Evidence map›Paper›PMID 40705945›Full record

ArticleJournal of evaluation in clinical practice2025

Facilitating Access and Adherence to Physical Activity and Exercise for Service Users With Neurological Conditions in the Community: A Service Evaluation.

Caroline Appel, James Alexander, Simon Conroy, Cherry Kilbride

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Caroline AppelCamden Neurology and Stroke Service, Central North West London NHS Foundation Trust, London, UK.ORCID 0009-0000-5735-8925
James AlexanderCamden Neurology and Stroke Service, Central North West London NHS Foundation Trust, London, UK.
Simon ConroyLifelong Health and Ageing, University College London, Central North West London NHS Foundation Trust, London, UK.
Cherry KilbrideDepartment of Health Sciences, Brunel University of London, Uxbridge, UK.

Funding

This study was supported by NOCLOR, research institute in London.
6 · The paper itself

Abstract

rationaleMany service users with neurological conditions do not meet the recommended physical activity requirements. Cultivating early and ongoing access to physical activity and exercise opportunities is vital to improve or maintain function and general health in this vulnerable group.

aimTo evaluate the impact of a pathway that aimed to facilitate access and adherence to physical activity and exercise for service users with neurological conditions.

methodsA London-based NHS healthcare team providing community neurorehabilitation developed a pathway in co-production with public health, local authority, third sector parties and service users to facilitate physical activity and exercise opportunities. First, NHS neurophysiotherapists offered a bespoke programme on exercise, physical activity and education to service users for up to 12 weeks. The pathway continued in local gyms, supported by a fitness instructor, for at least a further 12 weeks. Using a pre-post design, outcomes relating to function, strength and physical activity were recorded at baseline, 6-12 weeks (health care) and 6 weeks later (telephone survey after transition to local gyms). Data analysis was descriptive.

resultsThirty-five service users (20 men), mean (SD) age 60 (15), with a range of neurological conditions, were eligible and included. Ten participants dropped out: eight (23%) for medical reasons, two (6%) for other reasons. Due to the COVID-19 pandemic, four (11%) service users could not transition when facilities closed in March 2020. Analysis showed potential beneficial effects on function, strength and physical activity for service users as well as reduced waiting times to access the NHS and local gyms.

conclusionOutcomes suggested the pathway enabled service users to access and adhere to physical activity and exercise following neurorehabilitation. This evaluation included small numbers but could inform service development and future studies.

Indexed as

ExerciseExercise TherapyHealth Services AccessibilityNervous System DiseasesNeurological RehabilitationPatient ComplianceAgedCOVID-19FemaleHumansLondonMaleMiddle AgedState Medicineco‐productionexercisehealthhealth services researchneurological conditionsphysical activityservice evaluation

Identifiers

PMID40705945
PMCPMC12289228

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.