Júlia Caetano Martins1, Larissa Tavares Aguiar1, Sylvie Nadeau2, Aline Alvim Scianni1, Luci Fuscaldi Teixeira-Salmela1, Christina Danielli Coelho De Morais Faria3. 1. Department of Physical Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil. 2. Centre de Recherche Interdisciplinaire en Réadaptation, Institut de Réadaptation Gingras-Lindsay de Montréal, Université de Montreal, CIUSSS Centre-Sud-de-l'Île-de-Montréal, Montreal, Canada. 3. Department of Physical Therapy, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627-Campus Pampulha, 31270-901 Belo Horizonte, Minas Gerais, Brazil.
Abstract
BACKGROUND: The majority of people after stroke demonstrate mobility limitations, which may reduce their physical activity levels. Task-specific training has been shown to be an effective intervention to improve mobility in individuals with stroke, however, little is known about the impact of this intervention on levels of physical activity. OBJECTIVES: The main objective is to investigate the efficacy of task-specific training, focused on both upper and lower limbs, in improving physical activity levels and mobility in individuals with stroke. The secondary objective is to investigate the effects of the training on muscle strength, exercise capacity, and quality of life. DESIGN: This is a randomized controlled trial. SETTING: The setting is public health centers. PARTICIPANTS: Community-dwelling people with chronic stroke. INTERVENTIONS: Participants will be randomized to either an experimental or control group, who will receive group interventions 3 times per week over 12 weeks. The experimental group will undertake task-specific training, while the control group will undertake global stretching, memory exercises, and health education sessions. MEASUREMENTS: Primary outcomes include measures of physical activity levels and mobility, whereas secondary outcomes are muscle strength, exercise capacity, and quality of life. The outcomes will be measured at baseline, postintervention, and at the 4- and 12-week follow-ups. CONCLUSIONS: The findings of this trial have the potential to provide important insights regarding the effects of task-specific training, focused on both upper and lower limbs, in preventing secondary poststroke complications and improving the participants' general health through changes in physical activity levels.
BACKGROUND: The majority of people after stroke demonstrate mobility limitations, which may reduce their physical activity levels. Task-specific training has been shown to be an effective intervention to improve mobility in individuals with stroke, however, little is known about the impact of this intervention on levels of physical activity. OBJECTIVES: The main objective is to investigate the efficacy of task-specific training, focused on both upper and lower limbs, in improving physical activity levels and mobility in individuals with stroke. The secondary objective is to investigate the effects of the training on muscle strength, exercise capacity, and quality of life. DESIGN: This is a randomized controlled trial. SETTING: The setting is public health centers. PARTICIPANTS: Community-dwelling people with chronic stroke. INTERVENTIONS: Participants will be randomized to either an experimental or control group, who will receive group interventions 3 times per week over 12 weeks. The experimental group will undertake task-specific training, while the control group will undertake global stretching, memory exercises, and health education sessions. MEASUREMENTS: Primary outcomes include measures of physical activity levels and mobility, whereas secondary outcomes are muscle strength, exercise capacity, and quality of life. The outcomes will be measured at baseline, postintervention, and at the 4- and 12-week follow-ups. CONCLUSIONS: The findings of this trial have the potential to provide important insights regarding the effects of task-specific training, focused on both upper and lower limbs, in preventing secondary poststroke complications and improving the participants' general health through changes in physical activity levels.
Authors: Reem M Alwhaibi; Noha F Mahmoud; Hoda M Zakaria; Wanees M Badawy; Mahmoud Y Elzanaty; Walaa M Ragab; Maher S Benjadid; Nisreen N Al Awaji; Hager R Elserougy Journal: Int J Environ Res Public Health Date: 2020-10-29 Impact factor: 3.390
Authors: David H Saunders; Gillian E Mead; Claire Fitzsimons; Paul Kelly; Frederike van Wijck; Olaf Verschuren; Karianne Backx; Coralie English Journal: Cochrane Database Syst Rev Date: 2021-06-29