Department of Physical Therapy, University of Florida, Gainesville, Florida 32610, USA.
J Neurol Phys Ther. 2013 Jun;37(2):78-84. doi: 10.1097/NPT.0b013e3182941c37.
Opportunities for individuals poststroke to continue to exercise once formal rehabilitation has ended are limited and in many cases do not exist. Given the incidence of recurrent stroke, and the known and important role exercise plays in reducing stroke risk factors, extending the continuum of care beyond outpatient and home health services to include life-long fitness opportunities for those living with poststroke disability is needed. This article first describes the creation of a partnership between a health care system and a local fitness center to provide an affordable, accessible, safe, community-based exercise program for individuals poststroke and the subsequent development of the flagship program. The second section of this article describes the program's current operations. This includes the referral process, the physical therapists' role in the program's structure and operation, and both program and participant outcomes. This article is intended to provide a roadmap for others who desire to extend the continuum of care for stroke survivors in their community so that these individuals may remain healthy in the presence of disability and reduce their risk for recurrent stroke.Video Abstract available (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A47) for an overview of the Stroke Wellness Exercise Program.
中风患者在正式康复治疗结束后继续锻炼的机会有限，在许多情况下并不存在。鉴于中风的发病率以及运动在降低中风危险因素方面的已知重要作用，需要将护理范围从门诊和家庭健康服务扩展到包括为中风后残疾患者提供终身健身机会。本文首先描述了医疗保健系统和当地健身中心之间建立伙伴关系的情况，以提供一个负担得起、可及、安全、基于社区的中风后患者锻炼计划，随后介绍了旗舰计划的发展情况。本文的第二部分描述了该计划的当前运作情况。这包括转诊流程、物理治疗师在计划结构和运作中的作用，以及计划和参与者的结果。本文旨在为希望在社区中为中风幸存者扩展护理范围的其他人提供路线图，以便这些患者在残疾的情况下保持健康并降低中风复发的风险。（见视频，补充数字内容 1，http://links.lww.com/JNPT/A47，可获取中风健康运动计划的概述）
