Research Article

Identification of Good Practices in Long-Term Exercise-Based Rehabilitation Programs in Stroke Patients

Table 2

Overview of the 10 partners’ exercise-based interventions after stroke.

Intervention/type/countryParticipantsInterventionMain findings

Stationary vs. home rehabilitation/study/Croatia [16]Intervention group size 60 hemorrhagic and ischemic stroke patients (30 in stationary rehabilitation, 30 in home rehabilitation)Stationary rehabilitation: kinesitherapy, electrotherapy, hydrotherapy, medical care and thermal pools, during 3 weeks.
Rehabilitation at home: physiotherapy, individual exercises, stretching, joint mobilization, and massages
Stationary rehabilitation is superior in quality of life improvement, total functional outcome, improvement of the upper limb and balance. Comorbidities are better regulated in patients in stationary rehabilitation

Rehabilitation with mirror-induced visual illusion/study/Croatia [17]31 ischemic and hemorrhagic stroke patients with both right and left hemiparesis (experimental group: 17)Experimental group: standard rehabilitation treatment with additional mirror therapy, once a day, 5 days per week for 15 minutes per day, exercises divided into three series of 5 minutes; control group: standard rehabilitation treatmentMirror therapy improved motor function in the upper limb, leading to a greater potential of self-care and activities of daily living

Robotic rehabilitation/study/Czech Republic [18]38 stroke patients (20 experimental group, 18 control group)Physiotherapy for 5 hours weekly and ergotherapy 2.5 hour weeklyDiminution of spasticity (MAS median form 2 to 1 in the experimental group versus 2 to 1+ in the control group) and an improvement in the hand grip functions

Amadeo instrument in chronic rehabilitation/Study/Czech Republic [19]12 hemorragic and ischemic stroke patientsStretching of the spastic muscles of the upper acre extremities followed by intense training using an Amadeo instrument for 45 minutes. The first 5-20 minutes were devoted to the passive exercises (CPM and CPMplus), which alternated with assisted exercise, then active training—games balloon, firefighter, recycling, apple picker, shootout (one month, three times weekly)No statistically significant improvement on motor functions of upper extremity, hand grip strength, motion range of fingers

Cervical isometric exercises/Study/Greece [20]37 stroke patients with hemiparesis and symptoms of dysphagiaStandard physical and speech therapy plus cervical isometric exercises carried out in all 4 directions, four repetitions for 10 minutes three times a day for 12 consecutive weeksPatients improved cervical alignment, in both coronal and sagittal plane and deglutition

Exercise rehabilitation program with experiential music/Study/Greece [21]24 ischemic and hemorrhagic stroke patientsPatients followed a 6 months music-based exercise program, at a frequency of 4 training sessions per week, for 45 minutes each session. Each training session included group activities supported by experiential/traditional music throughout each lesson, with a 5 minutes warm-up period of breathing and flexibility exercises followed by the main part of upper and lower body strengthening, balance and co-ordination exercises on sitting and standing position and trunk movements performed at a moderate intensity and a cool-down period of 5-10 minutes of patients holding hands while moving slowly in a circle listening to musicRecovery rate (defined as the improvement of cognitive and motor skills of the limb in the affected site, with an increase of muscle strength at least by 1/5 and with emotional progress) was higher when exercise rehabilitation program was accompanied by an enriched sound environment with experiential music on stroke patients

Adaptive physical activity with therapeutic patient education/study/Italy [22]229 ischemic and hemorrhagic stroke patientsThree group sessions of interactive therapeutic patient education (TPE) and 8 weeks of twice weekly adaptive physical activities (APA) exercise sessions have been delivered. Duration: 60 minutes. Intensity of training: progressively increasedAPA associated to TPE results to be a useful and potentially cost-effective intervention to maintain and improve activities of daily living, reduce fractures and recourse to rehabilitation treatments. It has been observed a significant improvement on mobility, balance, and on patients’ perception of recovery from the acute phase

Low-intensity endurance and resistance training/Study/Italy [23]35 ischemic and hemorrhagic stroke patients8-week program composed of an endurance phase based on walking training (weeks 1-4) followed by a mixed phase (weeks 5-8) mainly focusing on muscle-strength training. Frequency: 3 sessions/week. Duration: 60 minutes. Intensity of training: progressively increasedImprovement of mobility, lower-limb strength and power, balance, gait speed, and quality of life

Virtual reality and traditional physiotherapy/action/Lithuania (unpublished)8 ischemic stroke patientsIndividualized computer programs of movement training exercises. Program length: 4 weeks. Frequency: 2 sessions/week. Duration: 30 minutesPositive influence on patients’ balance and coordination (ataxy).
Strengthened patients’ motivation

Gait training with KinisiForo system/action/Lithuania (unpublished)12 stroke patientsGait training with KinisiForo system (3 weeks)Improvements in trunk control, gait symmetry, and walking speed