scholarly journals Predictors of Adherence to a Structured Exercise Program and Physical Activity Participation in Community Dwellers after Stroke

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Anne Tiedemann ◽  
Catherine Sherrington ◽  
Catherine M. Dean ◽  
Chris Rissel ◽  
Stephen R. Lord ◽  
...  

Aim. To investigate predictors of adherence to group-based exercise and physical activity participation among stroke survivors.Methods. 76 stroke survivors participated (mean age 66.7 years). Adherence was the percentage of classes attended over one year. Physical activity was the average pedometer steps/day measured over seven days at the end of the trial. Possible predictors included baseline measures of demographics, health, quality of life, falls, fear of falling, cognition, and physical functioning.Results. Mean class attendance was 60% (SD 29%). Only one variable (slow choice stepping reaction time) was an independent predictor of higher class attendance, explaining 5% of the variance. Participants completed an average of 4,365 steps/day (SD 3350). Those with better physical functioning (choice stepping reaction time, postural sway, maximal balance range, 10-m walk, or 6-min walk) or better quality of life (SF-12 score) took more steps. A model including SF-12, maximal balance range, and 6-min walk accounted for 33% of the variance in average steps/day.Conclusions. The results suggest that better physical functioning and health status are predictors of average steps taken per day in stroke survivors and that predicting adherence to group exercise in this group is difficult.

2015 ◽  
Vol 21 (4) ◽  
pp. 386-392
Author(s):  
Pedro Ángel Latorre-Román ◽  
Ana Vanesa Navarro Martínez ◽  
Felipe García-Pinillos

Abstract This study aims to analyse the effects of indoor physical training program on the enjoyment and the willingness to participate in sports activities, physical self-concept and the quality of life in children with asthma. Participants were randomized in an experimental group (EG) (n=58, age=11.55±1.01 years old) and, a control group (CG) (n = 47, age=11.51±1.42 years old). An indoor training program was executed for 12-week, with each week containing three sessions of 60 minutes. Enjoyment in physical activity questionnaire, participation in physical activities, physical self-concept questionnaire, 6 minute walking test, and paediatric asthma quality of life questionnaire were employed. After the intervention, EG showed a significant reduction in the body mass index as well as a significant improvement in physical fitness test and the score obtained in questionnaires compared to the CG. A12-week indoor training program targeted towards asthmatic children improved the sport enjoyment, physical activity participation, physical self-concept, and quality of life.


Author(s):  
Victoria Zaborova ◽  
Anatoly Fesyun ◽  
Konstantin Gurevich ◽  
Alevtina Oranskaya ◽  
Alexey Rylsky ◽  
...  

Balance disorders are complications of stroke survivors. Aim of this study was the establish effectiveness of the biofeedback approach. In this intervention study 245 patients with early diagnosis of acute disturbance of cerebral circulation (ADCC) were examined. Patients able to move independently were treated by standard conservative ADCC therapy on an outpatient approach, but they continued to have problems with coordination of movement in upright position. Then they were submitted to an increasing physical activity based on five sessions of biofeedback, i.e., a complex rehabilitation of patients with motor pathology "Trust-M" according to TU 9442-001-63704475-2010. Mobility rates were assessed using a web camera. Patients' quality of life was evaluated by SF-36 questionnaire and the Hospital Anxiety and Depression Scale (HADS). All parameters were recorded before and after 5 sessions of biofeedback. After treatment, the stability indicators improved and all patients showed a significant increase in motion rate and quality of life. At the same time, the severity of pain and of depression and anxiety decreased. Negative correlations of average strength between the quadrant and patient HADS scaling rates were obtained. In conclusion, our work shows effectiveness of the biofeedback technique for correcting coordination in stroke survivors.


Author(s):  
◽  

Objective: To investigate the relationship between perception of quality of life, levels of physical activity and socioeconomic status of morbidly obese candidates for bariatric surgery, registered in the outpatient clinic of HC/UFPE/EBSERH. Methods: Cross-sectional observational research conducted with sixty-two morbidly obese individuals candidates for bariatric surgery with age=39,53±10,72 years and BMI=50,05±9,26 kg/m², where they were interviewed using the IPAQ, SF-36 and ABEP questionnaires. Spearman’s correlation was used to correlate continuous variables and differences between groups were analyzed using the Kruskal-Wallis test. Results: The Physical Functioning domain had a significantly higher score (p=0,01) for the level of Moderate physical activity (61,05±25,03; n=19) compared to the Low level (40,83±23,20; n=30); the Role-Physical domain had a significantly higher score (p=0,029) for the level of High physical activity (65,38±36,14; n=13) compared to those of Low level (35,83±35,77; n=30). Individuals of socioeconomic status B (n=17) had scores significantly higher than individuals of status C (n=45) in the Physical Functioning [X² (1) = 4,800; p <0.05], General Health [X² (1) = 11.568; p <0.01], Vitality [X² (1) = 7.278; p <0.01], Social Functioning [X² (1) = 4.086; p <0.05], Role-Emotional [X² (1) = 6.467; p <0.05] and Mental Health [X² (1) = 7.055; p <0.01] domains. Conclusion: Morbidly obese candidates for bariatric surgery with low levels of physical activity have lower scores on physical components of quality of life and when framed in a lower socioeconomic status they report lower scores on physical and mental components of quality of life.


2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 261-261
Author(s):  
Karen Basen-Engquist ◽  
Yue Liao

261 Background: Active Living After Cancer (ALAC) is an evidence-based group program to help cancer survivors improve their physical functioning and quality of life through increasing physical activity. It has enrolled over 800 cancer survivors in the Houston and El Paso areas. The program prioritizes serving minority and medically underserved survivors and is offered in both English and Spanish. As a result of the coronavirus pandemic we converted the program to a virtual format. Here we report preliminary data on the outcomes of the virtual program. Methods: ALAC teaches cognitive and behavioral skills for increasing physical activity to cancer survivors through 12 group sessions. We converted the group sessions to a virtual format using the Zoom platform. Group attendance was monitored by health educators teaching the program, and participants completed questionnaires and did a 30-sec sit-to-stand test before and after the program to assess outcomes (physical activity, quality of life, physical functioning, program satisfaction). We compared outcomes for the virtual groups to those of previous in-person groups. Results: Five classes with 32 participants were started as in-person groups and converted to virtual. The dropout rate was higher (37.5%) in the virtual groups, compared to in-person groups (23.1%). However, both in-person and virtual group participants showed similar increases in physical activity, physical functioning, physical quality of life, and had high satisfaction (see table). Conclusions: Preliminary data indicate that the virtual format is feasible and produces similar outcomes when compared to the in-person format, although drop-out is higher in the virtual format. Virtual group participants may experience fewer mental health benefits (although this could be due to the stress of the pandemic). Additional analyses will include current participants who are completing all sessions virtually. [Table: see text]


2020 ◽  
pp. 147451512092606
Author(s):  
Gianluca Pucciarelli ◽  
Marzia Lommi ◽  
Gayenell S Magwood ◽  
Silvio Simeone ◽  
Sofia Colaceci ◽  
...  

Background Because of the importance of a dyadic approach, it is necessary to conduct a systematic review to identify which dyadic intervention could be implemented for stroke survivor–caregiver dyads after discharge from the rehabilitation hospital to improve outcomes. Aims The aims were to systematically review the evidence to identify which dyadic interventions have been implemented in stroke survivor–caregiver dyads to improve stroke survivor–caregiver dyads’ outcomes and to analyse, through a meta-analysis, which intervention was found to be the most effective. Methods A systematic review and meta-analysis were conducted using the following electronic databases: PubMed, CINAHL and PsycInfo. Randomized controlled trials (RCTs) and quasi-RCT studies published within the last 10 years were included. Quantitative data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Pooled effects were analysed between the experimental and control groups for each outcome. Results Sixteen studies involving 2997 stroke survivors (male gender=58%) and 2187 caregivers (male gender=25%) were included in this review. In 16 studies, which were subdivided into three quasi-RCTs and 13 RCTs, the application of dyadic interventions for stroke survivors and caregivers was systematically reviewed, but only a few of these identified a significant improvement in the stroke survivors’ and caregivers’ outcomes of its intervention group. Dyadic interventions showed a significant effect on stroke survivors’ physical functioning ( p=0.05), memory ( p<0.01) and quality of life ( p=0.01) and on caregivers’ depression ( p=0.05). Conclusions This study provides moderate support for the use of a dyadic intervention to improve stroke survivors’ physical functioning, memory and quality of life and caregiver depression.


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