Logo for the Journal of Rehab R&D
Volume 45 Number 2, 2008
Pages 329 — 336

Abstract - Exercise for chronic stroke survivors: A policy perspective

Mary Stuart, ScD;1-2* Sarah Chard, PhD;2-3 Suzanna Roettger, MA2

1Health Administration and Policy Program, University of Maryland, Baltimore County, Baltimore, MD; 2Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Baltimore, MD; 3Department of Sociology and Anthropology, University of Maryland, Baltimore County, Baltimore, MD

Abstract — Evidence is growing on the efficacy of exercise models for improving multiple domains of physiological health and fitness in people with chronic stroke. The Adaptive Physical Activity exercise program in Italy illustrates how geographic dispersion can increase access to such programs. A partnership between local agencies of the Veterans Health Administration and Administration on Aging suggests ways to increase access to exercise programs for veterans and other citizens with chronic stroke in the United States. The use of a structure-process-outcome framework is suggested to facilitate exchange between international research teams regarding development of evolving stroke exercise models.

Key words: chronic disease, community-based programs, exercise models, health promotion, international best practice, older adult, rehabilitation, research framework, stroke, translational research.

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