Physical Activity, Health and Rehabilitation Thematic Research Group, Clinical Health and Rehabilitation Team, School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK.
Physiotherapy Group, Great Ormond Street Institute of Child Health, University College London, London, UK.
Top Stroke Rehabil. 2024 Sep;31(6):556-563. doi: 10.1080/10749357.2024.2304970. Epub 2024 Jan 30.
Exercise after stroke has the potential to increase survivors' physical function and decrease disability. However, despite health professional reporting they recommend exercise to stroke survivors, the majority are physically inactive. Stroke survivors have previously expressed a lack of adequate knowledge and skills to engage in exercise.
The aim of this study was to understand why active stroke survivors chose to (re)engage in exercise and how they went about doing so. A secondary aim was to understand if health professionals had a role in facilitating exercise engagement.
Semi-structured interviews were conducted with stroke survivors who regularly engaged with exercise. Seven people aged between 60 and 71 years participated in the study. Time since stroke varied from 1 to 13 years. A reflexive thematic analysis approach was used to analyze interviews.
Exercise was spoken about in a positive light. For some, exercise had always been important, for others it became important after their stroke. The themes of Changing Support Over Time, Old and New Identity and Proactively Impacting the Future were developed. The participants felt that health professionals often facilitated engagement in exercise, although the type of support that was most valued differed at different points in the post-stroke journey.
Authoritative support from health professionals and family members helped participants to engage in exercise in the early stages after stroke. Collaboration and being part of a team was appreciated for ongoing exercise engagement. Exercise provided hope as participants developed their identity after stroke.
中风后的运动有提高幸存者身体机能和减少残疾的潜力。然而，尽管健康专业人员报告称他们建议中风幸存者进行运动，但大多数人身体活动不足。中风幸存者之前曾表示缺乏足够的知识和技能来进行运动。
本研究旨在了解为什么活跃的中风幸存者选择（重新）参与运动，以及他们是如何做到的。次要目的是了解健康专业人员是否在促进运动参与方面发挥作用。
对经常进行运动的中风幸存者进行半结构化访谈。研究共有 7 名年龄在 60 至 71 岁之间的参与者。中风后时间从 1 年到 13 年不等。采用反思性主题分析方法对访谈进行分析。
运动受到了积极的评价。对一些人来说，运动一直很重要，对另一些人来说，运动在中风后变得重要。出现了“随着时间的推移改变支持”、“旧的和新的身份”和“积极影响未来”三个主题。参与者认为健康专业人员经常促进运动参与，尽管在中风后不同阶段，最有价值的支持类型不同。
健康专业人员和家庭成员的权威支持帮助参与者在中风后早期进行运动。协作和成为团队的一部分对于持续的运动参与是值得赞赏的。运动为参与者在中风后发展自己的身份提供了希望。
