Margaret Galloway and her team at HMRI received a Stroke Foundation Small Project Grant for their project Determining the minimum dose of exercise required to improve cardiorespiratory fitness in stroke survivors.
Stroke survivors have very low levels of cardiorespiratory fitness, often less than half that of their peers. This is close to the threshold required for daily living, and leads to increased risk of recurrent stroke and other comorbidities. The Australian Physical Activity Guidelines recommend 150mins/week of physical activity to reduce cardiovascular disease risk. We know achieving this is not possible for many stroke survivors. It is possible that lower doses of exercise may also be effective in improving cardiorespiratory fitness.
Knowledge about the dose response relationship between exercise and health is limited by previous study designs that have chosen doses of exercise arbitrarily. This project will use best practice dose-finding methodology to determine the effectiveness of lower doses of exercise training in people after stroke.
Exercise sessions will be delivered via telerehabilitation in participants’ own homes.
If successful, this approach could mean supervised exercise training is more achievable for rural dwelling stroke survivors, and for others who have difficulty accessing community fitness facilities.
Nadine Andrew was awarded a Stroke Foundation Seed Grant for her project: Identifying gaps and inequalities in access to GP coordinated care for survivors of stroke
Nadine will link national data from the Australian Stroke Clinical Registry to Medicare data. This data will be used to describe how the health needs of the 450,000 Australians living with stroke are being managed in the community. Their access to GPs and the type of care provided will be studied to identify gaps and inequalities in access to best practice care.