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October 2, 2019Physical TherapyOpen Access

Eligibility, Enrollment, and Completion of Exercise-Based Cardiac Rehabilitation Following Stroke Rehabilitation: What Are the Barriers?

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Key result

Stroke-adapted cardiac rehabilitation resulted in superior program completion (89.7% vs 66.7%) and attendance (87.1% vs 66.1%) compared with traditional cardiac rehabilitation.

Why the study?

People after stroke benefit from cardiac rehabilitation, but there is little understanding of eligibility for exercise and barriers to its use.

What are the eligibility, enrollment, completion rates, and barriers to exercise-based cardiac rehabilitation following stroke rehabilitation?

Population

116 consecutive people in a single outpatient stroke rehabilitation program in Toronto, Canada

Comparison

Adapted vs traditional CR based on presence of hemiplegic gait

Design

Single-centre prospective study

Authors

SMSusan MarzoliniKFKaren FongDJDavid Jagroop

Discussion

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Overview

May support stroke-CR partnerships to boost completion; extends Level 3 data but leaves open need for RCTs.

Study Design

Type

Observational (n=116)

Multicenter

No

Structured PICO

What are the eligibility, enrollment, completion rates, and barriers to exercise-based cardiac rehabilitation following stroke rehabilitation?

P
Population
116 consecutive people enrolled in a single outpatient stroke rehabilitation (OSR) program in Toronto, Ontario, Canada
I
Intervention
Exercise-based cardiac rehabilitation (adapted or traditional)
O
Outcome
Eligibility for cardiac rehabilitation; enrollment, adherence, and completion; and factors affecting use

Main Result

Absolute Event Rate: 89.7% vs 66.7%

An outpatient stroke rehabilitation and cardiac rehabilitation partnership provides an effective continuum of care, with high participation and completion rates among eligible patients, though specific barriers like lack of interest and transportation remain.

Limitations

  • Generalizability to other programs is limited
  • Other, unmeasured factors may have affected outcomes

Cite This Study

Marzolini et al. (2019) conducted an observational in Stroke (n=116). Stroke-adapted cardiac rehabilitation vs. Traditional cardiac rehabilitation was evaluated on Completion of cardiac rehabilitation. Stroke-adapted cardiac rehabilitation resulted in superior program completion (89.7% vs 66.7%) and attendance (87.1% vs 66.1%) compared with traditional cardiac rehabilitation.

synapsesocial.com/papers/6a1599e69b859ee6ee9f4fa9https://doi.org/10.1093/ptj/pzz149
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Can Individuals Participating in Cardiac Rehabilitation Achieve Recommended Exercise Training Levels Following Stroke?2012 · 20 citations
  2. 2Automatic Referral to Cardiac Rehabilitation2004 · 74 citations
  3. 3The Feasibility of Cardiopulmonary Exercise Testing for Prescribing Exercise to People After Stroke2012 · 78 citations
  4. 4Longitudinal Course of Depressive Symptomatology After a Cardiac Event: Effects of Gender and Cardiac Rehabilitation2005 · 92 citations
  5. 5Heart Disease and Stroke Statistics—2013 Update2012 · 5,193 citations