Baig Sheharyar, Moyle Bethany, Redgrave Jessica, Majid Arshad, Ali Ali
Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Department of Neurosciences, Sheffield NIHR Biomedical Research Centre, University of Sheffield, Sheffield, UK.
BMJ Open Sport Exerc Med. 2020 Oct 30;6(1):e000929. doi: 10.1136/bmjsem-2020-000929. eCollection 2020.
Exercise programmes studied after stroke often involve specialist supervision. Determine the feasibility and safety for people with stroke (PwS) or transient ischaemic attack (TIA) participating in readily accessible, non-stroke specialised, community-based exercise programmes.
Participants were recruited into a structured, group-based, 12-week programme of aerobic and resistance exercise delivered two times per week at one of five local leisure centres. Completion rates, successful attainment of intended exercise intensity (Borg Rating of Perceived Exertion (RPE)) and safety outcomes were recorded. Measures of physical activity (International Physical Activity Questionnaire), health-related quality of life (EQ-5D) and blood pressure (BP) were recorded at baseline and day 1 post intervention.
79% of participants completed >75% of the intended sessions, with >90% attainment of intended RPE. Exercise was safe with no serious and very few minor adverse events related to exercise. Exercise led to significant increases in EQ-5D (Best of Health p<0.001), levels of weekly moderate physical activity (p<0.001) and decreases in systolic BP (mean change [95% CI]=-5.4 mmHg [-2.84 to -7.96]; p<0.001).
Generalised exercise programmes delivered through existing local services, appears feasible, safe and may improve quality of life, physical activity and systolic BP, for PwS and TIA.
中风后所研究的运动项目通常需要专业监督。确定中风患者（PwS）或短暂性脑缺血发作（TIA）参与者参加易于获得的、非中风专科的社区运动项目的可行性和安全性。
参与者被招募到一个结构化的、基于小组的、为期12周的有氧和阻力运动项目中，该项目每周在五个当地休闲中心之一进行两次。记录完成率、预期运动强度（伯格自觉用力程度分级（RPE））的成功达成情况和安全结果。在基线和干预后第1天记录身体活动量（国际身体活动问卷）、健康相关生活质量（EQ-5D）和血压（BP）。
79%的参与者完成了超过75%的预定课程，超过90%达到了预期的RPE。运动是安全的，没有严重且极少有与运动相关的轻微不良事件。运动导致EQ-5D显著增加（最佳健康状态p<0.001）、每周中等身体活动量增加（p<0.001）以及收缩压降低（平均变化[95%CI]=-5.4 mmHg[-2.84至-7.96]；p<0.001）。
通过现有当地服务提供的一般性运动项目，对于中风患者和短暂性脑缺血发作患者而言，似乎是可行、安全的，并且可能改善生活质量、身体活动量和收缩压。
