{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:03:24Z","timestamp":1789628604942,"version":"build-2803163510"},"reference-count":71,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,2,2]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Cardiac rehabilitation (CR) is a structured exercise program prevalent in the United States for people with cardiovascular disease that has been shown to increase cardiovascular endurance and improve quality of life. Despite similar cardiovascular risk factors, stroke is not among the covered diagnoses for CR. The purpose of this study was to examine the participant impact of integrating survivors of stroke into the exercise portion of an existing hospital\u2010based CR program through measures of physical function and other health impacts and through qualitative evaluation of participant perception.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Subacute and chronic survivors of stroke were integrated into a standard 12\u2010week, 3 sessions per week, exercise\u2010based CR program. A total of 29 began the program, 24 completed the program, and 18 were available for 6\u2010month follow\u2010up. Quantitative measures were compared preprogram with postprogram with\n              <jats:italic>t<\/jats:italic>\n              \u2010test or equivalent, and preprogram with postprogram to 6\u2010month follow\u2010up with ANOVA or equivalent. Semistructured interviews were completed with 11 participants postprogram. Exercise\u2010based CR had significant impacts on cardiovascular endurance preprogram to postprogram, with maintenance at 6\u2010month follow\u2010up. The participants improved on the 6\u2010minute walk test on average by 61.92\u00a0m(95% CI, 33.99\u201389.84\u00a0m), and maximum metabolic equivalents improved by a median of 3.6 (interquartile range, 2.35). Five times sit to stand (functional strength) improved preprogram to postprogram by a median of 2.85\u00a0s (interquartile range, 4.03\u00a0s). Qualitative findings highlight additional health improvements. Most participants (83% [15\/18]) reported continued exercise at follow\u2010up.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Exercise\u2010based CR has the potential to improve cardiovascular endurance, health status, and quality of life for survivors of stroke.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Registration<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              URL:\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.clinicaltrials.gov\">https:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n              ; Unique identifier: NCT03706105.\n            <\/jats:p>\n          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