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workshop_2a_exercising_after_stroke+(1).pdf
- 1. Exercising after Stroke Moving Forward After Stroke Pilot Programme
- 2. #strokeassembly Structure 1. Moving Forward After Stroke Pilot Programme 2. Exercise Adaptations 3. Experience & Feedback 4. Ian’s Story 5. Questions
- 3. #strokeassembly MFAS e ? specially designed 12-week programme to help stroke survivors ? launched in July 2017 and being piloted in selected sites over a period of 2 years
- 4. #strokeassembly MFAS - Aims The programme has been designed: ? to support stroke recovery ? to improve levels of physical fitness and function ? to better understand stroke and its risk factors ? to encourage positive lifestyle changes, to improve health and wellbeing and to reduce the stroke risk
- 5. #strokeassembly MFAS - Design ? to achieve these aims, the service takes a multi- faceted approach Pre-Assessment Education Session Exercise Session 6th Week Review 12th Week Review Education Session Exercise Session
- 6. #strokeassembly Exercise Session ? specialist exercise and fitness after stroke instructor ? STARTER programme: ? the exercises can be tailored to the needs of each individual Warm Up Cool Down Strength Training Stamina (circuit format)
- 7. #strokeassembly Exercise Session - Aims Increased strength and mobility Improved gait and balance Increased energy levels Increased confidence and self-esteem Improved wellbeing Finding ways to overcome the barriers of stroke
- 8. #strokeassembly Education Session 1. Exercise 7. Balancing Our Meals 3. Making Changes 4. Wellbeing 8. Energy Balance 2. Being More Active 6. Mid-Point Review 12. Final Review 11. Topic Roundup 10. Meal Planning 9. Food and Mood 5. Nutritional Information
- 9. #strokeassembly Education Session - Aims ? understanding of stroke and risk prevention ? social peer-support, communication & integration ? understanding the value of self-management and care ? improving health and wellbeing through a better understanding of the benefits of a healthier lifestyle
- 10. #strokeassembly Why Exercising? ? to regain lost physical abilities ? to achieve recovery and independence ? benefits for health and wellbeing ? to improve quality of life
- 11. #strokeassembly Reduces your risk of stroke heart diseases some cancers dementia type 2 diabetes depression Lowers your blood pressure cholesterol level blood sugar level Helps controlling your weight increasing your flexibility boosting your confidence Boosts your recovery after illness or injury mood quality of sleep energy level Being physically active Strengthens your heart and lungs bones and muscles immune system
- 12. #strokeassembly Exercising After Stroke ? depends on the effects of the stroke: ? Able to do same as before? ? Is exercise still suitable and safe? ? adapt exercise type or level ? Open to trying new things ? Fatigue - getting the intensity level right
- 13. Types of Exercises Walking / Walking Groups Gardening Gym Swimming Exercise Referral Programmes Walking Football / Netball Lower Intensity Exercise Classes Stroke Support Groups Cycling / Velocity ? Home Exercises Foot / Arm Pedal Exercise Classes for Older Adults Exercises from Physio
- 15. Warm Up
- 17. Shoulder Rolls to improve arm movement and posture
- 18. Side Bends Left & Right to improve movement and balance
- 19. Trunk Twists Left & Right to improve upper body movement
- 20. Ankle Mobility to improve walking and balance
- 21. Side Stepping to improve balance and walking
- 23. Step Up to improve leg strength and power
- 24. Ball Raise to improve reaching and holding objects
- 25. Wall press to improve arm movement and posture
- 26. Sit to Stand to improve leg strength, power and balance
- 27. Shuttle Walk to improve fitness/stamina and walking
- 28. Hand to Knee to improve coordination, balance and fitness
- 29. Leg Raises - front, side & back to improve strength around the upper leg and coordination
- 30. Cycling to improve cardiovascular fitness (stamina) and cycling ability
- 32. Back Arm Strength to improve arm strength and power
- 33. Upper Arm Strength to improve strength around the shoulders and upper back
- 34. Arm Curl to improve arm strength and power
- 35. Knee Bend / Squat to improve leg strength
- 37. Chest Stretch to improve posture, breathing, and arm movements
- 38. Upper Side Stretch to improve movement around the spine and trunk
- 39. Back of Thigh Stretch to improve walking, stride length and mobility, putting shoes on
- 40. Calf Stretch to improve walking and balance
- 42. #strokeassembly Experiences ? a lot of positive feedback: ? overall positive and recommendable experience ? meeting other stroke survivors ? information and knowledge is seen as interesting and helpful ? exercises are beneficial ? improvement in exercise performance and measurements ? it’s much needed ? opportunity ? for me: enriching experience, meet nice people and good fun
- 43. #strokeassembly Feedback “I’m really delighted about the programme and the support, as there is not much help provided after the hospital.” “I found it really good meeting other people who had a stroke, being able to share experiences, and seeing that I’m not the only one struggling with things in normal life. In addition, there was a good and relaxed atmosphere in class, which made it fun and a good laugh.” “I generally feel better and I can see the differences it made. It was a good addition to my rehab programme as it allowed me to push myself to the next level.”
- 44. #strokeassembly Feedback “I really enjoyed the 12 weeks and not only myself but also my family and friends could see the positive changes over the weeks.” “I feel better and think it’s due to being more active and eating better. I feel like I’m making a difference as before I was more coping with the stroke rather than improving. After the stroke I learnt to take it easy, which was not like me. But taking part in the programme showed me that I can take it a bit further and can push myself to achieve the next step.” “It would be good for people to get involved earlier after their stroke.”
- 45. #strokeassembly Feedback “I found it brilliant and just wished it would have been there earlier. I feel a lot more positive than before. Meeting other stroke survivors and being on the course made me realised that I can change and can get better again.” “I found it good that there was a group support and development, but at the same time also space for an individual approach in individual support and advice or tailoring of exercises and intensity levels.” “Being on the programme and the support from the group helped me to regain my confidence. It gave me a boost as there was not much before.”