Christiane Brown1, Julia E Fraser2, Elizabeth L Inness3, Jennifer S Wong4, Laura E Middleton1, Vivien Poon5, William E McIlroy6, Avril Mansfield7. 1. Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Heart and Stroke Foundation Centre for Stroke Recovery, Sunnybrook Health Sciences Centre and Toronto Rehabilitation Institute sites, Toronto, Ontario, Canada. 2. Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada. 3. Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada. 4. Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada. 5. Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada. 6. Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada Heart and Stroke Foundation Centre for Stroke Recovery, Sunnybrook Health Sciences Centre and Toronto Rehabilitation Institute sites, Toronto, Ontario, Canada. 7. Mobility Research Team, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada Heart and Stroke Foundation Centre for Stroke Recovery, Sunnybrook Health Sciences Centre and Toronto Rehabilitation Institute sites, Toronto, Ontario, Canada.
Abstract
OBJECTIVE: To determine whether attending an aerobic fitness program during inpatient stroke rehabilitation is associated with increased participation in physical activity after discharge. DESIGN: This was a prospective cohort study. Patients who received inpatient stroke rehabilitation and were discharged into the community (n = 61; mean age, 65 years) were recruited. Thirty-five participants attended a standardized aerobic fitness program during inpatient rehabilitation, whereas 26 did not. The Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) and adherence to the American College of Sports Medicine (ACSM) guidelines were assessed up to 6 months after discharge. RESULTS: Participants in the fitness group had PASIPD scores and adherence to ACSM guidelines similar to those of participants in the nonfitness group up to 6 months after discharge. There was no significant correlation between volume of exercise performed during the inpatient program and amount of physical activity after discharge. CONCLUSION: Participation in an inpatient fitness program did not increase participation in physical activity after discharge in individuals with stroke. A new model of care that encourages patients to pursue physical activity after discharge and reduces the potential barriers to participation should be developed.
OBJECTIVE: To determine whether attending an aerobic fitness program during inpatient stroke rehabilitation is associated with increased participation in physical activity after discharge. DESIGN: This was a prospective cohort study. Patients who received inpatient stroke rehabilitation and were discharged into the community (n = 61; mean age, 65 years) were recruited. Thirty-five participants attended a standardized aerobic fitness program during inpatient rehabilitation, whereas 26 did not. The Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) and adherence to the American College of Sports Medicine (ACSM) guidelines were assessed up to 6 months after discharge. RESULTS:Participants in the fitness group had PASIPD scores and adherence to ACSM guidelines similar to those of participants in the nonfitness group up to 6 months after discharge. There was no significant correlation between volume of exercise performed during the inpatient program and amount of physical activity after discharge. CONCLUSION: Participation in an inpatient fitness program did not increase participation in physical activity after discharge in individuals with stroke. A new model of care that encourages patients to pursue physical activity after discharge and reduces the potential barriers to participation should be developed.
Authors: Elizabeth L Inness; Mark Bayley; Louis Biasin; Karen Brunton; Cynthia J Danells; Avril Mansfield; William E McIlroy; Vivien Poon; Nancy M Salbach; Joanne Zee Journal: Physiother Can Date: 2017 Impact factor: 1.037
Authors: Jelena Toma; Brittany Hammond; Vito Chan; Alex Peacocke; Baharak Salehi; Prateek Jhingan; Dina Brooks; Andrée-Anne Hébert; Susan Marzolini Journal: CJC Open Date: 2020-02-10
Authors: Louis Biasin; Michael D Sage; Karen Brunton; Julia Fraser; Jo-Anne Howe; Mark Bayley; Dina Brooks; William E McIlroy; Avril Mansfield; Elizabeth L Inness Journal: Phys Ther Date: 2014-07-31
Authors: Avril Mansfield; Dina Brooks; Ada Tang; Denise Taylor; Elizabeth L Inness; Alex Kiss; Laura Middleton; Louis Biasin; Rebecca Fleck; Esmé French; Kathryn LeBlanc; Anthony Aqui; Cynthia Danells Journal: BMJ Open Date: 2017-06-30 Impact factor: 2.692
Authors: Avril Mansfield; Svetlana Knorr; Vivien Poon; Elizabeth L Inness; Laura Middleton; Louis Biasin; Karen Brunton; Jo-Anne Howe; Dina Brooks Journal: Stroke Res Treat Date: 2016-05-30