Exercise is Medicine: Secondary Stroke Prevention
Prescription
- FITT Principle
- Frequency: how often should you exercise?
- 3-5 times a week, with activity most days per week
- Reduce sedentary (low activity) time
- Frequency: how often should you exercise?
- It’s not healthy for you! Try standing, walking short distances to start
- Intensity: how hard should I work when I exercise?
- 40-75% VO2 peak
- Heart rate needs to be monitored if you’re on beta blockers
- Time: how much time should I spend exercising?
- 20-60 minutes is what’s recommended, either all together or broken up during the day (10 minute sessions)
- Type: what is the best type of exercise for me to do?
- Aerobic exercise
- Weight lifting, yoga, Tai chi
- Blood vessels, heart, and other organs get additional benefit
- Aerobic exercise
- Of the four components, intensity is the hardest to determine
- It requires individualization
- Depends on person’s health
- Heart rate may be impacted by medications taken (i.e., beta blockers)
- Talk test
- If you can continue to talk and/or sing, you’re at a mild pace
- If you can talk, but can’t sing, you’re at a more moderate pace
- If you can’t talk or if it’s harder to talk, you’re at the most intense pace for you
- Depends on person’s health
- It requires individualization
- Type of exercise is important to discuss as well
- There should be a goal in mind for what you want to achieve for your exercise
- You need to be able to move your body! Don’t become sedentary
- There are different levels of exercise that can be fitted to an individual’s plan (can be done sitting or standing, mild or intense, etc.)
Exercise Prescription Post Stroke
- Muscle strengthening
- Major muscle groups
- Frequency: 2-3 days a week
- Intensity: 3 sets, 10-15 reps
- Can lower as needed
- Anything is better than nothing
- Mode: weight machine, free weights, theraband
Benefits of exercise
- Improves mood, cognition, and depressive symptoms
- Makes you feel better about yourself
- You can be a part of a community
- Improves strength and upper extremity function
- Improves vascular health and aerobic fitness
- Can measure how healthy blood vessels are
- Increased walking endurance
Summary
- Exercise that increases heart rate= good for heart and brain health
- You should do exercises YOU are willing to do
- Physical activity
- Sit less often during the day

