Development and Evaluation of a Classified and Tailored Community-Based Exercise Program According to the Mobility Level of People with Stroke Using the Knowledge to Action Framework
Year: 2020
Type: article
Study design: Clinical Trial
Abstract: Attempts to classify the mobility levels of people with stroke (PWS) for a tailored exercise program in community settings have been few. We developed and evaluated a classified and tailored community-based (CTC) exercise program according to the mobility level of PWS. Forty-two PWS were classified into the Supine and Sitting, Sitting and Standing, and Standing and Gait groups, based on a newly developed classification model and participated in a group-based CTC exercise program for 1 h/day twice/week for 10 weeks. The health outcome measures were blood pressure, lipid profile, glucose control, body composition, ventilatory capacity, and physical and psychological function. The rate of agreement on classification results among the physiotherapists was analysed. For all participants, significant improvements were noted in the blood pressure, lipid profile, body composition, ventilatory capacity, and physical and psychological function. The lower mobility groups showed significant improvements in a greater number of health outcomes than the higher mobility group. The physiotherapists' agreement regarding the classification results was 91.16 ± 5.14%, verifying the model's possible high relevance to the community. The effective improvement in participant health implied that the CTC exercise program was well tailored to the participants' mobility levels, particularly the lower mobility groups.
Authors: Minyoung Lee, Seon-Deok Eun, Tae Hyun Cho, Young-Il Shin, Jiyeon Song, Seung Hee Ho
Language: English
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,429
OpenAlex ID: W3110658191