning and Quality of Life in Patients With Postacute Strokes

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