The purpose of this study was to implement a home-based exercise program for post-discharge stroke survivors and to estimate a change of functional fitness status and health-related QoL (quality of life) by the exercise program. The subjects were nine survivors with mild and moderate hemiparesis. All subjects had to meet the following inclusion criteria: (1) first stroke resulting in hemiplegia, (2) at least 6 months post-stroke, (3) able to walk independently, and (4) free from grave aphasia, apraxia, a gnosia, or disequilibrium. The subjects were provided the exercise videotape that they can perform at home and encouraged to train at least 4 days a week for 25 weeks. The exercise program in the videotape includes: (1) warm-up for 6 minutes, (2) strength training for 9 minutes, (3) balance training for 9 minutes, and (4) cool-down for 6 minutes consisting of muscular relaxation and stretching exercise. Outcome measures were 12 functional fitness test items. Significant improvements (P<0.05) in the treatment period were found for 4 fitness test items, as hand-grip strength, knee extension strength, tandem balance, and timed up and go. Moreover, we found significant differences in the results of physical functioning, role-physical, and vitality on Short-Form 36-Item in the treatment period. These results suggest that post-discharge stroke survivors may attain marked improvements in functional fitness status in response to implementation of a home-based exercise program. This study provides a basis for further intervention.
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