Face to face and telephone-based self-management programmes were identified as having promise to engage stroke survivors in PA behaviour change .
Background Increasing physical activity ( PA ) levels ( regular movement such as walking and activities of daily living ) and reducing time spent sedentary improves cardiovascular health and reduces morbidity and mortality .
Fewer than 30 % of independently mobile stroke survivors undertake recommended levels of PA .
Sedentary behaviour is also high in this population .
We aim ed to systematic ally review the study characteristics and the promise of interventions targeting free-living PA and /or sedentary behaviour in adult stroke survivors .
A randomized controlled trial of supervised versus unsupervised exercise programs for ambulatory stroke survivors.
BACKGROUND AND PURPOSE Little is known about the relative efficacy of supervised versus unsupervised community exercise programs for stroke survivors . This study compared the effectiveness of a 10-week supervised strengthening and conditioning program ( supervised ) with a 1-week supervised instruction program followed by a 9-week unsupervised home program ( unsupervised ) and evaluated retention of changes at 6 months and 1 year after program completion . METHODS Seventy-two subjects retained at baseline ( 27 women , 45 men ; mean+/-SD age , 64.6+/-11.8 years ) were r and omly allocated to receive the supervised or unsupervised program . The primary outcome was walking speed over 6 minutes , and secondary outcome measures were Human Activity Profile , Medical Outcome Study 36-Item Short-Form survey ( SF-36 ) , Physiological Cost Index , and lower extremity muscle strength . RESULTS The 6-minute walking speed increased significantly in both groups and remained significantly improved by 1 year . The Human Activity Profile demonstrated an increasing trend only in the supervised group that was significant by 1 year . The SF-36 Physical Component summary score increased significantly in the supervised group and remained improved by 1 year ; the unsupervised group showed significant improvement at 1 year . Women made greater gains in supervised programs , but men made greater gains in unsupervised programs . CONCLUSIONS Supervised exercise programs and unsupervised programs after initial supervised instruction were both associated with physical benefits that were retained for 1 year , although supervised programs showed trends to greater improvements in self-reported gains . Gender differences require further research
Face to face and telephone-based self-management programmes were identified as having promise to engage stroke survivors in PA behaviour change .
Background Increasing physical activity ( PA ) levels ( regular movement such as walking and activities of daily living ) and reducing time spent sedentary improves cardiovascular health and reduces morbidity and mortality .
Fewer than 30 % of independently mobile stroke survivors undertake recommended levels of PA .
Sedentary behaviour is also high in this population .
We aim ed to systematic ally review the study characteristics and the promise of interventions targeting free-living PA and /or sedentary behaviour in adult stroke survivors .