Effects of Exercise on Quality of Life in Stroke Survivors: A Literature Review

https://doi.org/10.52235/lp.v6i2.473

Authors

  • Georfia Chalkia International Hellenic University of Thessaloniki, Greece
  • Kallistratos Vargi International Hellenic University of Thessaloniki, Greece
  • Adib Kamil Bin Husen Universiti Tun Hessein Onn Malaysia

Keywords:

stroke rehabilitation, exercise theraphy, quality of life, physical activity

Abstract

Stroke survivors often experience significant impairments in physical, psychological, and social functioning, leading to reduced quality of life (QoL). Exercise has emerged as a promising intervention to enhance recovery, yet its comprehensive effects on QoL remain underexplored. This literature review aims to examine the impact of exercise on QoL in stroke survivors by analyzing its benefits across multiple domains, identifying optimal intervention strategies, and addressing implementation barriers. A systematic search of peer-reviewed studies from 2014–2024 was conducted across major databases, focusing on exercise interventions and their outcomes in stroke rehabilitation. Findings demonstrate that structured exercise programs, including aerobic, resistance, and task-specific training, significantly improve motor function, psychological well-being, and social participation. Caregiver involvement and empowerment-based approaches further enhance adherence and long-term outcomes. However, barriers such as accessibility, motivation, and financial constraints limit widespread implementation. The review concludes that exercise is a vital component of stroke rehabilitation, with multidisciplinary, personalized approaches yielding the best results. Future research should focus on standardized protocols, technology-assisted solutions, and policy changes to improve accessibility and sustainability of exercise-based interventions for stroke survivors.

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References

Caunca MR, Simonetto M, Hartley G, Wright CB, Czaja SJ. Design and Usability Testing of the Stroke Caregiver Support System: A Mobile-Friendly Website to Reduce Stroke Caregiver Burden. Rehabil Nurs. 2020;45(3):166-177. doi: 10.1097/RNJ.0000000000000196

Cuzco C, Delgado-Hito P, Marin-Pérez R, Núñez-Delgado A, Romero-García M, Martínez-Momblan MA, et al. Transitions and empowerment theory: A framework for nursing interventions during intensive care unit patient transition. Enferm Intensiva (Engl Ed). 2023;34(3):138-147. doi: 10.1016/j.enfie.2022.10.003

Deyhoul N, Vasli P, Rohani C, Shakeri N, Hosseini M. The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlled trial study. Aging Clin Exp Res. 2020;32(7):1343-1352. doi: 10.1007/s40520-019-01321-4

Dharma K K, Damhudi D, Yardes N, Haeriyanto S. Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome. Front Nursing. 2021;8(4):419-427. doi: 10.2478/fon-2021-0042

Kusmaul N, Butler S, Hageman S. The Role of Empowerment in Home Care Work. J Gerontol Soc Work. 2020;63(4):316-334. doi: 10.1080/01634372.2020.1750524

Kwakkel G, Stinear C, Essers B, Munoz-Novoa M, Branscheidt M, Cabanas-Valdés R, et al. Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework. Eur Stroke J. 2023;8(4):880-894. doi: 10.1177/23969873231191304

Lee JW, Sohn MK, Lee J, Kim DY, Shin YI, Oh GJ, et al. Predictors of Burden for First-Ever Stroke Survivor’s Long-Term Caregivers: A Study of KOSCO. Medicina (Kaunas). 2024;60(4):559. doi: 10.3390/ medicina60040559

Liao Z, Liao F. Effect of early pulmonary rehabilitation therapy on the pulmonary function of patients with stroke-associated pneumonia and analysis of its effectiveness. Pak J Med Sci. 2024;40(7):1545-1550. doi: 10.12669/pjms.40.7.8113

Lobo EH, Frølich A, Kensing F, Rasmussen LJ, Livingston PM, Grundy J, et al. mHealth applications to support caregiver needs and engagement during stroke recovery: A content review. Res Nurs Health. 2021;44(1):213-225. doi: 10.1002/nur.22096

McCreary DDJ. Home Health Nursing Job Satisfaction and Retention: Meeting the Growing Need for Home Health Nurses. Nurs Clin North Am. 2020;55(1):121-132. doi: 10.1016/j.cnur.2019.11.002

Molu NG, Ozkan B, Icel S. Quality of life for chronic psychiatric illnesses and home care. Pak J Med Sci. 2016;32(2):511-515. doi: 10.12669/pjms.322.8794

Morris L, Mansell W, Williamson T, Wray A, McEvoy P. Communication Empowerment Framework: An integrative framework to support effective communication and interaction between carers and people living with dementia. Dementia (London). 2020;19(6):1739-1757. doi: 10.1177/1471301218805329

Pont W, Groeneveld I, Arwert H, Meesters J, Mishre RR, Vliet Vlieland T, et al. Caregiver burden after stroke: changes over time? Disabil Rehabil. 2020;42(3):360-367. doi: 10.1080/09638288.2018.1499047

Raemdonck E, Lambotte D, De Witte N, Gorus E. Giving voice to informal caregivers of community-dwelling older adults: A systematic review of empowerment interventions. Health Soc Care Community. 2022;30(6):e3354-e3368. doi: 10.1111/hsc.13928

Saban KL, Tell D, De La Pena P. Nursing Implications of Mindfulness-Informed Interventions for Stroke Survivors and Their Families. Stroke. 2022;53(11):3485-3493. doi: 10.1161/STROKEAHA.122.038457

Saini V, Guada L, Yavagal DR. Global Epidemiology of Stroke and Access to Acute Ischemic Stroke Interventions. Neurology. 2021;97(20_Suppl_2):S6-S16. doi: 10.1212/WNL.0000000000012781

She Z, Li D, Zhang W, Zhou N, Xi J, Ju K. Three Versions of the Perceived Stress Scale: Psychometric Evaluation in a Nationally Representative Sample of Chinese Adults during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(16):8312. doi: 10.3390/ijerph18168312.

Strini V, Prendin A, Cerrone V, Schiavolin R, De Barbieri I, Andretta V, et al. Scale of Assessment of Caregiver Care Burden of People with Dementia: A Systematic Review of Literature. TranslMed UniSa. 2023;25(2):38-49. doi: 10.37825/2239-9747.1044

Tao Y, Wang Y. Effect of empowerment theory health education on disease control level and compliance of elderly T2DM. Pak J Pharm Sci. 2023;36(2(Special)):643-648.

Thitipitchayanant K, Somrongthong R, Kumar R, Kanchanakharn N. Effectiveness of self-empowerment-affirmation-relaxation (Self-EAR) program for postpartum blues mothers: A randomize controlled trial. Pak J Med Sci. 2018;34(6):1488-1493. doi: 10.12669/pjms.346.15986

Tyagi S, Koh GCH, Luo N, Tan KB, Hoenig H, Matchar DB, et al. Dyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: exploring the role of caregiver and patient characteristics in a prospective cohort study. BMJ Open. 2020;10(4):e036631. doi: 10.1136/bmjopen-2019-036631

Vainauskienė V, Vaitkienė R. Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review. Int J Environ Res Public Health. 2021;18(5):2247. doi: 10.3390/ijerph18052247

Wafa HA, Wolfe CDA, Emmett E, Roth GA, Johnson CO, Wang Y. Burden of Stroke in Europe: Thirty-Year Projections of Incidence, Prevalence, Deaths, and Disability-Adjusted Life Years. Stroke. 2020;51(8):2418-2427. doi: 10.1161/STROKEAHA.120.029606

Zhao X, Sha X, Qi L. Effects of comprehensive exercise training on frailty, negative emotions and physical functions of elderly patients with diabetes. Pak J Med Sci. 2024;40(6):1225-1230. doi: 10.12669/pjms.40.6.7955

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Published

2025-06-02

How to Cite

Chalkia, G., Vargi, K., & Bin Husen, A. K. (2025). Effects of Exercise on Quality of Life in Stroke Survivors: A Literature Review. Lentera Perawat, 6(2), 310–317. https://doi.org/10.52235/lp.v6i2.473

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