Clinical application of personalized exercise prescription in limb function rehabilitation during convalescence of stroke

doi:10.3877/cma.j.issn.2095-123X.2025.05.003

Abstract

Abstract:

Objective

To investigate the clinical effect of personalized exercise prescriptions on limb function rehabilitation in stroke patients during the convalescent phase.

Methods

A total of 56 stroke patients in the convalescent phase who were treated in the Department of Rehabilitation Medicine in Shanghai General Hospital from February to August in 2024 were selected. The disease course spans 3 to 6 months. Using a randomized block design, the patients were divided into a control group and an intervention group, with 28 patients in each group. After then, one patient dropped out from the control group. The control group received basic exercise rehabilitation education and performed self-directed exercises, while the intervention group followed a personalized exercise prescription tailored to their individual needs. The intervention lasted for 3 months. Assessments were conducted before the intervention, as well as 1 month and 3 months after the intervention, using the simplified Fugl-Meyer assessment (FMA), 10 m maximum walking speed (MWS) test, medical coping modes questionnaire (MCMQ), and follow-up evaluations of exercise safety.

Results

After 1 month of exercise, FMA and 10 m MWS scores in both groups improved compared to baseline, and the FMA scores in the intervention group were significantly better than those in the control group (P<0.05). After 3 months of exercise, the FMA, 10 m MWS, and MCMQ "Confrontation" scores of both groups of patients improved compared to those after 1 month of exercise, while MCMQ "Avoidance" and "Resignation" scores were lower than those after 1 month of exercise, and the intervention group showed better results in FMA, 10 m MWS, and MCMQ "Confrontation" scores than the control group, with statistically significant differences (P<0.05).

Conclusions

The application of personalized exercise prescriptions can significantly improve limb motor function and walking ability in stroke patients during the convalescent phase. Influencing coping styles through exercise prescriptions and enhancing cardiopulmonary and overall coordination functions may be effective strategies for further optimizing exercise regimens in stroke patients.

Key words: Personalized exercise prescription, Convalescent period of stroke, Limb function, Rehabilitation

Yiyi Chen, Bo Yu, Wenhua Chen, Fei He. Clinical application of personalized exercise prescription in limb function rehabilitation during convalescence of stroke[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2025, 15(05): 268-274.

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References 18

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项目	对照组（n=27）	干预组（n=28）	t/χ²值	P值
性别[例（%）]			0.068	0.792
男性	19（70.4）	21（75.0）
女性	8（29.6）	7（25.0）
年龄（岁，mean±SD）	68.85±3.17	69.89±3.46	-1.207	0.231
病程（个月，mean±SD）	4.26±1.16	4.43±1.07	-0.592	0.559
疾病类型[例（%）]			0.462	0.498
脑梗死	20（74.1）	23（82.1）
脑出血	7（25.9）	5（17.9）

项目	对照组（n=27）	干预组（n=28）	t/χ²值	P值
性别[例（%）]			0.068	0.792
男性	19（70.4）	21（75.0）
女性	8（29.6）	7（25.0）
年龄（岁，mean±SD）	68.85±3.17	69.89±3.46	-1.207	0.231
病程（个月，mean±SD）	4.26±1.16	4.43±1.07	-0.592	0.559
疾病类型[例（%）]			0.462	0.498
脑梗死	20（74.1）	23（82.1）
脑出血	7（25.9）	5（17.9）

组别	例数	锻炼前	锻炼1个月	锻炼3个月	F值	P值	偏η²
对照组	27	70.85±5.16	78.89±6.24^a	85.19±5.19^ab	44.789	<0.001	0.633
干预组	28	70.93±5.98	82.50±6.47^a	90.39±4.31^ab	85.586	<0.001	0.767
t值		-0.055	-2.105	-4.053
P值		0.960	0.040	<0.001
时间因素×组别因素					3.269	0.042	0.058
时间因素主效应					136.557	<0.001	0.720
组别因素主效应					9.943	0.003	0.158

组别	例数	锻炼前	锻炼1个月	锻炼3个月	F值	P值	偏η²
对照组	27	70.85±5.16	78.89±6.24^a	85.19±5.19^ab	44.789	<0.001	0.633
干预组	28	70.93±5.98	82.50±6.47^a	90.39±4.31^ab	85.586	<0.001	0.767
t值		-0.055	-2.105	-4.053
P值		0.960	0.040	<0.001
时间因素×组别因素					3.269	0.042	0.058
时间因素主效应					136.557	<0.001	0.720
组别因素主效应					9.943	0.003	0.158

组别	例数	锻炼前	锻炼1个月	锻炼3个月	F值	P值	偏η²
对照组	27	0.51±0.12	0.60±0.10^a	0.70±0.10^ab	22.242	<0.001	0.461
干预组	28	0.50±0.09	0.62±0.06^a	0.78±0.08^ab	52.483	<0.001	0.669
t值		0.501	-0.763	-3.221
P值		0.619	0.449	0.002
时间因素×组别因素					3.366	0.038	0.060
时间因素主效应					80.424	<0.001	0.603
组别因素主效应					3.510	0.067	0.062

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