http://www.tandfonline.com/doi/abs/10.1080/10749357.2016.1200292
- DOI:
- 10.1080/10749357.2016.1200292
- Published online: 23 Jun 2016
Abstract
Background:
Most people complete post-stroke rehabilitation within the first 6
months after stroke even though benefits from exercise are believed to
persist well beyond 6 months. Physical and Occupational therapists
provide home exercise programs (HEP) to instruct patients on exercises
to continue after discharge from rehabilitation. Unfortunately, there is
little known about HEP adherence rates in adults with stroke.
Objectives:
The objectives of this project were to (1) determine the adherence rate
with post-rehabilitation HEP and reasons for non-adherence, (2) assess
for interactions between HEP adherence and self-report of depression and
fatigue, and (3) determine patient beliefs about the benefit of
exercise during stroke recovery.
Design: This was a cross-sectional, survey study.
Methods:
A survey was developed and distributed during stroke support group
meetings to determine adherence rates with post rehabilitation HEP,
reasons for non-adherence, and patient beliefs about the benefit of
exercise.
Results: Eighty-nine
percent of participants reported receiving a HEP and 65.3% of those
reported being adherent with at least part of the HEP. Several reasons
for non-adherence were identified, including ‘doing different exercises
than the ones given by the physical therapist’, as the most frequently
given reason. Study participants identified positive roles of exercise
in their recovery from stroke.
Conclusion:
Patient adherence with HEP after discharge from rehabilitation is less
than ideal. Reasons for non-adherence are varied. Rehabilitation
therapists need to be able to identify and help patients manage barriers
to HEP adherence to promote management of residual deficits.
grumble, grumble..... people actually get PAID for this kind of 'research' ?
ReplyDeleteThat is part of why I F-bomb so much.
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