[[alternative]]Effects of Home-based Exercise Program 333 on Physical Activity, Functional Status and Quality of Life in Chronic Stroke Patients

[[abstract]]背景：中風是常見的慢性疾病之一，會顯著導致患者身體活動、功能狀態與生活品質的下降。為了促進健康與提升活動能力，中風患者須改變靜態的生活型態及增加日常生活中的身體活動。目的：除了一般的復健運動外，本研究針對慢性中風患者設計以自主性增加日常身體活動為目的之「居家運動333計畫」，並探討此居家運動計畫對慢性中風患者之身體活動、功能狀態及生活品質改善之影響。方法：41位患有慢性中風導致半側偏癱的患者，經同意後隨機分成實驗組與控制組。兩組每週皆接受2次傳統復健，實驗組於第一週時額外接受居家運動衛教，並給予衛教單張。實驗前與12週後評估兩組的身體活動、功能狀態及生活品質的變化。身體活動是以Lifecorder EX（Suzuken Co. Ltd, Nagoya, Japan）來調查，項目包括每日步數、靜態、動態、低強度、中高強度身體活動時間。功能狀態以三公尺起立步行、伯格式平衡量表、三十秒起坐、十公尺步行速度、六分鐘行走及功能獨立量表來分別評估敏捷、平衡、下肢肌力、步行速度、行走耐力及日常生活功能。生活品質則以中風衝擊量表(SIS 3.0)來評估。所得資料以描述性統計、卡方檢定、曼惠特尼 U檢定 及Wilcoxon符號等級檢定來進行分析，差異定為p < .05。結果：實驗組的靜態行為時間、敏捷性、一般步行速度、行走耐力與生活品質等前後測之間皆有顯著差異，而身體活動與敏捷性、下肢肌力、步行速度、行走耐力的等的變化率皆顯著大於對照組。結論：居家運動333計畫可以改善慢性中風患者身體活動、功能狀態及生活品質，建議除了一般的復健治療外，可以居家運動鼓勵患者自主性的增加日常中的活動。[[abstract]]Stroke is one of the most common chronic disease in older adults. Stroke survivors always significantly decline in physical activity, functional status and quality of life. The increasing of daily physical activity and changing of sedentary life style are essential to promote the health condition and enhance physical mobility. Besides regular rehabilitation, this study designed a ‘Home-based Exercise program 333’ for chronic stroke patients to increase their physical activity in daily life. Furthermore, the study investigated the effects of ‘Home-based Exercise 333’ on physical activity, functional status, and quality of life in chronic stroke patients.Forty-one chronic stroke patients with hemiplegic were randomly assigned into experiment group and control group. Both groups accepted traditional rehabilitation twice a week. The experiment group received health education of home exercise in the first week. Before and after 12 weeks of the experience, the two groups accepted the assessment of physical activity, functional status, and quality of life. There were significant differences in sedentary time, agility, walking speed, walking endurance and quality of life before and after intervention in experiment group (p < .05). The comparison improvement of before and after intervention in two groups showed significant differences in physical activity, agility, lower extremities strength, walking speed and walking endurance in experiment group (p < .05). The 12 weeks ‘Home-based Exercise Program 333’ could significantly improve the performances of physical activity, functional status and quality of life in chronic stroke patients. The study suggests the employment of home-based exercise may encourage patients to increase their daily living activity autonomously