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2. Aerobic Exercise Recommendations to Optimize Best Practices in Care After Stroke: AEROBICS 2019 Update

Author

MacKay-Lyons, Marilyn, Billinger, Sandra A., Eng, Janice J., Dromerick, Alex, Giacomantonio, Nicholas, Hafer-Macko, Charlene, Macko, Richard, Nguyen, Emily, Prior, Peter, Suskin, Neville, Tang, Ada, Thornton, Marianne, and Unsworth, Karen

Subjects
Physical fitness, Stroke patients, Aerobic exercises, Best practices, Recurrence (Disease), Health
Abstract

Most stroke survivors have very low levels of cardiovascular fitness, which limits mobility and leads to further physical deconditioning, increased sedentary behavior, and heightened risk of recurrent stroke. Although clinical guidelines recommend that aerobic exercise be a part of routine stroke rehabilitation, clinical uptake has been suboptimal. In 2013, an international group of stroke rehabilitation experts developed a user-friendly set of recommendations to guide screening and prescription--the Aerobic Exercise Recommendations to Optimize Best Practices in Care after Stroke (AEROBICS 2013). The objective of this project was to update AEROBICS 2013 using the highest quality of evidence currently available. The first step was to conduct a comprehensive review of literature from 2012 to 2018 related to aerobic exercise poststroke. A working group of the original consensus panel members drafted revisions based on synthesis. An iterative process was used to achieve agreement among all panel members. Final revisions included: (1) addition of 115 new references to replace or augment those in the original AEROBICS document, (2) rewording of the original recommendations and supporting material, and (3) addition of 2 new recommendations regarding prescription. The quality of evidence from which these recommendations were derived ranged from low to high. The AEROBICS 2019 Update should make it easier for clinicians to screen for, and prescribe, aerobic exercise in stroke rehabilitation. Clinical implementation will not only help to narrow the gap between evidence and practice but also reduce current variability and uncertainty regarding the role of aerobic exercise in recovery after stroke., Stroke is the second most common cause of death and third leading cause of disability worldwide. (1) Its long-term effects can be pernicious, resulting in a vicious cycle of declines [...]

Published
2020
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7. Aerobic Exercise Recommendations to Optimize Best Practices in Care After Stroke: AEROBICS 2019 Update

Author

MacKay-Lyons, Marilyn, primary, Billinger, Sandra A, additional, Eng, Janice J, additional, Dromerick, Alex, additional, Giacomantonio, Nicholas, additional, Hafer-Macko, Charlene, additional, Macko, Richard, additional, Nguyen, Emily, additional, Prior, Peter, additional, Suskin, Neville, additional, Tang, Ada, additional, Thornton, Marianne, additional, and Unsworth, Karen, additional

Published
2019
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9. Primary care provider perceptions of intake transition records and shared care with outpatient cardiac rehabilitation programs

Author

Jamnik Veronica, Reid Robert D, Suskin Neville, Unsworth Karen, Yee Jonathan, and Grace Sherry L

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background While it is recommended that records are kept between primary care providers (PCPs) and specialists during patient transitions from hospital to community care, this communication is not currently standardized. We aimed to assess the transmission of cardiac rehabilitation (CR) program intake transition records to PCPs and to explore PCPs' needs in communication with CR programs and for intake transition record content. Method 144 PCPs of consenting enrollees from 8 regional and urban Ontario CR programs participated in this cross-sectional study. Intake transition records were tracked from the CR program to the PCP's office. Sixty-six PCPs participated in structured telephone interviews. Results Sixty-eight (47.6%) PCPs received a CR intake transition record. Fifty-eight (87.9%) PCPs desired intake transition records, with most wanting it transmitted via fax (n = 52, 78.8%). On a 5-point Likert scale, PCPs strongly agreed that the CR transition record met their needs for providing patient care (4.32 ± 0.61), with 48 (76.2%) reporting that it improved their management of patients' cardiac risk. PCPs rated the following elements as most important to include in an intake transition record: clinical status (4.67 ± 0.64), exercise test results (4.61 ± 0.52), and the proposed patient care plan (4.59 ± 0.71). Conclusions Less than half of intake transition records are reaching PCPs, revealing a large gap in continuity of patient care. PCP responses should be used to develop an evidence-based intake transition record, and procedures should be implemented to ensure high-quality transitional care.

Published
2011
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16. Randomized trial of an internet-based computer-tailored expert system for physical activity in patients with heart disease

Author

Reid, Robert D, primary, Morrin, Louise I, additional, Beaton, Louise J, additional, Papadakis, Sophia, additional, Kocourek, Jana, additional, McDonnell, Lisa, additional, D'Angelo, Monika E Slovinec, additional, Tulloch, Heather, additional, Suskin, Neville, additional, Unsworth, Karen, additional, Blanchard, Chris, additional, and Pipe, Andrew L, additional

Published
2011
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