Improving life after stroke needs global efforts to implement evidence-based physical activity pathways.
Journal: International journal of stroke : official journal of the International Stroke Society
Volume: 14
Issue: 5
Year of Publication: 2020
Affiliated Institutions:
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Florey Institute of Neuroscience and Mental Health, Melbourne University, Heidelberg, Australia.
Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, USA.
Physical Therapy, University of British Columbia, Vancouver, Canada.
School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Callaghan, Australia.
Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
School of Physiotherapy, Dalhousie University, Halifax NS, Canada.
Stroke Action Nigeria, Onitsha, Nigeria.
Rehabilitation Medicine, University of Gothenburg, Gothenburg, Sweden.
Department of Physiotherapy, School of Allied Health Sciences, Centre for Comprehensive Stroke Rehabilitation and Research, Manipal Academy of Higher Education, Manipal, India.
Department of Physiotherapy, Singapore General Hospital, Singapore, Singapore.
Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Abstract summary
There is an urgent need to improve life after stroke across the world-especially in low-income countries-through methods that are effective, equitable and sustainable. This paper highlights physical activity (PA) as a prime candidate for implementation. PA reduces modifiable risk factors for first and recurrent stroke and improves function and activity during rehabilitation and following discharge. Preliminary evidence also indicates PA is cost-effective. This compelling evidence urgently needs to be translated into seamless pathways to enable stroke survivors across the world to engage in a more active lifestyle. Although more quality research is needed-particularly on how to optimize uptake and maintenance of PA-this should not delay implementation of high-quality evidence already available. This paper shares examples of best practice service models from low-, middle-, and high-income countries around the world. The authors call for a concerted effort to implement high-quality PA services to improve life after stroke for all.
Authors & Co-authors:
van Wijck Frederike F
Bernhardt Julie J
Billinger Sandra A SA
Bird Marie-Louise ML
Eng Janice J
English Coralie C
Teixeira-Salmela Luci Fuscaldi LF
MacKay-Lyons Marilyn M
Melifonwu Rita R
Sunnerhagen Katharina S KS
Solomon John M JM
Thilarajah Shamala S
Mead Gillian G
Study Outcome
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