Barriers associated with exercise and community access for individuals with stroke

Abstract

Abstract-Increasing participation in physical activity among people with stroke continues to be a major challenge for healthcare professionals. We administered a survey to a group of 83 adults with unilateral stroke (mean age = 54.2 yr) to determine their perceived barriers to exercise. The five most common barriers in rank order were (1) cost of the program (61%), (2) lack of awareness of a fitness center in the area (57%), (3) no means of transportation to a fitness center (57%), (4) no knowledge of how to exercise (46%), and (5) no knowledge of where to exercise (44%). The least common barriers were (1) lack of interest (16%), (2) lack of time (11%), and (3) concern that exercise would worsen their condition (1%). People with stroke reported several barriers that prevented or reduced their participation in exercise. Healthcare professionals must identify and remove these barriers to promote greater participation in exercise among people with stroke.

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

“…10 Geographical and transportation barriers, socio-economic factors and financial constraints might be important determinants of this non-adherence. 11 Therefore, it is important to look for alternative models of health service delivery that could better meet patientsÕ preferences and, in so doing, enhance exercise treatment compliance.…”

Physical activity of disabled individuals in the context of meeting WHO recommendations and support of local authorities

“…[26][27][28] On one hand, as in the overall population, this results from a lack of time and interests; however, the employment rate among disabled individuals is substantially lower than in the general population, which leaves them more time for active rest. [29] On the other hand, there are additional barriers for this social group. [29,30] A lack of sport and recreation facilities in their neighborhoods, a lack of belief which the existing facilities have a friendly environment, high costs of participation, insufficient engagement of local authorities, a lack of information, available equipment, available programs, equipment not commensurate to the abilities of disabled individuals, minimal space between training equipment, limited space to move around on a wheelchair, poor lighting, and noise.…”

“…[29] On the other hand, there are additional barriers for this social group. [29,30] A lack of sport and recreation facilities in their neighborhoods, a lack of belief which the existing facilities have a friendly environment, high costs of participation, insufficient engagement of local authorities, a lack of information, available equipment, available programs, equipment not commensurate to the abilities of disabled individuals, minimal space between training equipment, limited space to move around on a wheelchair, poor lighting, and noise. [31,32] These are only some of the obstacles that efficiently limit undertaking exercises.…”

Efecto de un programa de actividad físico deportiva sobre la salud de personas con daño cerebral adquirido en fase crónica

“…En el estudio de barreras y facilitadores hacia la práctica de AF en personas con DCA se han encontrado como factores determinantes el género (Berzina, Paanalahti, Lundgren-Nilsson, y Sunnerhagen, 2013;Ríos et al, 2009), la edad (Berzina et al, 2013;Prout, Brooks, Mansfield, Bayley, y McIlroy, 2015), el lugar de residencia que determina el acceso a transporte y servicios (Berzina et al, 2013;Rimmer, Wang, y Smith, 2008;Sherer et al, 2014), el nivel de salud físico y mental (Reavenall y Blake, 2010;Ríos et al, 2009;Sherer et al, 2014), la motivación hacia la práctica (Hamilton, Khan, Clark, Williams, y Bryant, 2016;Reavenall y Blake, 2010;Rimmer et al, 2008) y la autoeficacia (Hamilton et al, 2016).…”

“…A la hora de diseñar este programa hemos tenido en cuenta el posible desconocimiento de este colectivo sobre los beneficios de la AF sobre su salud (Driver et al, 2012;Rimmer et al, 2008;Self, Driver, Stevens, y Warren, 2013), utilizando explicaciones argumentadas para los participantes con el objetivo de que comprendieran el beneficio de cada tarea, así como barreras que afectan a la participación en programas de AF comunes como la distancia desde el lugar de residencia al centro deportivo. Por ello, fue importante plantear actividades en lugar accesibles cercanos al lugar de residencia.…”