A survey of community exercise programmes for stroke survivors in Scotland
A survey of community exercise programmes for stroke survivors in Scotland
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DOI：
10.1111/j.1365-2524.2011.01043.x
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发表时间：
2012-07-01
影响因子：
2.4
通讯作者：
Mead, G.
中科院分区：
文献类型：
--
作者：
Best, C.;van Wijck, F.;Mead, G.
中风是社区复杂残疾的最常见原因。中风后体能通常会降低，但训练可以改善体能和机能。英国和国际中风临床指南建议中风幸存者进行长期锻炼。然而，之前还没有关于哪些服务可以支持这一点的研究。2009年，我们在中风服务之后进行了第一次欧洲社区锻炼调查。我们通过电子邮件向苏格兰的健康、休闲服务和中风慈善机构联系人发送了我们基于网络的调查链接，并通过电子邮件和电话对非受访者进行了跟进。总有效率%(230/361)。共确定了14个中风后锻炼服务，其中大部分由慈善合作组织经营(7/14)，其次是休闲中心服务(4/14)和健康服务(3/14)。我们询问了有关会议内容、推荐和评估过程以及锻炼指导员资格的信息。这一信息与当前的临床和锻炼指南相互参照，以确定现有资源是否足以满足中风幸存者对安全、有效和可持续的锻炼的需求。结果表明，针对中风的社区锻炼计划不足。需要进一步发展服务，以确保适当的教官培训和转诊路径到位，使中风幸存者能够根据目前的指导方针获得运动服务。
Stroke is the most common cause of complex disability in the community. Physical fitness is often reduced after stroke, but training can improve fitness and function. UK and international stroke clinical guidelines recommend long-term exercise participation for stroke survivors. However, there has been no previous research into what services are available to support this. In 2009, we conducted the first European survey of community Exercise after Stroke services. A link to our web-based survey was emailed to health, leisure service and stroke charity contacts in Scotland with email and telephone follow-up to non-respondents. The overall response rate was 64% (230/361). A total of 14 Exercise after Stroke services were identified, the majority of which were run by charity collaborations (7/14), followed by leisure centre services (4/14) and health services (3/14). We sought information on session content, referral and assessment processes, and the qualifications of exercise instructors. This information was cross-referenced with current clinical and exercise guidelines to determine whether existing resources were sufficient to meet stroke survivors needs for safe, effective and sustainable access to exercise. The results indicated a shortage of stroke-specific community exercise programmes. Further service development is required to ensure appropriate instructor training and referral pathways are in place to enable stroke survivors to access exercise services in accordance with current guidelines.