EFFECTS OF A COMMUNITY-BASED EXERCISE PROGRAM ON FUNCTIONAL FITNESS STATUS AND APDL IN POST-DISCHARGE STROKE SURVIVORS

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  • SAKAI TOMOAKI
    <I>Doctoral Program of Health and Sport Sciences, University of Tsukuba</I>
  • NANAMURA YO-ICHI
    <I>Doctoral Program of Health and Sport Sciences, University of Tsukuba</I>
  • SHIGEMATSU RYOSUKE
    <I>Faculty of Education, Mie University</I>
  • ISAJI TAKASHI
    <I>Ibaraki Prefectural University of Health Sciences</I>
  • TANAKA KIYOJI
    <I>Institute of Health and Sport Sciences, University of Tsukuba, Human Beings in the Ecosystem, Center for Tsukuba Advanced Research Alliance, University of Tsukuba</I>

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Other Title
  • 地域保健施設における運動プログラムが脳血管疾患片麻痺者の身体活動能力と生活関連動作にもたらす効果
  • チイキ ホケン シセツ ニ オケル ウンドウ プログラム ガ ノウケッカン シッカン ヘンマヒシャ ノ シンタイ カツドウ ノウリョク ト セイカツ カンレン ドウサ ニ モタラス コウカ

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The purpose of this study was to implement a community-based exercise program for postdischarge stroke survivors in the public health center. The subjects were fourteen male stroke survivors with chronic upper and lower limb paresis (63.0±5.9 years) . The study design was quasiexperimental, with each subject serving as his own control. All subjects have to meet following inclusion criteria: (1) first stroke resulting in hemiplegia, (2) at least 6 months post-stroke, (3) able to walk independently, and (4) free from grave aphasia, apraxia, agnosia, or disequilibrium. A 25-week (2 deek) training program consisted of a warm-up, lower and upper extremity muscle strengthening, recreational activities, walking training, and a cool down. The duration of this program is approximately 70 minutes a day. The outcome measure was the 12 functional fitness test items and questionnaire in activities parallel to daily living. Significant improvements (P<0.05) were found for handgrip strength, knee extension strength, tandem balance, standing and sitting, and timed up and go in the treatment period. However, the scores in activities parallel to daily living were not significant. These results suggest that they may attain significant functional improvements in response to implementation of a community-based exercise program. In conclusion, post-discharge stroke survivors can improve their functional fitness status by participating in a community-based exercise program.

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