Effectiveness of a novel community exercise transition program for people with moderate to severe neurological disabilities.

Abstract:

PURPOSE:To determine the effectiveness of a community re-integration exercise initiative on function, mood, participation, and exercise adherence for persons with moderate to severe neurological conditions (stroke, multiple sclerosis, etc.). METHODS:We recruited 29 adults (able to walk at least 3 m with assistance) discharged from an outpatient rehabilitation program for the 10 week intervention which was comprised of two components: circuit training and guided transition to a standard gym setting. We evaluated participants before and after the intervention and at four month follow up, including functional balance and mobility using the Timed Up and Go Test, walking endurance using the 6 Minute Walk Test, health related quality of life (HR QoL) using a visual analogue scale, activity and participation using the Frenchay Activities Index and mood using the Hospital Anxiety and Depression Scale. RESULTS:Twenty-seven participants completed the intervention. The only significant improvement was in HR QoL. Forty-four percent of participants continued to exercise after cessation of the program. Those who continued to exercise (Exercisers n = 12) experienced more improvement in HR QoL than Non-Exercisers (n = 15). CONCLUSIONS:This re-integration initiative for people with neurological impairments improved HR QoL and facilitated independent exercise for 44% of participants. The novel component of the program, which facilitated transition to standard gym equipment, likely contributed to improved exercise adherence in the longer term.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Ploughman M,Shears J,Harris C,Hogan SH,Drodge O,Squires S,McCarthy J

doi

10.3233/NRE-141090

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

105-12

issue

1

eissn

1053-8135

issn

1878-6448

pii

876561267V064863

journal_volume

35

pub_type

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