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<p>Since 2004, there has been a 12% relative increase in stroke prevalence in the working-aged (18–65 years) population of Ontario. Studies have shown that successful community reintegration is an important indicator of perceived quality of life post-stroke.</p> <p>The purpose of this interpretive phenomenological study was to explore the lived experience of community reintegration for working-aged persons post-stroke in order to inform the development of appropriate and effective strategies to support their community reintegration and continued stroke recovery.</p> <p>The essence of the phenomenon of community reintegration for working-aged persons post-stroke emerged as: “Life Goes On: The journey of surviving a stroke in the prime of your life”. Six themes emerged to support this journey of community reintegration after stroke: 1) processing the shock, 2) starting the road to recovery, 3) living with stroke, 4) who am I? 5) carrying-on and 6) transcending the stroke. While participants experienced their personal journey to community reintegration in a unique way, their journey led them to realize that in order to successfully reintegrate back into their community, they needed to adjust, adapt and reach some level of acceptance in order to move on and essentially transcend their stroke</p> <p>There needs to be a call to action for the delivery of client-centered stroke care. A client centered approach to stroke care will ensure that the voices of working-aged persons post-stroke are heard and given priority in their rehabilitation and community reintegration planning.</p> / Master of Science Rehabilitation Science (MSc)

There is growing appreciation of the potential for high intensity interval training (HIT) to rapidly stimulate metabolic adaptations that resemble traditional endurance training, despite a low total exercise volume. However, much of the work has been conducted on young active individuals and the results may not be applicable to older, less active populations. In addition, many studies have employed "all out", variable-load exercise interventions (e.g., repeated Wingate Tests) that may not be safe, practical or well tolerated by certain individuals. We determined the effect of a short program of low-volume, submaximal, constant-load HIT on skeletal muscle oxidative capacity and insulin sensitivity in sedentary middle-aged individuals who may be at higher risk for inactivity-related chronic diseases. Sedentary but otherwise healthy men (n=3) and women (n=4) with a mean (±SE) age, body mass index and peak oxygen uptake (VO_2peak) of 45±2 yr, 27±2 kg-m^2 and 30±1 ml·kg^-1·min^-1 were recruited. Subjects performed 6 training sessions over 2 wk, each consisting of 10 x 1 min cycling at 60% of peak power elicited during a ramp VO_2peak test (<90% of heart rate reserve) with 1 min recovery between intervals. Needle biopsy samples (v. lateralis) were obtained before training and <72 h after the final training session. Muscle oxidative capacity, as reflected by the maximal activity and protein content of citrate synthase, increased by ~20% after training, which is similar to changes previously reported after 2 wk of Wingate-based HIT in young active subjects. Insulin sensitivity, based on fasting glucose and insulin, improved by ~35% after training. These data support the notion that low-volume HIT may be a practical, time- efficient strategy to induce metabolic adaptations that reduce the risk for inactivity-related disorders in previously sedentary adults. / Thesis / Master of Science (MSc)