Physiotherapists’ perspectives on aerobic exercise early after stroke: A preliminary study

Autor: Avril Mansfield, William E. McIlroy, Erik C. Prout, Dina Brooks
Rok vydání: 2016
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice
030506 rehabilitation
medicine.medical_specialty
Education
Continuing
Inservice Training
Attitude of Health Personnel
medicine.medical_treatment
Physical activity
Physical Therapy
Sports Therapy and Rehabilitation
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
Humans
Aerobic exercise
Prospective Studies
Medical prescription
Cognitive impairment
Stroke
Ontario
Rehabilitation
business.industry
Stroke Rehabilitation
Continuing education
Recovery of Function
Middle Aged
medicine.disease
Exercise Therapy
Physical Therapists
Cross-Sectional Studies
Treatment Outcome
Health Care Surveys
Physical therapy
Female
Perception
0305 other medical science
business
Delivery of Health Care
030217 neurology & neurosurgery
Zdroj: Physiotherapy Theory and Practice. 32:452-460
ISSN: 1532-5040
0959-3985
DOI: 10.1080/09593985.2016.1204402
Popis: Aerobic exercise is recognized as part of comprehensive stroke rehabilitation in best-practice and clinical guidelines, yet many individuals remain physically inactive during their hospitalization. The purpose of this study was to identify the perspectives of physiotherapists on aerobic exercise prescription and implementation at in-patient stroke rehabilitation centers with and without a structured aerobic exercise program. A survey was conducted at three Canadian rehabilitation centers to evaluate physiotherapist perceptions of individuals recovering from stroke, the practice environment, and their training on aerobic exercise in stroke. Physiotherapists at centers without a structured aerobic exercise program (n = 10) reported the lack of necessary resources and therapeutic support staff and the individuals’ physical impairment as the greatest barriers. In contrast, physiotherapists at the center with a structured aerobic exercise program (n = 6) reported therapy selection (insufficient time in a single physiotherapy session) and concern for the individuals’ cardiovascular risk and cognitive impairment as the greatest barriers. Both groups of physiotherapists indicated that fatigue was a barrier. Only physiotherapists at the center with a structured aerobic exercise program had received continuing education on aerobic exercise in stroke. The lack of resources at rehabilitation centers without a structured aerobic exercise program needs to be addressed. There remains a need for continuing education on aerobic training in stroke, specifically on assessment and prescription using a standardized approach.
Databáze: OpenAIRE
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