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Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study

OBJECTIVES: 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. METHODS:...

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Autores principales: Baig, Sheharyar, Moyle, Bethany, Redgrave, Jessica, Majid, Arshad, Ali, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7642611/
https://www.ncbi.nlm.nih.gov/pubmed/33178448
http://dx.doi.org/10.1136/bmjsem-2020-000929
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author Baig, Sheharyar
Moyle, Bethany
Redgrave, Jessica
Majid, Arshad
Ali, Ali
author_facet Baig, Sheharyar
Moyle, Bethany
Redgrave, Jessica
Majid, Arshad
Ali, Ali
author_sort Baig, Sheharyar
collection PubMed
description OBJECTIVES: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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.
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spelling pubmed-76426112020-11-10 Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study Baig, Sheharyar Moyle, Bethany Redgrave, Jessica Majid, Arshad Ali, Ali BMJ Open Sport Exerc Med Short Report OBJECTIVES: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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. BMJ Publishing Group 2020-10-30 /pmc/articles/PMC7642611/ /pubmed/33178448 http://dx.doi.org/10.1136/bmjsem-2020-000929 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Short Report
Baig, Sheharyar
Moyle, Bethany
Redgrave, Jessica
Majid, Arshad
Ali, Ali
Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title_full Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title_fullStr Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title_full_unstemmed Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title_short Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study
title_sort exercise referral to promote cardiovascular health in stroke and tia patients: a pilot feasibility study
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7642611/
https://www.ncbi.nlm.nih.gov/pubmed/33178448
http://dx.doi.org/10.1136/bmjsem-2020-000929
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