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The purpose of this study was to implement a community-based exercise program for postdischarge stroke survivors in the public health center. The subjects were fourteen male stroke survivors with chronic upper and lower limb paresis (63.0•}5.9 years). The study design was quasiexperimental, with each subject serving as his own control. All subjects have to meet following inclusion criteria : (1) first stroke resulting in hemiplegia, (2) at least 6 months post-stroke, (3) able to walk independently, and (4) free from grave aphasia, apraxia, agnosia, or disequilibrium. A 25-week (2 deek) training program consisted of a warm-up, lower and upper extremity muscle strengthening, recreational activities, walking training, and a cool down. The duration of this program is approximately 70 minutes a day. The outcome measure was the 12 functional fitness test items and questionnaire in activities parallel to daily living. Significant improvements (P<0.05) were found for handgrip strength, knee extension strength, tandem balance, standing and sitting, and timed up and go in the treatment period. However, the scores in activities parallel to daily living were not significant. These results suggest that they may attain significant functional improvements in response to implementation of a community-based exercise program. In conclusion, post-discharge stroke survivors can improve their functional fitness status by participating in a community-based exercise program. (Jpn. J, Phys. Fitness Sports Med. 2002, 51: 367•`376) key word : stroke survivors, community-based rehabilitation, exercise program, pleasure

EFFECTS OF A COMMUNITY-BASED EXERCISE PROGRAM ON FUNCTIONAL FITNESS STATUS AND APDL IN POST-DISCHARGE STROKE SURVIVORS