Research indexJournal article
THE STROKE EXERCISE PROGRAM
Nowakowski, Kaufman
Journal of Neurologic Physical Therapy1 Dec 2006
NobleIDark:/48914/w1/20260522/BA920D03DOI10.1097/01.npt.0000281307.01658.17
THE STROKE EXERCISE PROGRAM
Nowakowski, Kaufman · Journal of Neurologic Physical Therapy · 2006 · Subscription
NobleIDark:/48914/w1/20260522/BA920D03DOI10.1097/01.npt.0000281307.01658.17
The full text is at the publisher
You can read the abstract here, or open it at the publisher.
Abstract
Purpose: Documented benefits of regular exercise for persons with impairments related to stroke include improvement in gait, balance, functional mobility, and overall quality of physical function. These may decrease the incidence of falls and subsequent injury. Group exercise is an efficient way to provide training without sacrificing the ability to tailor the intensity of exercise to each individuals level of function. Academic settings may be uniquely situated to provide free or low cost group exercise programs for persons with residual effects of stroke. We describe our evidence-based planning process and subsequent implementation of such a group. Description: The exercise program is offered twice per week for 60 to 90-minute sessions for 8–10 weeks during each of the two full academic semesters. We maintain a group of 10–12 participants. Group size and program design are based on evidence available in the literature. Our inclusion criteria includes provision of informed consent, medical stability, ability to follow directions, and ability to transfer with no more than one assist and maintain balance in sitting without external support. A traditional PT examination as well as standardized testing using the Berg Balance Scale, 10-meter walk test and the TUG are completed prior to and upon conclusion of the program each semester. Participants rotate through seven exercise stations designed to foster increased flexibility and strength of the legs and trunk and to improve sitting and standing balance as well as walking performance. Two PT faculty members serve as group leaders. The group is associated with five different PT program courses. Students enrolled in each course attend the group on a rotating basis to guide and assist group participants. Summary of Use: Evidence indicates that adherence to an exercise program may improve activity tolerance, functional mobility, and overall independence. Programs which are financially and physically accessible result in high compliance rates and reports of satisfaction. Since the commencement of our program two years ago, similar observations have been made. Consistent participation has been achieved. We note an increase in socialization among group participants. Improved functional mobility has been reported by both clients and caregivers and confirmed, in some cases, through both observation and testing. Most clients and caregivers have reported an improvement in their quality of life. In addition, clients report a sense of fulfillment associated with working with the students. The faculty view the group as an essential component of each of the classes with which it is formally associated. Importance to Members: A group exercise program for people with residual effects of stroke has proven safe and feasible in an academic setting. The literature provides useful guidance in the development and evaluation of such a program.