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Measurement of adherence to home‐based exercises among community‐dwelling stroke survivors in India
Author(s) -
Mahmood Amreen,
Solomon John Michael,
English Coralie,
Bhaskaran Unnikrishnan,
Me Girish,
Manikandan Natarajan
Publication year - 2020
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1827
Subject(s) - stroke (engine) , medicine , physical therapy , physical medicine and rehabilitation , mechanical engineering , engineering
Abstract Objectives To develop an adherence questionnaire specific to stroke and measure the level of adherence to home‐based exercises among community‐dwelling stroke survivors. Methods We developed and validated the “Stroke‐Specific Measure of Adherence to Home‐based Exercises” (SS‐MAHE). We measured the exercise adherence among 92 community‐dwelling stroke survivors in a cross‐sectional study. Results The SS‐MAHE has two sections covering (a) the dosage of prescribed exercises and (b) dosage of actual exercises done by the participants. It was found to be reliable with ICC score of 0.81 (95% CI, 0.44, 0.94, p = .001.) Adherence was measured by comparing prescribed exercises to the actual exercises performed at home. We rated participants as “adherent” if they were following more than 70% of the prescribed exercise dosage. In our sample of 92 stroke survivors, only 28% of participants were adherent to prescribed home‐based exercises. Conclusion SS‐MAHE is a practical and reliable tool to measure adherence to home‐based exercises after a stroke. Exercise adherence among stroke survivors is less than ideal. There is a need for strategies to specifically target exercise adherence in stroke survivors.