Successfully Improving Physical Activity Behavior after Rehabilitation

Ploeg, Hidde P. van der; Streppel, K.R.M.; Beek, Allard J. van der; Woude, L. H. V. van der; Vollenbroek-Hutten, Miriam Marie Rosé; Harten, Willem H. van; Mechelen, Willem van

doi:10.4278/0890-1171-21.3.153

Cited by 82 publications

(90 citation statements)

References 17 publications

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“…Investigations of the effectiveness of predischarge counseling in increasing long-term adherence to activity after stroke have yielded mixed results. 840,841 In addition, a self-guided stroke workbook did not elicit demonstrable changes in physical activity. 842 It appears that passive approaches (professional advice, written material) alone are not adequate to increase physical activity after stroke.…”

Section: Chronic Care Management: Home-and Community-based Participationmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Chronic Care Management: Home-and Community-based Participationmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

View full text Add to dashboard Cite

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“…A physical activity counseling intervention (2 predischarge individual sessions and 4 phone follow-up sessions) resulted in greater physical activity 9 and 52 weeks after the event in a sample of rehabilitation patients, of whom 20% were stroke patients. 24 In contrast, a similar program facilitated stroke survivors to choose suitable types of physical activity (1 predischarge session, 5 individual sessions, and 5 phone calls) but did not demonstrate any effect on physical activity over a 24-month period. 74 As well, 8 weekly 2-hour facilitated group meetings on self-management and secondary stroke prevention did not increase walking activity after 3 months.…”

Section: Strokementioning

confidence: 99%

“…Although exercise has primarily been used to improve physical function after stroke, emerging research suggests that exercise may improve depressive symptoms, 18 some aspects of executive functioning and memory, [19][20][21] and health-related quality of life 22 after stroke and poststroke fatigue. 23 Therefore, stroke survivors can benefit from counseling on increasing participation in physical activity, 24 as well as the appropriate prescription for exercise training. However, most healthcare professionals have limited experience and guidance in exercise programming for this diverse and escalating patient population.…”

mentioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Billinger¹,

Arena

Bernhardt³

et al. 2014

Stroke

1,128

623

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2532Purpose-This scientific statement provides an overview of the evidence on physical activity and exercise recommendations for stroke survivors. Evidence suggests that stroke survivors experience physical deconditioning and lead sedentary lifestyles. Therefore, this updated scientific statement serves as an overall guide for practitioners to gain a better understanding of the benefits of physical activity and recommendations for prescribing exercise for stroke survivors across all stages of recovery. Methods-Members of the writing group were appointed by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and the American Heart Association's Manuscript Oversight Committee. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and indicate gaps in current knowledge. Results-Physical inactivity after stroke is highly prevalent. The assessed body of evidence clearly supports the use of exercise training (both aerobic and strength training) for stroke survivors. Exercise training improves functional capacity, the ability to perform activities of daily living, and quality of life, and it reduces the risk for subsequent cardiovascular events. Physical activity goals and exercise prescription for stroke survivors need to be customized for the individual to maximize long-term adherence. Conclusions-The recommendation from this writing group is that physical activity and exercise prescription should be incorporated into the management of stroke survivors. The promotion of physical activity in stroke survivors should emphasize low-to moderate-intensity aerobic activity, muscle-strengthening activity, reduction of sedentary behavior, and risk management for secondary prevention of stroke. (Stroke. 2014;45:2532-2553.)

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“…3,4 From a theoretical perspective, many proven interventions incorporating plans to overcome barriers would be ideal during this transitional period as individuals value exercise and can identify many benefits to regular participation, despite the existence of a number of barriers. [5][6][7] A counselling program beginning during rehabilitation and continuing post-discharge has proven to be effective at increasing sport and physical activity participation up to 1-year post-discharge, 8 however, this intervention was not specific to individuals with SCI.…”

Section: Introductionmentioning

confidence: 99%

Direct referral and physical activity counselling upon discharge from spinal cord injury rehabilitation

2014

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Study design: Sixteen-week follow-up study. Objective: To evaluate the efficacy of referral from a health-care provider to regular exercise combined with 16 weeks of counselling support following discharge from inpatient or outpatient spinal cord injury (SCI) rehabilitation. Setting: Two rehabilitation centres in Canada. Methods: Seventeen participants (age 42.1 ± 10.6 years, C3-T12, ASIA impairment score A-C) were recruited at discharge from inpatient (n ¼ 9; 5.2 ± 1.3 months post-injury) or outpatient (n ¼ 8; 14.2 ± 3.8 months post-injury) rehabilitation and were given a referral for regular exercise. Telephone counselling support was provided and adherence to the prescribed program was monitored for 16 weeks.Results: There was a nonsignificant difference in exercise adherence rates (percentage of available sessions attended) between participants discharged from inpatient (71.4±44.9%) and those from outpatient (39.5±27.2%) rehabilitation programs. The most common barriers to participation were physical health problems (50%) and transportation (36%). An exercise beliefs questionnaire revealed that participants value exercise at discharge from rehabilitation, despite the common report of a relative lack of confidence in their ability to perform or adapt aerobic and resistance exercises to their specific capabilities. Conclusion: A system of direct referral and ongoing counselling support following discharge from either inpatient or outpatient SCI rehabilitation appears to encourage sustained participation, although future health promotion strategies should continue to provide specific information about how to adapt and complete aerobic and resistance exercises. Sponsorship: Rick Hansen Institute and Ontario Neurotrauma Foundation.

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Successfully Improving Physical Activity Behavior after Rehabilitation

Abstract: The combination of the R&S and AaR programs improved physical activity behavior and sport participation 1 year after in- or outpatient rehabilitation. The R&S program alone did not have any effects.

Cited by 82 publications

References 17 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Physical Activity and Exercise Recommendations for Stroke Survivors

Direct referral and physical activity counselling upon discharge from spinal cord injury rehabilitation

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