Volume : 08, Issue : 08, August – 2021

Title:

25.FACILITATION AND BARRIERS FOR ADHERENCE TO HOME EXERCISE PLAN IN PATIENTS WITH POST ISCHEMIC STROKE

Authors :

Hafiza Saira Wajid, Muhammad Sharif Waqas, Sabiha Arshad

Abstract :

Background: Stroke is a serious medical condition and Physical therapists are essential for rehabilitation of stroke patients with commonly suggested home-based exercise program (HEP). HEP is advised at the discharge from hospital or physical therapy OPD clinic with an aim that it may help the patient to enhance or maintain the functional status towards independence.
Objective: To recognize barriers and facilitations for adherence to home exercise plan in patients with post ischemic stroke.
Methodology: This was a cross sectional study with sample size of 100 patients and carried out in Niazi hospital, Lahore. The study was approved by ethical committee and there were no ethical issues found to conduct this study. Data was collected by using a questionnaire given as handouts and analyzed by using Statistical Package of Social Sciences i.e. SPSS 21.0 version.
Results: The results showed that there were 96 (96%) patients expressed the importance of exercise. There were 83 (83%) patients mentioned fatigue as major barrier, while those of 71 (71%), 22 (22%) and 44 (44%) mentioned depression, post-exercise stiffness and less role of exercise as barriers to exercise.
Conclusions: It is concluded from the results that fatigue and depression are the moost important barriers to HEP while physiotherapist’s recommendation and motivation is the most important and common facilitation for the stroke patients.
Keywords: Barriers, Exercise Adherence, Facilitators, Home-Based Exercise, Stroke

Cite This Article:

Please cite this article in press Hafiza Saira Wajid et al., Facilitation And Barriers For Adherence To Home Exercise Plan In Patients With Post Ischemic Stroke.., Indo Am. J. P. Sci, 2021; 08(08).

Number of Downloads : 10

References:

1. Man, S., et al., Comparison of acute ischemic stroke care and outcomes between comprehensive stroke centers and primary stroke centers in the United States. Circulation: Cardiovascular Quality and Outcomes, 2018. 11(6): p. e004512.
2. Buono, V.L., et al., Relation among psychopathological symptoms, neuropsychological domains, and functional disability in subacute poststroke rehabilitation. Journal of Stroke and Cerebrovascular Diseases, 2018. 27(5): p. 1381-1385.
3. Carmo, J.F.d., E.R.A. Oliveira, and R.L. Morelato, Functional disability and associated factors in elderly stroke survivors in Vitória, Brazil. Revista Brasileira de Geriatria e Gerontologia, 2016. 19(5): p. 809-818.
4. Emmerson, K.B., K.E. Harding, and N.F. Taylor, Home exercise programmes supported by video and automated reminders compared with standard paper-based home exercise programmes in patients with stroke: a randomized controlled trial. Clinical rehabilitation, 2017. 31(8): p. 1068-1077.
5. Kairy, D., et al., Maximizing post-stroke upper limb rehabilitation using a novel telerehabilitation interactive virtual reality system in the patient’s home: study protocol of a randomized clinical trial. Contemporary clinical trials, 2016. 47: p. 49-53.
6. Kreber, L.A. and C.K. Singh, Neuroendocrine Dysfunction and Functional Disability Following Stroke. Stroke, 2017. 48(suppl_1): p. A10-A10.
7. Lekander, I., et al., Relationship between functional disability and costs one and two years post stroke. PLoS One, 2017. 12(4).
8. Miller, K.K., et al., Exercise after stroke: patient adherence and beliefs after discharge from rehabilitation. Topics in stroke rehabilitation, 2017. 24(2): p. 142-148.
9. Zondervan, D.K., et al., Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program. 2016.
10. Shaughnessy, M., B.M. Resnick, and R.F. Macko, Testing a model of post‐stroke exercise behavior. Rehabilitation nursing, 2006. 31(1): p. 15-21.
11. Damush, T.M., et al., Predictors of older primary care patients’ participation in a submaximal exercise test and a supervised, low-impact exercise class. Preventive medicine, 2001. 33(5): p. 485-494.
12. Kernan, W.N., et al., Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2014. 45(7): p. 2160-2236.
13. Jurkiewicz, M.T., S. Marzolini, and P. Oh, Adherence to a home-based exercise program for individuals after stroke. Topics in stroke rehabilitation, 2011. 18(3): p. 277-284.
14. Firth, J., et al., Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis. Psychological medicine, 2016. 46(14): p. 2869-2881.
15. Porter, A.K., et al., Perceived barriers to commuter and exercise bicycling in US adults: The 2017 National Household Travel Survey. Journal of Transport & Health, 2020. 16: p. 100820.
16. Hunter, J.R., et al., Perceived barriers and facilitators to workplace exercise participation. International Journal of Workplace Health Management, 2018.
17. Hunter, J., et al. Understanding the Perceived Barriers and Facilitators to Exercise Participation in the Workplace. in ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences. 2019.
18. Neto, T., et al., Effects of lower body quadrant neural mobilization in healthy and low back pain populations: a systematic review and meta-analysis. Musculoskeletal Science and Practice, 2017. 27: p. 14-22.
19. Maher, C., M. Underwood, and R. Buchbinder, Non-specific low back pain. The Lancet, 2017. 389(10070): p. 736-747.
20. Connolly, T. and E. Mahoney, Stroke survivors’ experiences transitioning from hospital to home. Journal of clinical nursing, 2018. 27(21-22): p. 3979-3987.
21. Condon, M. and M. Guidon, A survey of exercise professionals’ barriers and facilitators to working with stroke survivors. Health & social care in the community, 2018. 26(2): p. 250-258.
22. Khisty, A., et al., Facilitators and Barriers to Home Based Exercises in Physiotherapy Practice: A Cross Sectional Study. EXECUTIVE EDITOR, 2020. 11(04): p. 49.
23. Shaikh, A.A. and J.J. Atre, Barriers and Facilitators to Community Ambulation in Maharashtra, India: Perception of Individuals with Stroke. Disability, CBR & Inclusive Development, 2019. 30(4): p. 111-126.