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Scrivener K1, Tezak J1, Mandis N1, Jones T1, Dean C1
1Macquarie University, Health Professions, Sydney, Australia
Background: Stroke is a leading cause of disability preventing independent living and limiting social participation amongst survivors. Many people with stroke receive minimal ongoing physiotherapy intervention and many do not engage in sufficient amounts of activity particularly after discharge from formal rehabilitation services. There is a need for the development and validation of an appropriate, cost-effective and engaging self-management program to assist in exercise and physical activity after stroke. Once validated, the TASK program will be made freely available to people with stroke, therefore, increasing equality in access to high quality, evidence-based training programs. Such a package has the potential to not only improve function and increase physical activity, but also increase quality of life for individuals with stroke.
Purpose: To develop a video-guided, self-managed exercise program for people with stroke.
Methods: The research team gathered a group of stroke physiotherapy experts and reviewed the latest evidence in post-stroke exercises that was based on the 2017 Australian National Stroke Guidelines. Based on this review the group planned the exercises to be included within the TASK program. Equipment was designed to assist with the performance of the program including a TASK floor mat and placemat. Filming of the video was scripted, planned and conducted at Macquarie University. Videos for each exercise were edited by the film team. Videos were reviewed by the expert group and feedback sort. The TASK exercise booklet was subsequently developed by the research team. The videos are now hosted in a website and Android application that is freely available to clinicians and people with stroke. The TASK program will now be tested for acceptability to people with stroke by the research team.
Results: A self-managed video-guided exercise program, containing beginner and advanced difficulty levels, was created. The exercise program contains practice of five everyday tasks including seated reach, sit-to-stand, standing, stepping and step ups. The videos contain instructions, feedback and motivational music designed to assist the person to complete the program independently. An exercise booklet was also developed as a standalone guide to the TASK program. An Android application and website have been created to host the videos.
Conclusion(s): The TASK program may be beneficial in promoting ongoing self-managed exercise for people after stroke. A future study to determine the feasibility and acceptability of the program within a cohort of people after stroke will be conducted.
Implications: Developing and validating a structured exercise program embedded in a self-management approach may be a means of allowing a wider group of people with stroke to access ongoing physiotherapy and/or exercise after discharge from hospital. This should result in increased daily physical activity.
Keywords: Stroke, Technology, Self-management
Funding acknowledgements: Nil
Purpose: To develop a video-guided, self-managed exercise program for people with stroke.
Methods: The research team gathered a group of stroke physiotherapy experts and reviewed the latest evidence in post-stroke exercises that was based on the 2017 Australian National Stroke Guidelines. Based on this review the group planned the exercises to be included within the TASK program. Equipment was designed to assist with the performance of the program including a TASK floor mat and placemat. Filming of the video was scripted, planned and conducted at Macquarie University. Videos for each exercise were edited by the film team. Videos were reviewed by the expert group and feedback sort. The TASK exercise booklet was subsequently developed by the research team. The videos are now hosted in a website and Android application that is freely available to clinicians and people with stroke. The TASK program will now be tested for acceptability to people with stroke by the research team.
Results: A self-managed video-guided exercise program, containing beginner and advanced difficulty levels, was created. The exercise program contains practice of five everyday tasks including seated reach, sit-to-stand, standing, stepping and step ups. The videos contain instructions, feedback and motivational music designed to assist the person to complete the program independently. An exercise booklet was also developed as a standalone guide to the TASK program. An Android application and website have been created to host the videos.
Conclusion(s): The TASK program may be beneficial in promoting ongoing self-managed exercise for people after stroke. A future study to determine the feasibility and acceptability of the program within a cohort of people after stroke will be conducted.
Implications: Developing and validating a structured exercise program embedded in a self-management approach may be a means of allowing a wider group of people with stroke to access ongoing physiotherapy and/or exercise after discharge from hospital. This should result in increased daily physical activity.
Keywords: Stroke, Technology, Self-management
Funding acknowledgements: Nil
Topic: Neurology: stroke; Disability & rehabilitation; Service delivery/emerging roles
Ethics approval required: No
Institution: Macquarie University
Ethics committee: Human Research Ethics Committee
Reason not required: Resource development. Ethics approval now sought to investigate the feasibility of this resource package within participants after stroke.
All authors, affiliations and abstracts have been published as submitted.
