Creating digital, interactive, smart home exercise environments for older adults with stroke

中风对身体有衰弱的影响，并可能阻碍身体和认知功能。中风后的恢复取决于参加有意义的活动的结构化锻炼计划。然而，患有中风的老年人发现，由于身体和认知障碍，缺乏动力和年龄相关因素（如虚弱，肌肉质量下降和抑郁），保持最佳的身体活动水平以促进大脑恢复是一项挑战。为了鼓励参与体育活动，运动计划应该是结构化的，以家庭/社区为基础，简单，有效，病人主导，最低限度的监督，以提高运动的坚持性，特别是对严重肢体损伤的病人。在这项研究中，我们的目标是共同设计一个互动和数字化的阻力运动解决方案，为社区居住的老年中风幸存者中度至重度上肢损伤。我们将通过测试方便和负担得起的健身器材（如橡皮筋和杠铃）来共同设计它，并将让患有慢性中风（中风后6个月）的老年人（>65岁）在整个研究期间参与这一过程，分享他们的观点。首先，我们将共同开发一个多媒体运动包，与上肢，下肢和躯干的健身器材一起使用，即使上肢瘫痪的人也可以在家中进行最大的安全性和最小的精神努力和监督，然后我们将共同设计解决方案（应用程序和硬件设计），使健身设备互动，数字化和以患者为中心，以增加身体活动和肢体活动。

Stroke has debilitative effects on the body and can hinder physical and cognitive function. Recovery after stroke depends on participating in a structured exercise program of meaningful activities. However, older adults with stroke find it challenging to maintain an optimal level of physical activity for brain recovery due to physical and cognitive impairments, lack of motivation and age-related factors such as frailty, losing muscle mass and depression. To encourage participation in physical activity, the exercise programme should be structured, home/community-based, simple, efficient, patient-led and with minimum supervision to increase exercise adherence, especially for the patients with severe limb impairments. In this study, we aim to co-design an interactive and digital resistance exercise solution for community-dwelling older stroke survivors with moderate to severe impairments in upper limbs. We will co-design it by testing accessible and affordable fitness equipment such as rubber bands and barbells and will involve older adults (>65 years) with chronic stroke (6 months after stroke) to take part in this process throughout the study period to share their viewpoints. First, we will co-develop a multimedia exercise package to use with fitness equipment for upper limbs, lower limbs and trunk that would be feasible even for people with upper limb paralysis to perform at home with maximum safety and minimum mental efforts and supervision, then we will co-design the solutions (app and hardware design) that make the fitness equipment interactive, digital and patient-centred to increase physical activity and limbs mobility.