IJPR.2020.121
Type of Article: Original Research
Volume 8; Issue 3 (June 2020)
Page No.: 3445-3451
DOI: https://dx.doi.org/10.16965/ijpr.2020.121
EFFECTIVENESS OF COMMUNITY BASED FITNESS AND MOBILITY EXERCISE PROGRAM (FAME) IN IMPROVING THE HEALTH RELATED QUALITY OF LIFE IN SUBJECTS WITH CHRONIC STROKE
Doss Prakash S *1, Vijay Kumar P 2, Kowshik Reddy B 3.
*1 Associate Professor, Department of Community Physiotherapy, MGM Institute of Physiotherapy, N-6 CIDCO, Aurangabad – 431 003, Maharashtra, India.
2 Professor, Department of Musculoskeletal Physiotherapy, Navodaya College of Physiotherapy, Raichur – 584 103, Karnataka, India.
3 Professor, Department of Musculoskeletal Physiotherapy, Navodaya College of Physiotherapy, Raichur – 584 103, Karnataka, India.
Corresponding Author: Dr Doss Prakash S, Associate Professor, Department of Community Physiotherapy, MGM Institute of Physiotherapy, N-6 CIDCO, Aurangabad – 431 003, Maharashtra – INDIA. Mobile : +91-98863 86726. E-Mail: dossprakashs@gmail.com
ABSTRACT
Background: In the rehabilitative management of persons with stroke, more efforts are emphasized to improve motor and cognitive impairments. However, assessment and health promotion of the fitness of stroke patients in a community set up and Quality of life have so far received limited attention. The goal was to determine the efficacy of community based FAME program in patients with chronic stroke.
Objectives: To examine the effects of a community-based group exercise program in improving the health related quality of life in subjects with chronic stroke.
Design: Randomized control group trial
Participants: Fifty eight chronic stroke individuals (aged 45-65 years) who were living in the community.
Intervention: Participants were randomized into experimental group (n =29) and control group (n=29). The experimental group underwent a fitness and mobility exercise (FAME) program along with strengthening exercises designed to improve fitness, mobility and quality of life (1-hour sessions, three sessions/week, for 14 weeks). The control group underwent strengthening program.
Measurements: The health related quality of life was assessed by SS-QoL (Stroke Specific Quality of Life) in day zero, 8th week and end of 14th week.
Results: The experimental group had showed significantly more gains in Quality of Life when compared to control Group. (p<0.001)
Conclusion: The FAME program is feasible and beneficial in improving the quality of life and may prevent some of the secondary complications resulting from physical inactivity in older adults living with stroke. It serves as a good model of a community-based fitness program for preventing secondary diseases in older adults living with chronic conditions.
Key words: Stroke, health promotion, community based fitness and mobility exercise, health related quality of life, stroke specific quality of life, rehabilitation.
REFERENCES
- Warlow C, Sudlow C, Dennis M, Warlow C, Sudlow C, Dennis M, et al. Stroke. Lancet 2003; 362 : 1211-24.
- Feigin VL. Stroke in developing countries: can the epidemic be stopped and outcomes improved. Lancet Neurol 2007; 6 : 94-7.
- Feigin VL. Stroke epidemiology in developing world. Lancet 2005; 365 : 2160-1.
- World Health Organization. The economic impact of chronic diseases in preventing chronic diseases: a vital investment. World Health Organization, Geneva; 2005.
- Liu M, Wu B, Wang W, Lee L, Zhang S, Kong L. Stroke in China: Epidemiology, prevention and management strategies. Lancet Neurol 2007; 8 : 456-64.
- Dalal P, Bhattacharjee M, , Bhat P. UN Millennium development goals: Can we halt the stroke epidemic in India. Ann Indian Acad Neurol 2007; 10 : 130-6.
- Anand K, Chowdury D, Singh KB, Pandav CS, Kapoor SK. Estimation of mortality and morbidity due to strokes in India. Neuroepidemiology 2001; 20 : 208-11.
- Indian Council for Medical Research. Stroke. In: Assessment of the burden of non communicable diseases: Final project report. New Delhi: Indian Council of Medical Research; p. 18-22
- Izumi S, Ishida A. [Rehabilitation in acute phase – Evaluation and training for ambulation]. The Journal of the Japan Medical Association 2001;125:S272-S284.
- Hase K, Chino N. [Rehabilitation in convalescent phase].The Journal of the Japan Medical Association 2001;125: S285-S298.
- Takaoka T, Ito T. [Rehabilitation in chronic phase]. The Journal of the Japan Medical Association 2001;125:S299-S304.
- Halar EM, Bell KR: Rehabilitation’s relationship to inactivity.In: Kottke FJ, Lehmann JF, eds, Krusen’s Handbook of Physical Medicine and Rehabilitation, 4th Ed, Philadelphia, WB Saunders, 1990; 1113–1133
- Jorgensen HS, Nakayama H, Raaschou HO et al. Stroke. Neurologic and functional recovery the Copenhagen Study. Phys Med Rehabil Clin North Am 1999;10:887–906.
- Binder EF, Birge SJ, Spina R et al. Peak aerobic power is an important component of physical performance in older women. J Gerontol A Biol SciMed Sci1999;54A:M353–M356.
- Rogers MA, Yamamoto C, Hagberg JM et al. The effects of 7 years of intense exercise training on patients with coronary artery disease. J Am Coll Cardiol 1987;10:32–326.
- Kurl S, Laukanen JA, Rauramaa R et al. Cardiorespiratory fitness and the risk for stroke in men. Arch Intern Med 2003;163:1682–1688.
- Roth EJ. Heart disease in patients with stroke. Incidence, impact, and implications for rehabilitation. Part I. classification and prevalence. Arch PhysMed Rehabil 1993;74:752–760.
- Hardie K, Hankey GJ, Jamrozik K et al. Ten-year risk of first recurrent stroke and disability after first-ever stroke in the Perth Community Stroke Study. Stroke 2004;35:731–735.
- Feigin VL, Lawes CM, Bennett DA et al. Stroke epidemiology. A review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2003;2:43–53
- Mayo NE, Wood-Dauphinee S, Ahmed S et al. Disablement following stroke.Disability Rehabil 1999;21:258–268
- Rimmer JH. Health promotion for people with disabilities: The emerging paradigm shift from disability prevention to prevention of secondary conditions. Phys Ther 1999;79:495–502.
- Chu KS, Eng JJ, Dawson AS et al. A randomized controlled trial of water-based exercise for cardiovascular fitness in individuals with chronic stroke. Arch Phys Med Rehabil 2004;85:870–874.