Supported community exercise in people with long-term neurological conditions: a phase II randomized controlled trial

Elsworth, Charlotte; Winward, Charlotte E; Sackley, Catherine; Meek, Charmaine; Freebody, Jane; Esser, Patrick; Izadi, Hooshang; Soundy, Andrew; Barker, Karen; Hilton‐Jones, David; Lowe, Catherine; Paget, Sandra; Tims, Martin; Parnell, R. W.; Patel, Smitaa; Wade, Derick T; Dawes, Helen

doi:10.1177/0269215510392076

Cited by 31 publications

(62 citation statements)

References 24 publications

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“…With the help of fitness professionals, PwP and clinicians, a supported self-managed community exercise programme for people with long-term neurological conditions was developed to fit within existing community fitness centres delivered in gyms by professional with expertise in clinical exercise 17 18. The intervention was guided by behaviour change theory that considered an individual's capability, opportunity and motivation and incorporated appropriate evidence for safe effective exercise and self-determination theory 16–19.…”

Section: Introductionmentioning

confidence: 99%

Phase II randomised controlled trial of a 6-month self-managed community exercise programme for people with Parkinson's disease

Collett

Franssen

Meaney

et al. 2016

J Neurol Neurosurg Psychiatry

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Section: Introductionmentioning

confidence: 99%

Phase II randomised controlled trial of a 6-month self-managed community exercise programme for people with Parkinson's disease

Collett

Franssen

Meaney

et al. 2016

J Neurol Neurosurg Psychiatry

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“…), cerebral palsy ( n = 1 study; 7%) (Elsworth et al . ), degenerative cerebellar disease ( n = 1 study; 7%) (Salbach et al . ), motor neurone disease ( n = 1 study; 7%) (Elsworth et al .…”

Section: Resultsmentioning

confidence: 99%

Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

Merali

Cameron

Barclay

et al. 2015

Health Soc Care Community

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What is known about this topic• Emerging healthcare-recreation partnership model where physical therapists train and support fitness instructors who deliver exercise programmes in recreation centres.• Involvement of knowledgeable and experienced healthcare professionals supports credibility of community exercise programmes.• Model helps increase access to safe and appropriate exercise programmes in the community for individuals with physical disabilities. What this paper adds• Understanding of the nature and extent of literature describing evaluations of community exercise programmes delivered by fitness instructors for people with neurological conditions.• Research is needed across neurological populations, targeting outcomes related to activity, participation, health services and caregivers, with improved reporting on the role of healthcare professionals. AbstractA scoping review was conducted to characterise evaluations of community-based exercise programmes (CBEPs) delivered by fitness instructors to people with neurological conditions. Literature published from 1946 to April 2014 in MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews and the grey literature were searched. Search terms included community, programme, exercise, adult, brain disease and spinal cord disease. Two reviewers independently screened titles and abstracts for inclusion. One author reviewed full-text articles to evaluate eligibility. Studies were included if the study objective was to evaluate an exercise programme, the programme was community-based and delivered by fitness instructors, exercise participants were ≥18 years of age and had a neurological condition, and a full-text article was available and written in English. After reviewing 1785 titles and abstracts, 18 (1.01%) articles describing 15 studies were included in the review. One author completed data abstraction from the included studies. A second reviewer independently verified the extracted data for accuracy. Exercise programmes most commonly included people with stroke (47%) and Parkinson's disease (40%), incorporated a stand-alone (80%), multicomponent (20%), group (67%), individual (20%) and combined format (13%), strength training (40%) and functional/task-oriented training (40%), reported a minimum walking requirement (67%), and involved a healthcare professional (HCP) with various roles (53%), including training (27%), advising and supporting (33%). The most commonly examined participant outcomes were health-related quality of life (60%) and functional balance (47%). More research is needed to develop CBEPs targeting individuals with low ambulatory function and multiple neurological conditions, to develop recommendations for the involvement of HCPs in CBEPs and document their involvement, and to evaluate system-level outcomes such as cost, healthcare utilisation and impact on caregivers. The findings support a number of considerations to guide future research into CBEPs delivered by fitness instructors for individuals with neurological conditions.

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“…There has been a substantial number of programs developed in the last 10 years with the aim of increasing levels of physical activity through coaching and behavioral change interventions in individuals with neurological diseases. Programs such as the LIFE program in the UK 37 , the Blue Prescription for MS in New Zealand 38,39 , ParkFIT for PD in the Netherlands 40,41 , and Engage-HD for people with HD in the UK 42,43 have used similar models of behavioral change interventions, grounded in theoretical constructs to facilitate uptake and adherence. While these studies are not without their limitations, they provide initial guidance for therapists to begin implementing similar coaching strategies, as well as providing important foundations for future research in this area.…”

Section: Health Promotion and Secondary Prevention In Adult Neurologimentioning

confidence: 99%

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

Quinn

Morgan

2017

Journal of Neurologic Physical Therapy

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Background and Purpose Over the last decade there has been a substantial increase in efforts to better understand how targeted physical activity and exercise interventions can be used to minimize secondary consequences arising from neurological damage in both adult and pediatric populations. This paper overviews contemporary research that address mediators of functional and neuroplastic adaptations to physical activity and exercise, and seeks to highlight the important role that physical therapists can play to increase participation and improve well-being in adults and children with neurological disorders. We further highlight potential strategies to foster translation of evidence-based findings for use by clinicians and consumers. Summary of Key Points Engagement in physical activity can serve as a powerful promoter of health and well-being in adults and youth with neurologic disease, and may have the potential to alter the course of disease processes. Physical therapists can play a key role in promoting fitness and wellness by encouraging active living, providing early diagnosis of disease and prescribing targeted activity interventions to improve fitness and participation and helping individuals overcome personal and environmental barriers to an active lifestyle. Recommendations for Clinical Practice Physical therapists must adopt a model of rehabilitation that emphasizes secondary prevention in adults and youth with neurological diseases. Physical therapists can play a unique role in developing forward-thinking approaches in using innovative health and wellness strategies to promote positive changes in activity and exercise behaviors.

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Supported community exercise in people with long-term neurological conditions: a phase II randomized controlled trial

Abstract: People with long-term neurological conditions can safely exercise in community gyms when supported and achieve similar attendance to standard exercise referral schemes, but may reduce other life activities in order to participate at a gym.

Cited by 31 publications

References 24 publications

Phase II randomised controlled trial of a 6-month self-managed community exercise programme for people with Parkinson's disease

Phase II randomised controlled trial of a 6-month self-managed community exercise programme for people with Parkinson's disease

Characterising community exercise programmes delivered by fitness instructors for people with neurological conditions: a scoping review

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

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