Effectiveness of a multimodal low–moderate intensity exercise rehabilitation program for stroke survivors

Abstract

Introduction

The amount of people who survive a stroke is increasing annually. Persons with stroke suffer neurological deficits and a physical deconditioning that compromise walking ability, basic activities of daily living and health-related quality of life (HRQoL). The aim of the study was to determine the effects of a 12-week multimodal low–moderate intensity exercise rehabilitation program on walking speed, walking endurance and adherence to physical activity.

Material and methods

An observational repeated-measures design was used. The intervention consisted of 24 sessions of 1 hour per session two alternative days a week. A total of 31 participants were recruited and were evaluated at baseline, post-intervention and at six months follow up.

Results

Twenty-five participants completed the rehabilitation program. Significant improvements were found at the end of the intervention and those were maintained at six months on walking speed (10MWT *p ≤ 0.004), walking endurance (6MWT **p ≤ 0.000) and adherence (walking min/day **p ≤ 0.000). Participants reported an overall satisfaction with the rehabilitation program of 94%: fitness, walking capacity, balance, accomplished expectations, satisfaction with the rehabilitation program, satisfaction with self-efficacy, learned strategies to improve QoL, adequate timing and would recommend the low–moderate intensity exercise rehabilitation program.

Conclusions

Promoting low–moderate intensity physical activity may be an interesting rehabilitation strategy for stroke survivors.