Article

Although aerobic training (AT) and resistance training (RT) have been
shown to improve functional abilities in patients post stroke, few patients
participate, with many doing so for only a short duration. PURPOSE: To
retrospectively identify factors that affect adherence to a home-based exercise
program adapted for stroke patients in a cardiac rehabilitation program during
and after program completion. METHODS: Fourteen participants (age 63 +/- 3 years,
37 +/- 34 months post stroke) attended the rehabilitation center on a weekly (24
weeks) and then monthly (2 months) basis. Patients were required to complete 4 AT
and 1 to 2 RT sessions away from the center each week. A 16-item survey exploring
adherence to home-based workouts was administered. Results: Seven patients were
currently participating (mean time in program, 19.4 +/- 8 weeks) and 7 had
graduated (mean of 32.8 +/- 28 weeks post graduation) from the program. Current
participants had higher adherence than graduated participants to AT (100% vs 76%;
P < .01) and RT (100% vs 55%; P < .01). The most common factors motivating
participants were to improve overall health, improve functional abilities, and
enhance confidence and to reduce musculoskeletal issues. The most common factors
preventing workouts were lack of motivation, musculoskeletal issues, and fatigue.
There was a negative correlation between age and adherence to AT in the graduated
group. CONCLUSION: Adherence to home-based exercise is superior during
participation in an organized group program, with decline after graduation.

Langue : ANGLAIS