Adherence to Home-based Neuro-rehabilitation Exercise program in Stroke survivors

Authors

  • Priyanka Babbar Senior Resident, Department of Physiotherapy,Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka,India
  • K Vijaya Kumar Associate Professors, Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education,Karnataka,India
  • PT Abraham Joshua Associate Professors, Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education,Karnataka,India
  • M Chakrapani Professor, Department of Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India
  • ZK Misri Associate Professor, Department of Neurology, Kasturba Medical College,Mangalore, Manipal Academy of Higher Education, Karnataka, India

DOI:

https://doi.org/10.3329/bjms.v20i1.50361

Keywords:

stroke; hemiparesis; home exercise program; adherence; barriers

Abstract

Background:Post discharge, Home-based exercise program (HEP), prescribed by physiotherapistis an integral part, to plan effective stroke rehabilitation, with the intended goal of maintainingfunctional motor performance and enhancing functional progress.Earlier studies have shown thatmany factors attribute to adherence and barriers for structured group based exercise program.

Objective: This study was designed to identify the factors in stroke subjects, which mayinfluence the adherence and barriers to individually tailored HEP post-discharge, in strokesubjects.

Method: An analytical cross-sectional study, with non-random sampling, consistingof first onset stroke subjects who had received acute stroke rehabilitation from tertiary carehospitals. Post-discharge, seventy-four participants were followed up and their responses relatedto adherence and barriers to the prescribed HEP by administering a self-reported adherence to home exercise questionnaire.

Results: 63.5% were adherent and 36.5% were non-adherent toHEP, among 74 subjects. The adherent group had performed exercises for at least 5-6 times in aweek, for 31-45 minutes each day. Intrinsic factors related to self-efficacy and perceived level ofanticipated recovery had found an association with adherent and non-adherent groups.The mostcommon barriers for adherence to HEP were fear of fall or injury and fatigue for both adherent and non-adherent subjects.

Conclusion: This present study helped to put an insight, onto sociodemographicand intrinsic factors, with the level of adherence and to identify the barriers foradherence to individually tailored HEP.

Bangladesh Journal of Medical Science Vol.20(1) 2021 p.145-153

Downloads

Download data is not yet available.
Abstract
134
PDF
167

Downloads

Published

2021-01-01

How to Cite

Babbar, P., Kumar, K. V., Joshua, P. A., Chakrapani, M., & Misri, Z. (2021). Adherence to Home-based Neuro-rehabilitation Exercise program in Stroke survivors. Bangladesh Journal of Medical Science, 20(1), 145–153. https://doi.org/10.3329/bjms.v20i1.50361

Issue

Vol. 20 No. 1 (2021)

Section

Original Articles

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.