Exercise to enhance mobility and prevent falls after stroke: The community stroke club randomized trial

Catherine M. Dean, Chris Rissel, Catherine Sherrington, Michelle Sharkey, Robert G. Cumming, Stephen R. Lord, Ruth N. Barker, Catherine Kirkham, Sandra O'Rourke

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background. Exercise interventions can enhance mobility after stroke as well as prevent falls in elderly persons. Objective. Investigate whether an exercise intervention can enhance mobility, prevent falls, and increase physical activity among community-dwelling people after stroke. Method. A randomized trial with blinding of physical outcome assessment was conducted through local stroke clubs. Both groups, on average 5.9 years poststroke, received exercise classes, advice, and a home program for 12 months. The experimental group (EG) program (n = 76) aimed to improve walking, prevent falls and increase physical activity. The control group (CG) program (n = 75) aimed to improve upper-limb and cognitive functions. The primary outcomes were walking capacity, walking speed measured before and after the intervention, and fall rates monitored monthly. Results. At 12 months, the EG walked 34 m further in 6 minutes (95% confidence interval [CI] = 19-50; P <.001) and 0.07 m/s faster over 10 m (95% CI = 0.01-0.14; P =.03) than the CG. The EG had 129 falls, and the CG had 133. There were no differences in proportion of fallers (relative risk = 1.22; 95% CI = 0.91-1.62; P =.19) or the rate of falls between groups (incidence rate ratio = 0.96; 95% CI = 0.59-1.51; P =.88). Conclusion. The experimental intervention delivered through stroke clubs enhanced aspects of mobility but had no effect on falls.

LanguageEnglish
Pages1046-1057
Number of pages12
JournalNeurorehabilitation and Neural Repair
Volume26
Issue number9
DOIs
Publication statusPublished - Nov 2012

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Stroke
Exercise
Confidence Intervals
Control Groups
Walking
Independent Living
Upper Extremity
Cognition
Outcome Assessment (Health Care)
Incidence

Cite this

Dean, Catherine M. ; Rissel, Chris ; Sherrington, Catherine ; Sharkey, Michelle ; Cumming, Robert G. ; Lord, Stephen R. ; Barker, Ruth N. ; Kirkham, Catherine ; O'Rourke, Sandra. / Exercise to enhance mobility and prevent falls after stroke : The community stroke club randomized trial. In: Neurorehabilitation and Neural Repair. 2012 ; Vol. 26, No. 9. pp. 1046-1057.
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title = "Exercise to enhance mobility and prevent falls after stroke: The community stroke club randomized trial",
abstract = "Background. Exercise interventions can enhance mobility after stroke as well as prevent falls in elderly persons. Objective. Investigate whether an exercise intervention can enhance mobility, prevent falls, and increase physical activity among community-dwelling people after stroke. Method. A randomized trial with blinding of physical outcome assessment was conducted through local stroke clubs. Both groups, on average 5.9 years poststroke, received exercise classes, advice, and a home program for 12 months. The experimental group (EG) program (n = 76) aimed to improve walking, prevent falls and increase physical activity. The control group (CG) program (n = 75) aimed to improve upper-limb and cognitive functions. The primary outcomes were walking capacity, walking speed measured before and after the intervention, and fall rates monitored monthly. Results. At 12 months, the EG walked 34 m further in 6 minutes (95{\%} confidence interval [CI] = 19-50; P <.001) and 0.07 m/s faster over 10 m (95{\%} CI = 0.01-0.14; P =.03) than the CG. The EG had 129 falls, and the CG had 133. There were no differences in proportion of fallers (relative risk = 1.22; 95{\%} CI = 0.91-1.62; P =.19) or the rate of falls between groups (incidence rate ratio = 0.96; 95{\%} CI = 0.59-1.51; P =.88). Conclusion. The experimental intervention delivered through stroke clubs enhanced aspects of mobility but had no effect on falls.",
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Dean, CM, Rissel, C, Sherrington, C, Sharkey, M, Cumming, RG, Lord, SR, Barker, RN, Kirkham, C & O'Rourke, S 2012, 'Exercise to enhance mobility and prevent falls after stroke: The community stroke club randomized trial', Neurorehabilitation and Neural Repair, vol. 26, no. 9, pp. 1046-1057. https://doi.org/10.1177/1545968312441711

Exercise to enhance mobility and prevent falls after stroke : The community stroke club randomized trial. / Dean, Catherine M.; Rissel, Chris; Sherrington, Catherine; Sharkey, Michelle; Cumming, Robert G.; Lord, Stephen R.; Barker, Ruth N.; Kirkham, Catherine; O'Rourke, Sandra.

In: Neurorehabilitation and Neural Repair, Vol. 26, No. 9, 11.2012, p. 1046-1057.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Exercise to enhance mobility and prevent falls after stroke

T2 - Neurorehabilitation and Neural Repair

AU - Dean, Catherine M.

AU - Rissel, Chris

AU - Sherrington, Catherine

AU - Sharkey, Michelle

AU - Cumming, Robert G.

AU - Lord, Stephen R.

AU - Barker, Ruth N.

AU - Kirkham, Catherine

AU - O'Rourke, Sandra

PY - 2012/11

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N2 - Background. Exercise interventions can enhance mobility after stroke as well as prevent falls in elderly persons. Objective. Investigate whether an exercise intervention can enhance mobility, prevent falls, and increase physical activity among community-dwelling people after stroke. Method. A randomized trial with blinding of physical outcome assessment was conducted through local stroke clubs. Both groups, on average 5.9 years poststroke, received exercise classes, advice, and a home program for 12 months. The experimental group (EG) program (n = 76) aimed to improve walking, prevent falls and increase physical activity. The control group (CG) program (n = 75) aimed to improve upper-limb and cognitive functions. The primary outcomes were walking capacity, walking speed measured before and after the intervention, and fall rates monitored monthly. Results. At 12 months, the EG walked 34 m further in 6 minutes (95% confidence interval [CI] = 19-50; P <.001) and 0.07 m/s faster over 10 m (95% CI = 0.01-0.14; P =.03) than the CG. The EG had 129 falls, and the CG had 133. There were no differences in proportion of fallers (relative risk = 1.22; 95% CI = 0.91-1.62; P =.19) or the rate of falls between groups (incidence rate ratio = 0.96; 95% CI = 0.59-1.51; P =.88). Conclusion. The experimental intervention delivered through stroke clubs enhanced aspects of mobility but had no effect on falls.

AB - Background. Exercise interventions can enhance mobility after stroke as well as prevent falls in elderly persons. Objective. Investigate whether an exercise intervention can enhance mobility, prevent falls, and increase physical activity among community-dwelling people after stroke. Method. A randomized trial with blinding of physical outcome assessment was conducted through local stroke clubs. Both groups, on average 5.9 years poststroke, received exercise classes, advice, and a home program for 12 months. The experimental group (EG) program (n = 76) aimed to improve walking, prevent falls and increase physical activity. The control group (CG) program (n = 75) aimed to improve upper-limb and cognitive functions. The primary outcomes were walking capacity, walking speed measured before and after the intervention, and fall rates monitored monthly. Results. At 12 months, the EG walked 34 m further in 6 minutes (95% confidence interval [CI] = 19-50; P <.001) and 0.07 m/s faster over 10 m (95% CI = 0.01-0.14; P =.03) than the CG. The EG had 129 falls, and the CG had 133. There were no differences in proportion of fallers (relative risk = 1.22; 95% CI = 0.91-1.62; P =.19) or the rate of falls between groups (incidence rate ratio = 0.96; 95% CI = 0.59-1.51; P =.88). Conclusion. The experimental intervention delivered through stroke clubs enhanced aspects of mobility but had no effect on falls.

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