Exercise capacity early after stroke

MacKay-Lyons, Marilyn; Makrides, Lydia

doi:10.1053/apmr.2002.36395

Cited by 191 publications

(152 citation statements)

References 35 publications

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“…12,73,163 Individuals in the subacute stage of recovery demonstrate low cardiorespiratory fitness levels similar to those findings in chronic stroke. 67,[164][165][166] Routine physical therapy appears to provide a mean of only 3 minutes of low-intensity aerobic training (≥40% of heart rate reserve) per session, which defines a gap in exercise provision across the subacute stroke phase. 164 Few randomized studies are available to guide exercise recommendations across the subacute recovery period.…”

Section: Subacute Phase Of Stroke Recoverymentioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Billinger¹,

Arena

Bernhardt³

et al. 2014

Stroke

1,091

623

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2532Purpose-This scientific statement provides an overview of the evidence on physical activity and exercise recommendations for stroke survivors. Evidence suggests that stroke survivors experience physical deconditioning and lead sedentary lifestyles. Therefore, this updated scientific statement serves as an overall guide for practitioners to gain a better understanding of the benefits of physical activity and recommendations for prescribing exercise for stroke survivors across all stages of recovery. Methods-Members of the writing group were appointed by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and the American Heart Association's Manuscript Oversight Committee. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and indicate gaps in current knowledge. Results-Physical inactivity after stroke is highly prevalent. The assessed body of evidence clearly supports the use of exercise training (both aerobic and strength training) for stroke survivors. Exercise training improves functional capacity, the ability to perform activities of daily living, and quality of life, and it reduces the risk for subsequent cardiovascular events. Physical activity goals and exercise prescription for stroke survivors need to be customized for the individual to maximize long-term adherence. Conclusions-The recommendation from this writing group is that physical activity and exercise prescription should be incorporated into the management of stroke survivors. The promotion of physical activity in stroke survivors should emphasize low-to moderate-intensity aerobic activity, muscle-strengthening activity, reduction of sedentary behavior, and risk management for secondary prevention of stroke. (Stroke. 2014;45:2532-2553.)

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Section: Subacute Phase Of Stroke Recoverymentioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Billinger¹,

Arena

Bernhardt³

et al. 2014

Stroke

1,091

623

View full text Add to dashboard Cite

show abstract

“…5 For those who were taking beta-blockers, the APHRM was adjusted [85%(220-age)/100]. [28][29] VO 2 max was used as the criterion measure for cardiorespiratory fitness. 5 VO 2 max was considered to have been reached if at least two out of three criteria for maximal effort were fulfilled: (1) a respiratory exchange ratio of ≥1.0, (2) a plateau in VO 2 (<150 ml/min) with increase in exercise intensity, or (3) volitional fatigue (i.e.…”

Section: Protocolmentioning

confidence: 99%

“…More recently, exercise testing and training on a treadmill with a harness system has been promoted to minimize the requirement for maintaining balance and may be a useful alternative to cycle ergometry. 29,46 Whether cycle ergometry is more effective than walking in improving cardiorespiratory fitness in individuals with chronic stroke will require further study.…”

Section: Influence Of Stroke-specific Impairmentsmentioning

confidence: 99%

Relationship Between Ambulatory Capacity and Cardiorespiratory Fitness in Chronic Stroke

Pang

Eng

Dawson

2005

Chest

138

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Study Objectives-To identify in individuals with chronic stroke (1) the relationship between the maximal oxygen uptake (VO 2 max) during cycle ergometry and the distance covered in the Six Minute Walk Test (6MWT), and (2) the stroke-specific impairments which are important determinants for the 6MWT distance.Design-Cross-sectional study using a convenience sample. Setting-Exercise testing laboratory in a tertiary rehabilitation center.Participants-Sixty-three older adults (mean age ± standard deviation, 65.3 ± 8.7) with an average post-stroke interval of 5.5 ± 4.9 years. Intervention-Not applicableMain Outcome Measures-Each subject underwent a maximal cycle ergometer test and a 6MWT. Oxygen consumption (VO 2 ) was measured during both tests. Subjects were also evaluated for Berg Balance Scale, Modified Ashworth Scale of Spasticity, isometric knee extension strength and percent body fat.Results-The 6MW distance had a low correlation with the VO 2 max (r=0.402). Balance, knee extension strength and spasticity were all significant determinants for the 6MWT distance, with balance being the major contributor for the 6MWT distance, accounting for 66.5% of its variance.Conclusions-Factors other than the cardiorespiratory status considerably influenced the ambulatory capacity as measured by the 6MWT. The 6MWT distance alone should not be used to indicate cardiorespiratory fitness in individuals with chronic stroke.

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“…The study monitored stroke survivors undergoing physiotherapy and occupational therapy 2 and 14 weeks post stroke. The study opined that therapy might be of insufficient intensity to produce a cardiorespiratory training impact 28 . It was discovered that on average in a physiotherapy session, 42% of the time was spent inactive in lying, 11% active in lying, 16% active in sitting and 31% active in standing and above all if it was present the aerobic component of a typical physiotherapy session lasted less than 3 minutes.…”

Section: Discussionmentioning

confidence: 99%

Blood pressure and heart rate adjustment following acute Frenkel’s ambulatory exercise in chronic hemiparetics stroke survivors: a comparative study

Lawal¹,

Abubakar²,

Rufa'i³

et al. 2015

Afr H. Sci.

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Background:Frenkel's ambulatory activity has been routinely employed by physiotherapists for rehabilitation of gait coordination, however, its immediate influence on blood pressure and heart rate has not been investigated. Objective To investigate the acute effect of Frenkel's ambulatory activity on blood pressure and heart rate of chronic hemiparetic stroke survivors. Method Using a comparative study design, 60 chronic hemiparetic stroke survivors of varying onset of stroke, ≤6, >6-11 and ≥12 months were subjected to a 2-minute Frenkel's ambulatory activity on marked footsteps (from standard adult described footsteps). Participants were assessed for both blood pressure and heart rate before and after the Frenkel's ambulatory activity. Results Blood pressure and heart rate significantly increased (p<0.05) following Frenkel's ambulatory activity in all the 3 categories of stroke onset above baseline. However, there was no significant difference (p>0.05) across the onsets in both blood pressure and heart rate responses. ConclusionThe outcome of this study indicated that Frenkel's ambulatory activity has the propensity to increase blood pressure and heart rate of hemiparetic stroke survivors irrespective of the onset of stroke. We recommend a pre, within and post-activity monitoring of stroke survivors while subjecting them to Frenkel's ambulatory activity.

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Exercise capacity early after stroke

Cited by 191 publications

References 35 publications

Physical Activity and Exercise Recommendations for Stroke Survivors

Physical Activity and Exercise Recommendations for Stroke Survivors

Relationship Between Ambulatory Capacity and Cardiorespiratory Fitness in Chronic Stroke

Blood pressure and heart rate adjustment following acute Frenkel’s ambulatory exercise in chronic hemiparetics stroke survivors: a comparative study

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