Promoting Optimal Physical Exercise for Life (PROPEL)
Summary
It is important for people with stroke to exercise in order to improve their overall recovery and general health. However, people with stroke often do not achieve the recommended frequency, intensity or duration of exercise. Low levels of physical activity leads to people with stroke becoming very unfit, which can result in functional decline and increased difficulty being active. It is important to find ways to help people with stroke to be more active in the long-term. Post-stroke rehabilitation might be an ideal time to start an exercise program, as well as to address barriers, and to develop positive habits, knowledge and abilities for long-term participation in exercise.
This work will identify and overcome the barriers that people with stroke have to exercising during their post-stroke rehabilitation period, and long-term in the community. We expect that the results of this research will be used to get more people with stroke participating in exercise, which will improve their overall recovery and general health, reducing the risk of additional cardiovascular conditions.
Funding
Canadian Institutes of Health Research, Project Grant (2020-2024)
Branch Out Neurological Foundation, Undergraduate Grant, Sarah Thompson (2023)
Canadian Institutes of Health Research, Project Grant (2016-2019)
Trainees
Augustine Devashayam (post-doctoral fellow)
Azadeh Barzideh (PhD student)
Sarah Thompson (former undergraduate student)
Gabriela Rozanski (former post-doctoral fellow)
Jennifer Hutter (former summer student)
I am not recruiting new trainees to work on this project
Inness EL, Jagroop D, Andreoli A, Bayley M, Biasin L, Danells C, Hall J, Mansfield A, McDonald A, Nishri D, Salbach N, Taylor D, Tang A. Factors that influence the clinical implementation of aerobic exercise in stroke rehabilitation: a theory-informed qualitative study. Physical Therapy. 2022;102(6):pzac014 doi:10.1093/ptj/pzac014
Inness EL, Aqui A, Foster E, Fraser J, Danells CJ, Biasin L, Brunton K, Howe J-A, Poon V, Tang A, Mansfield A, Marzolini S, Oh P, Bayley M. Determining safe participation in aerobic exercise early after stroke through a graded submaximal exercise test. Physical Therapy. 2020;100(9):1434-1443. doi:10.1093/ptj/pzaa103
Moncion K, Biasin L, Jagroop D, Bayley M, Danells C, Mansfield A, Salbach NM, Inness E. Tang A. Barriers and facilitators to aerobic exercise implementation in stroke rehabilitation: a scoping review. Journal of Neurologic Physical Therapy. 2020;44(3):179-187. doi:10.1097/NPT.0000000000000318
Rozanski G, Aqui A, Sivakumaran S, Mansfield A. Consumer wearable devices for activity monitoring among individuals with stroke: a prospective comparison. JMIR Cardio. 2018;2(1):e1. doi:10.2196/cardio.8199
Mansfield A, Brooks D, Tang A, Taylor D, Inness EL, Kiss A, Middleton L, Biasin L, Fleck R, French E, LeBlanc, Aqui A, Danells CJ. Promoting Optimal Physical Exercise for Life (PROPEL) – aerobic exercise and self-management early after stroke to increase daily physical activity: study protocol for a stepped-wedge randomized trial. BMJ Open 2017;7:e015843 doi:10.1136/bmjopen-2017-015843
Mansfield A, Knorr S, Poon V, Inness EL, Middleton L, Biasin L, Brunton K, Howe J-A, Brooks D. Promoting Optimal Physical Exercise for Life (PROPEL) – an exercise and self-management program to encourage participation in physical activity after discharge from stroke rehabilitation: a feasibility study. Stroke Research and Treatment. 2016;2016:9476541. doi:10.1155/2016/9476541
Brown C, Fraser JE, Inness EL, Wong JS, Middleton LE, Poon V, McIlroy WE, Mansfield A. Does participation in standardized aerobic fitness training during in-patient stroke rehabilitation promote engagement in aerobic exercise after discharge? A cohort study. Topics in Stroke Rehabilitation. 2014;21(Suppl 1):S42-51. doi:10.1310/tsr21S1-S42
Biasin L, Sage MD, Brunton K, Fraser JE, Mileris R, Howe J, Bayley M, Brooks D, McIlroy WE, Mansfield A, Inness EL. Integrating aerobic training within sub-acute stroke rehabilitation: a feasibility study. Physical Therapy. 2014;94(12):1796-1806. doi:10.2522/ptj.20130404