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A Case Report of a Physical Activity Intervention for Adults with Stroke: Enhancing Balance and Functional Fitness through Golf

Dean A. Zoerink, Marcia J. Carter

Abstract


Stroke is a major cause of serious, long-term disability for those living in the United States. Treatment of issues related to stroke requires a multidisciplinary rehabilitation approach. Recreation therapy services, which include physical activities, contribute to positive rehabilitation outcomes experienced by those post stroke. This report identifies the impact of a repetitive adapted golf program on the (1) functional fitness skills and (2) balance of adults recovering from stroke as well as any community resources used by participants. Eleven men and women (M  age = 61.5) were referred to the program. Each participated in a group-oriented, collaborative community adapted golf program. Pre- and posttest assessments of functional fitness and balance were measured using components of the Functional Fitness Battery and the Berg Balance Test. Participants experienced statistically significant increases in their levels of coordination, “standing on one foot,†and strength. Differences in scores for agility and “sit to stand†were not statistically significant. Although several limitations are noted, it seems that regular involvement in moderately or mildly active physical activities can help improve selected functional skills in persons having stroke. Most did report a positive response to use of community resources. The results of this project support the use of adapted golf as a therapeutic recreation modality for poststroke intervention.


Keywords


adapted golf; agility; balance; coordination; recreation therapy; therapeutic recreation; strength; stroke

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