A mixed-methods approach was used to study an individually-tailored community exercise program for people with a range of chronic neurological conditions (e.g., stroke, spinal cord injury, brain injury, multiple sclerosis, Parkinson’s disease) and abilities. The program was delivered to older adults (mean age: 62 ± 9 years) with chronic neurological conditions across a 12-week and an 8-week term. Participants attended 88% of sessions and completed 89% of prescribed exercises in those sessions. There were no adverse events. Clinically important improvements were achieved by all evaluated participants (n = 8) in at least one testing domain (grip strength, lower-extremity strength, aerobic endurance, and balance). Interviews with participants identified key program elements as support through supervision, social connection, individualized programming, and experiential learning. Findings provide insight into elements that enable a community exercise program to meet the needs of a complex and varied group. Further study will support positive long-term outcomes for people aging with neurological conditions.

一种混合方法用于研究为患有一系列慢性神经系统疾病（例如，中风、脊髓损伤、脑损伤、多发性硬化症、帕金森病）和能力的人量身定制的社区锻炼计划。在为期 12 周和 8 周的学期中，该计划面向患有慢性神经系统疾病的老年人（平均年龄：62 ± 9 岁）。参与者参加了 88% 的课程，并在这些课程中完成了 89% 的规定练习。没有不良事件。所有接受评估的参与者都取得了临床上重要的改善（n = 8) 在至少一个测试领域（握力、下肢力量、有氧耐力和平衡）。与参与者的访谈确定了关键的计划要素，如通过监督、社会联系、个性化规划和体验式学习提供支持。调查结果提供了对使社区锻炼计划能够满足复杂多样的群体需求的要素的洞察力。进一步的研究将支持患有神经系统疾病的老年人获得积极的长期结果。