OBJECTIVE: To investigate the effect of early aerobic training on the aerobic and functional abilities of patients in the subacute stage of cerebrovascular accident (CVA). DESIGN: Randomized controlled trial. SETTING:Rehabilitation unit in Israel. PARTICIPANTS: Ninety-two patients who had a first CVA were randomly assigned to an exercise-training group or to a control group. INTERVENTION: Aerobic training with a leg cycle ergometer for 8 weeks. MAIN OUTCOME MEASURES: Workload, exercise time, resting and submaximal blood pressure and heart rate, and functional abilities. RESULTS: A trend toward improvement was found in all aerobic parameters for the experimental group, but only heart rate at rest (P=.02), workload, and work time (P<.01) improved significantly. A trend for improvement was also found in all parameters of function for the experimental group, but only stair climbing was significantly better (P<.01). An interaction (95% confidence interval, 1.7-17.21) was found between age and aerobic training on walking distance. Although no significant effect was found in the group of younger patients (aged <65y), a significant difference in favor of training was noted in the group of older patients. CONCLUSIONS: Patients with CVA in the subacute stage improved some of their aerobic and functional abilities after submaximal aerobic training.
RCT Entities:
OBJECTIVE: To investigate the effect of early aerobic training on the aerobic and functional abilities of patients in the subacute stage of cerebrovascular accident (CVA). DESIGN: Randomized controlled trial. SETTING: Rehabilitation unit in Israel. PARTICIPANTS: Ninety-two patients who had a first CVA were randomly assigned to an exercise-training group or to a control group. INTERVENTION: Aerobic training with a leg cycle ergometer for 8 weeks. MAIN OUTCOME MEASURES: Workload, exercise time, resting and submaximal blood pressure and heart rate, and functional abilities. RESULTS: A trend toward improvement was found in all aerobic parameters for the experimental group, but only heart rate at rest (P=.02), workload, and work time (P<.01) improved significantly. A trend for improvement was also found in all parameters of function for the experimental group, but only stair climbing was significantly better (P<.01). An interaction (95% confidence interval, 1.7-17.21) was found between age and aerobic training on walking distance. Although no significant effect was found in the group of younger patients (aged <65y), a significant difference in favor of training was noted in the group of older patients. CONCLUSIONS:Patients with CVA in the subacute stage improved some of their aerobic and functional abilities after submaximal aerobic training.
Authors: Abigail L Leddy; Mark Connolly; Carey L Holleran; Patrick W Hennessy; Jane Woodward; Ross A Arena; Elliot J Roth; T George Hornby Journal: J Neurol Phys Ther Date: 2016-10 Impact factor: 3.649
Authors: David H Saunders; Mark Sanderson; Sara Hayes; Maeve Kilrane; Carolyn A Greig; Miriam Brazzelli; Gillian E Mead Journal: Cochrane Database Syst Rev Date: 2016-03-24
Authors: Judith E Deutsch; Mary Jane Myslinski; Michal Kafri; Richard Ranky; Mark Sivak; Constantinos Mavroidis; Jeffrey A Lewis Journal: J Neurol Phys Ther Date: 2013-09 Impact factor: 3.649
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