The Feasibility of Community-Based Supervised Exercise Programs toEngage and Monitor Patients in a Postrehabilitation Setting

摘要

Objective. To evaluate the feasibility of disease-specific,community-based supervised exercise programs (CSEPs) to improve biometric andfunctional outcomes among persons with a variety of chronic medical conditions.Design. Feasibility, cohort study. Subjects were recruitedthrough community placed flyers and provider offices. Exercise programsconsisted of aerobic and resistance training that adhered to American College ofSports Medicine guidelines. A Wilcoxon signed rank test was used to assessprogram outcomes. Setting. Ten, community-based, medicalfitness centers. Subjects. A total of 382 total participants.The number of participants in each CSEP ranged from 38 to 119. Individuals were18 years of age or older and treated for various chronic medical conditions.Results. Varied by cohort, but generally consisted of(a) favorable changes in body composition( P < .05), (b) significantimprovements in submaximal exercise tolerance and functional outcome measures( P < .05), and (3) significant increase inself-reported exercise behaviors ( P < .05).Conclusion. CSEPs improve outcomes in patients with chronicmedical conditions and may be relevant within the continuum of care inoutpatient rehabilitation medicine, particularly among bundled or value-basedpayment models. Further research is needed to evaluate outcomes from CSEPsversus controls.