Stroke Prevention Exercise Program (S-PEP) Exercise Videos

The Comprehensive Stroke and Rehabilitation Services programs at UW Hospital and Clinics have partnered to create a special exercise program for people who have had strokes. The Stroke Prevention Exercise Program or "S-PEP" has been designed to give you safe and fun exercise options to help prevent new strokes.

Common types of exercise videos are described below. There is also a list of videos you can find at your library or video store. This is not a complete list, so look around for other exercise videos that are safe and fun. Look at Your County Resources for a list of libraries and video stores near you.

Ratings Notes:

• A workout got an easy balance rating if it is done on the floor or standing.
• A workout got a medium rating if it requires standing on one leg or crossing your legs.
• A workout got a hard balance rating if it requires jumping or complex movements. 

If you need to decrease your effort for any of the workouts, simply slow down or use less effort. If you are already in good shape, pilates, yoga, and tai chi may not increase your heart rate and breathing a great deal. If you need to increase your effort, pause the video and repeat the move, hold the pose longer, or increase the number of reps. You can also work in exercises from S-PEP's Home Workout.

Keep in mind that you do not have to master all of the instructor's moves. If any of the movements are too complex, you can perform the moves slower, do your best, or skip them. Only do what feels comfortable and safe with each video and workout type. Start with a low impact video with an easy balance rating.

• Stepping Aerobics: Stepping can be an upbeat and fun workout. Instructors are peppy and helpful. They will tell you to do specific moves to the beat of music. An aerobics step is used but a small, stable step stool can be used instead. Use a taller or shorter step (or no step) to change the effort and impact.
• Pilates: Pilates works the core of the body (stomach, back, buttocks, thighs, etc.). Most moves are done on a mat on the floor. If you do not have a mat, you can use any flat, carpeted surface.
• Yoga and Tai Chi: Both yoga and tai chi are used to increase fitness and relaxation. Styles are different but often focus on smooth movements, correct posture, and building strength. Balance is emphasized, so you may want to hold onto the back of a chair when doing some moves.
• Walking: When the weather is poor or you would like the guidance and support of an instructor, a walking video may be a good option. A sturdy pair of shoes is the only equipment you need.