Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?

Billinger, Sandra A.; Boyne, Pierce; Coughenour, Eileen; Dunning, Kari; Mattlage, Anna E.

doi:10.1007/s11910-014-0519-8

Cited by 99 publications

(93 citation statements)

References 80 publications

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“…Methods in these studies have included sufficient numbers of repetitions, yet have not applied sufficient intensity. The principle of frequency, intensity, type and time (FITT principle) [56], as well as those principles cited of neuroplasticity and motor learning [57,58], lead us to the understanding that it is not the sheer numbers of repetitions or minutes-spent in dual task training, but the level of rigor, complexity, challenge and ultimately intensity -that has the opportunity to make each repetition meaningful and sufficient to induce measurable change. The FITT principle, outlining all of the ingredients: frequency, intensity, type and time sheds light on the shortcomings of research to date -delivered with no standard of intensity or citation of error rate that the subjects experience.…”

Section: Rehabilitation Of Dual Task In Gait…or Rehabilitation Of Gaimentioning

confidence: 99%

Retraining Automaticity: Recovering the Procedural Memory of Walking after Stroke

Mt¹

2017

Phys Med Rehabil Int

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Walking upright, on two feet, without a cane or other assistive device -is perhaps the most ubiquitous and arguably the most human of all procedural memories. Yet, walking did not start out as a procedural memory that we were innately born able to do. How did walking become "automatic", or procedural? Is that capacity lost after stroke? The motor control for walking, while it can be adjusted for environment and task, is a relatively individualized pattern superimposed on many basic similarities from person to person. The pathway by which we develop "our" recognizable pattern of walking includes two essential ingredients. First, we need an environment that allows for locomotion as a primary means of transit (i.e., repetitions). Second, we need sufficient demand (in the form of dual task distractions) to push the organization of the motor control of gait into the more primitive structures of the basal ganglia and cerebellum. Our recognizable "walk", evolves over time and, barring injury or change in somatotype (e.g., significant weight gain or loss), remains relatively constant through our adult years. In this paper, we will discuss both what is known in regard to creating this procedural memory, and what is known about re-creating this level of automaticity, particularly after stroke.

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Section: Rehabilitation Of Dual Task In Gait…or Rehabilitation Of Gaimentioning

confidence: 99%

Retraining Automaticity: Recovering the Procedural Memory of Walking after Stroke

Mt¹

2017

Phys Med Rehabil Int

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“…LENNON et al (2008) Os tipos de EF aeróbicos mais usados e recomendados em indivíduos pós-AVC são a caminhada, corrida e/ou ciclismo (BILLINGER et al, 2014b). Tanto os EF aeróbicos feitos em esteira MACKO et al, 2001) quanto em bicicleta (TANG et al, 2009;YATES et al, 2004) possuem eficácia comprovada em melhorar os parâmetros de saúde pós-AVC.…”

Section: Aspectos Emocionaisunclassified

“…No entanto, uma revisão sistemática de 2014 verificou que, mesmo com uma frequência semanal de EF inferior à recomendada (3-7 vezes por semana), 6 ensaios clínicos randomizados identificaram melhora significante para o VO2pico (AMMANN et al, 2014). Dessa forma, a literatura sugere que, mesmo abaixo da frequência semanal recomendada, os EF aeróbicos demonstram benefícios para os indivíduos pós-AVC, embora a magnitude e a eficiência em alcançar os benefícios possa ser influenciada pela adoção ou não da frequência semanal ideal (BILLINGER et al, 2014b).…”

Section: Aspectos Emocionaisunclassified

“…Dessa forma, estratégias como o treinamento intervalado de alta intensidade (TIAI) tem se tornado uma alternativa (BILLINGER et al, 2014b). O TIAI consiste na aplicação de séries de EF aeróbios de alta intensidade intercalados com séries de recuperação ativa (i. e. EF menos intensos) ou repouso dentro de uma mesma sessão com variadas combinações de intensidade e tempo (BOYNE et al, 2015).…”

Section: Aspectos Emocionaisunclassified

“…Embora pouco estudado em indivíduos pós-AVC, as evidências disponíveis até o momento apontam a eficácia do TIAI em promover intensidades de EF aeróbios satisfatórias, benefícios cardiovasculares e funcionais (BILLINGER et al, 2014b;BOYNE et al, 2015). Foi demonstrado que um protocolo em esteira, utilizando uma relação esforço/pausa de 4 minutos a 85-95% da FCpico seguido de 3 minutos a 70% da FCpico, 2 vezes por semana durante 6 meses, levou a melhoras significantes nos parâmetros de funcionalidade (teste de caminhada de 6 minutos e avaliação de desempenho motor) (ASKIM et al, 2014).…”

Section: Aspectos Emocionaisunclassified

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Jogos de realidade virtual em indivíduos pós-acidente vascular cerebral: respostas fisiológicas agudas e sua reprodutibilidade

Sousa¹

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Feasibility of a prospective physiotherapy model of care during the intense treatment phase of childhood cancer (FITChild): A mixed methods design

Dalla Santa,

Barton,

Downie

et al. 2023

Pediatric Blood & Cancer

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Background Children diagnosed with cancer often develop significant physical treatment‐related side effects. This study evaluated the feasibility of a targeted, proactive, individualised physiotherapy intervention programme for children with a recent cancer diagnosis. Procedure This feasibility study was a single‐group mixed methods study, consisting of pre‐ and post‐intervention assessment, followed by a survey and interviews of parents. Participants were children and adolescents with a new cancer diagnosis. The physiotherapy model of care consisted of education, surveillance, standardised assessment, individually tailored exercise and a fitness tracker. Results All participants (n = 14) completed over 75% of the supervised exercise sessions. No safety or adverse events occurred. Over the 8‐week intervention period, an average of 7.5 supervised sessions were completed per participant. The overall experience provided by the physiotherapist service was rated as excellent by 86% (n = 12) and very good by 14% (n = 2) of parents. All parents surveyed (n = 14) rated the level of support provided by the physiotherapy service as excellent, and all participants completed the standardised assessments pre‐ and post‐exercise intervention. There was a significant improvement in 6MWD from 240 m (SD 193 m) compared to 355 m (SD 115 m) (p = .015), as well as improvements in the Physical Function domain (p = .013) and combined Psychosocial and Physical Function domains (p = .030). Conclusions A prospective structured and targeted physiotherapy model of care appears feasible for use with children and families in the acute phase of cancer treatment. The regular screening was acceptable and may have helped build a strong rapport between the physiotherapist and the families.

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Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?

Cited by 99 publications

References 80 publications

Retraining Automaticity: Recovering the Procedural Memory of Walking after Stroke

Retraining Automaticity: Recovering the Procedural Memory of Walking after Stroke

Jogos de realidade virtual em indivíduos pós-acidente vascular cerebral: respostas fisiológicas agudas e sua reprodutibilidade

Feasibility of a prospective physiotherapy model of care during the intense treatment phase of childhood cancer (FITChild): A mixed methods design

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