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Digitalt handledd fysisk träning efter stroke eller transitorisk ischemisk attack: en genomförbarhetsstudie
Luleå University of Technology, Department of Health, Learning and Technology.
2023 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Supervised digital physical exercise post stroke or transient ischemic attack : a feasibility study (English)
Abstract [sv]

Studiens syfte var att beskriva genomförbarheten av digitalt handledd fysisk träning via en mobilapplikation, för personer med stroke eller transitorisk ischemisk attack (TIA), avseende följsamhet, format (individuellt/grupp), säkerhet, intensitet samt progression. Studien baserades på en randomiserad kontrollerad genomförbarhetsstudie (originalstudien) som utvärderar genomförbarheten av distansbaserad fysisk träning för personer som drabbats av stroke eller TIA. Trettio deltagare, vilket motsvarade experimentgruppen i originalstudiens första etapp, inkluderades i aktuell studie och huvudsakliga inklusionskriterier var att kunna gå korta sträckor med eller utan gånghjälpmedel, bo i eget boende samt ha tillgång till stabil internetuppkoppling och identifiering via BankID. Digitalt handledd fysisk träning levererades via mobilapplikationen STAAR, två tillfällen per vecka under fas 1 (månad 1-3) och ett tillfälle per vecka under fas 2 (månad 4-6). Träningstillfällena bestod av konditionsträning i intervallform på minst måttlig intensitet. Deskriptiva statistiska analyser genomfördes i Jamovi 2.3. Tjugoåtta deltagare (93%) fullföljde interventionen och följsamhet till träningen var 85% (IQR=15) under fas 1 och 74% (IQR=28) under fas 2. Den vanligaste orsaken till uteblivet träningstillfälle var sjukdom (29%). Av genomförda träningstillfällen var 62% gruppträningstillfällen och 96% av deltagarna deltog i minst ett gruppträningstillfälle. Inga fall eller andra allvarliga händelser som kunde kopplas till den handledda träningen rapporterades under interventionen. Majoriteten av skattningarna avseende intensitet motsvarade minst måttlig intensitet (81%) och 17 deltagare (61%) påvisade en progression i träningsnivå under interventionsperioden. Aktuell studie tyder på att digitalt handledd fysisk träning via en mobilapplikation är ett genomförbart träningsalternativ, avseende följsamhet, format (individuellt/grupp), säkerhet, intensitet samt progression, för personer med stroke eller TIA.

Abstract [en]

The aim of the study was to describe the feasibility of digitally supervised physical exercise via a mobile application, for people with stroke or transient ischemic attack (TIA), regarding adherence, format (individual/group), safety, intensity and progression. The study was based on a randomized controlled feasibility study (original study) evaluating the feasibility of remote physical exercise for people post stroke or TIA. Thirty participants, which corresponded to the experimental group in the first stage of the original study, were included in the current study and key inclusion criteria were being able to walk short distances with or without a walking device, living at home and having access to stable internet connection and identification via BankID. Digitally supervised physical exercise was delivered via the STAAR mobile application, twice per week during phase 1 (months 1-3) and once per week during phase 2 (months 4-6). The training sessions consisted of aerobic exercises in interval format targeting at least moderate intensity. Descriptive statistical analyses were performed in Jamovi 2.3. Twenty-eight participants (93%) completed the intervention and adherence to the training was 85% (IQR=15) during phase 1 and 74% (IQR=28) during phase 2. The most common reason for missing a training session was illness (29%). Of the total completed training sessions, 62% were group sessions and 96% of the participants took part in at least one group session. No falls or other serious events associated with the training were reported during the intervention. Most of the intensity estimates corresponded to at least moderate intensity (81%) and 17 participants (61%) demonstrated a progression in exercise level during the intervention period. The current study indicates that digitally supervised physical exercise via a mobile application is a feasible exercise alternative, regarding adherence, format (individual/group), safety, intensity and progression, for people with stroke or TIA.   

Place, publisher, year, edition, pages
2023. , p. 31
Keywords [en]
Exercise, mobile health, secondary prevention, stroke
Keywords [sv]
Mobilhälsa, sekundärprevention, stroke, träning
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-98613OAI: oai:DiVA.org:ltu-98613DiVA, id: diva2:1770825
Educational program
Physiotherapy, master's level (60 credits)
Supervisors
Examiners
Available from: 2023-06-20 Created: 2023-06-19 Last updated: 2025-02-11Bibliographically approved

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