Abstract WP65: A Qualitative Exploration Of Stroke Survivors’ Participation In Physical Exercise And Associated Beliefs And Barriers

Abstract

Introduction: Physical activity is a vital component of post-stroke rehabilitation. However, as survivors’ functional abilities or environmental circumstances may impede their participation in physical activity, this qualitative study aimed to investigate their patterns and perceptions of exercise to identify rehabilitation barriers and improve survivor health outcomes. Methods: Semi-structured interviews were carried out with fifty stroke survivors recruited by convenience sampling. Participants were asked about their physical limitations post-stroke, past and present activity levels, beliefs regarding physical activity, and desired rehabilitation support. Interviews were transcribed verbatim and thematically analyzed. Results: Regarding exercise behaviors, the majority of participants took regular walks and only a minority engaged in targeted exercises for arms or legs. Generally, although survivors recognized the value of post-stroke exercise in improving their health, barriers due to physical limitations and a mismatch between community resources and survivor needs led to suboptimal exercise behaviors. Most participants did not have residential elevators and some reported inconvenience in leaving their homes. Among those with relatively serious physical restrictions, fear of adverse incidents such as falls was common and prevented them from attempting exercise both outside and at home. Moreover, among those who could access community exercise facilities, some felt that the provided equipment did not suit their body types and that they would feel unsafe using them. To boost participation and confidence in exercise, home guidance from rehabilitation care providers and the presence of caregivers or volunteers during physical activity were recommended. Conclusions: Sufficient participation in physical exercise remains challenging for stroke survivors due to a variety of physical restrictions and perceived safety concerns. To increase accessibility and encourage more frequent exercise among survivors, it is important to implement home rehabilitation strategies as alternatives to outdoor exercise, and to provide dedicated in-person support to prevent adverse incidents.