Barriers and Facilitators to Aerobic Exercise Implementation in Stroke Rehabilitation: A Scoping Review.

Journal of Neurologic Physical Therapy : JNPT
Kevin MoncionAda Tang

Abstract

Aerobic exercise is a recommended part of stroke best practices; yet, access to aerobic exercise programs within stroke rehabilitation remains limited and inconsistent. The purpose of this scoping review was to describe the nature and extent of barriers and facilitators to aerobic exercise implementation with adults post-stroke as reported by health care professionals. MEDLINE, EMBASE, Web of Science, CINAHL, PsycINFO, and AMED Allied and Complementary Medicine were searched from inception to October 16, 2019. Research studies that examined health care professionals' barriers and facilitators to aerobic exercise implementation in adults post-stroke were included. Two reviewers independently conducted title and abstract screening, full-text evaluation, data extraction, and quality appraisal. The Theoretical Domains Framework was used to map the identified barriers or facilitators and to analyze and interpret the results. Four studies were included in the review. All studies involved surveys conducted among physical therapists and reported barriers related to "environmental context and resources" (eg, lack of equipment, time, staff), insufficient "knowledge" and "skills" (eg, safe aerobic exercise prescription and implementation)...Continue Reading

References

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Feb 8, 2013·Journal of Neurologic Physical Therapy : JNPT·Lindsay Doyle, Marilyn Mackay-Lyons
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Feb 22, 2017·Topics in Stroke Rehabilitation·Michelle L A NelsonRenee Lyons
Mar 7, 2017·Journal of Neurologic Physical Therapy : JNPT·Pierce BoyneKari Dunning
Aug 24, 2018·Journal of Neurologic Physical Therapy : JNPT·Celine NathooSusan Marzolini

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Citations

Feb 19, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Jake DiPasqualeChad Swank
Jun 3, 2021·Journal of Clinical Medicine·Liam P KellyMichelle Ploughman
Jun 19, 2021·Scientific Reports·Kazuaki OyakeKimito Momose
Aug 10, 2021·Journal of Neurologic Physical Therapy : JNPT·Jennifer L MooreJan Egil Nordvik
Oct 30, 2021·Neurorehabilitation and Neural Repair·Kevin MoncionAda Tang

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