Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Top Stroke Rehabil. 2022 Sep;29(6):438-448. doi: 10.1080/10749357.2021.1940800. Epub 2021 Jun 28.
Adherence to prescribed exercises is essential for home-based programs to be effective, but evidence for strategies to enhance exercise adherence in people with stroke is lacking.
To determine the effect of adherence strategies on the proportion of people with stroke who adhere to prescribed home-based exercises and their level of adherence at 6 and 12 weeks of intervention. Our secondary objective was to determine the effect of the combined intervention on mobility and quality of life post-stroke.
We conducted an RCT among people with stroke (Exp = 27, Con = 25) living in semi-urban India. Both groups received standard hospital care and a home exercise program. The experimental group also received adherence strategies delivered over five sessions. Adherence was measured using the Stroke-Specific Measure of Adherence to Home-based Exercises (SS-MAHE) , mobility using Mobility Disability Scale, and quality of life using the Stroke Impact Scale.
The experimental group had better exercise adherence compared to the control group both at six (mean difference [MD] 45, 95% CI 40, 64, < .001) and 12 weeks (MD 51, 95% CI 39, 63, < .001). The experimental group also had better mobility at 12 weeks (median (IQR), experimental 42 (57), median (IQR), control 95 (50), = .002). There was no difference in the quality of life scores between groups at six or 12 weeks.
The adherence strategies were effective in improving exercise adherence and mobility post-stroke but did not improve quality of life.
CTRI/2018/08/015212.
坚持规定的锻炼对于基于家庭的方案的有效性至关重要，但缺乏增强中风患者锻炼依从性的策略的证据。
确定依从性策略对坚持规定的家庭锻炼的中风患者比例及其在干预 6 和 12 周时的依从水平的影响。我们的次要目的是确定联合干预对中风后移动能力和生活质量的影响。
我们在印度半城市地区的中风患者中进行了一项 RCT（实验组=27 人，对照组=25 人）。两组均接受标准的医院护理和家庭锻炼方案。实验组还接受了为期五节课的依从性策略。依从性使用中风特定的家庭锻炼依从性量表（SS-MAHE）进行测量，移动能力使用移动障碍量表进行测量，生活质量使用中风影响量表进行测量。
实验组在 6 周（平均差异 [MD] 45，95%置信区间 [CI] 40，64，<0.001）和 12 周（MD 51，95% CI 39，63，<0.001）时的锻炼依从性均优于对照组。实验组在 12 周时的移动能力也更好（中位数（IQR），实验组 42（57），中位数（IQR），对照组 95（50），=0.002）。两组在 6 或 12 周时的生活质量评分没有差异。
依从性策略在改善中风后锻炼依从性和移动能力方面是有效的，但不能改善生活质量。
CTRI/2018/08/015212。
