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Development and Evaluation of a Classified and Tailored Community-Based Exercise Program According to the Mobility Level of People with Stroke Using the Knowledge to Action Framework

Author

Listed:
  • Minyoung Lee

    (Department of Healthcare and Public Health Research, National Rehabilitation Research Institute, Seoul 01022, Korea)

  • Seon-Deok Eun

    (Department of Clinical Research for Rehabilitation, National Rehabilitation Research Institute, Seoul 01022, Korea)

  • Tae Hyun Cho

    (Department of Healthcare and Public Health Research, National Rehabilitation Research Institute, Seoul 01022, Korea)

  • Young-Il Shin

    (Department of Prosthetics and Orthotics, Korea National College of Welfare, Pyeongtaek 17738, Korea)

  • Jiyeon Song

    (Seoul Junggu Community Health Center, Seoul 04611, Korea)

  • Seung Hee Ho

    (Department of Healthcare and Public Health Research, National Rehabilitation Research Institute, Seoul 01022, Korea)

Abstract

Attempts to classify the mobility levels of people with stroke (PWS) for a tailored exercise program in community settings have been few. We developed and evaluated a classified and tailored community-based (CTC) exercise program according to the mobility level of PWS. Forty-two PWS were classified into the Supine and Sitting, Sitting and Standing, and Standing and Gait groups, based on a newly developed classification model and participated in a group-based CTC exercise program for 1 h/day twice/week for 10 weeks. The health outcome measures were blood pressure, lipid profile, glucose control, body composition, ventilatory capacity, and physical and psychological function. The rate of agreement on classification results among the physiotherapists was analysed. For all participants, significant improvements were noted in the blood pressure, lipid profile, body composition, ventilatory capacity, and physical and psychological function. The lower mobility groups showed significant improvements in a greater number of health outcomes than the higher mobility group. The physiotherapists’ agreement regarding the classification results was 91.16 ± 5.14%, verifying the model’s possible high relevance to the community. The effective improvement in participant health implied that the CTC exercise program was well tailored to the participants’ mobility levels, particularly the lower mobility groups.

Suggested Citation

  • Minyoung Lee & Seon-Deok Eun & Tae Hyun Cho & Young-Il Shin & Jiyeon Song & Seung Hee Ho, 2020. "Development and Evaluation of a Classified and Tailored Community-Based Exercise Program According to the Mobility Level of People with Stroke Using the Knowledge to Action Framework," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9364-:d:461937
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