Back to Search
Start Over
A randomized controlled trial to assess the psychosocial effects of early exercise engagement in patients diagnosed with transient ischaemic attack and mild, non-disabling stroke.
- Source :
-
Clinical Rehabilitation . Aug2015, Vol. 29 Issue 8, p783-794. 12p. 1 Diagram, 4 Charts. - Publication Year :
- 2015
-
Abstract
- Objective:To examine the effect of an early exercise and education programme on psychosocial health of transient ischaemic attack (TIA) and mild, non-disabling stroke patients.Design:Randomized, parallel-group, clinical trial.Setting:Hospital and academic institution.Participants:A total of 55 newly diagnosed transient ischaemic attack/mild stroke patients (Mean[SD]; 69[11]y).Intervention:Participants were randomized to either an eight-week, twice weekly, 90-minute exercise and education programme (experimental group) or to a usual care control group.Main measures:Psychosocial measures (SF-36, Hospital Anxiety and Depression Scale, Profile of Mood States, International Physical Activity Questionnaire, Stroke Awareness Questionnaire) were assessed at baseline and eight-week and 12-month follow-up.Results:The experimental group demonstrated improvements in the Physical Component Score (Mean[SD]; 44.1[11.7] to 47.4[11.3]%), Vitality (46.5[12.4] to 54.2[14.2]%), Physical Functioning (45.6[10.7] to 51.9[14.7]%), Role Physical (38.7[10.8] to 43.1[13.6]%) and Global Health (49.1[10.3] to 54.4[13.6]%) from the SF-36, at the eight-week follow-up assessment (P < 0.05). There were no further changes in these measures between the eight-week and 12-month follow-up assessment (P > 0.05). The experimental group demonstrated a greater awareness of the signs and symptoms associated with stroke (P < 0.05). There were no differences in the Mental Component Score (SF-36), the Hospital Anxiety and Depression Scale or the International Physical Activity Questionnaire between treatment groups (P > 0.05).Conclusion:Early engagement in an exercise and education programme may improve physical health perceptions in transient ischaemic attack/mild stroke patients. However, secondary prevention exercise and education programmes warrant further research with regards to their effects on perceptions of mental health in this population group. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TRANSIENT ischemic attack treatment
*STROKE treatment
*EXERCISE
*HEALTH surveys
*QUESTIONNAIRES
*STATISTICS
*T-test (Statistics)
*STATISTICAL power analysis
*DATA analysis
*EFFECT sizes (Statistics)
*RANDOMIZED controlled trials
*TREATMENT effectiveness
*DATA analysis software
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 29
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 108661605
- Full Text :
- https://doi.org/10.1177/0269215514555729