Exercise training in a predominantly African-American group of stroke survivors

Rimmer, James H.; Riley, Barth B.; Creviston, Todd; Nicola, Terry

doi:10.1097/00005768-200012000-00004

Cited by 105 publications

(91 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 Compared with controls, the exercise group demonstrated significant gains in peak oxygen uptake and strength and improvements in body composition.…”

Section: Effects Of Exercise Training and Rehabilitation Programs In mentioning

confidence: 92%

“…11 In the context of defining therapy goals for the poststroke patient, it is essential that the family be integrated into the process as early as possible. Early involvement of the family unit has been strongly correlated with patient adherence to therapy, better understanding between patient and caregiver of achievable outcomes, and improved communication between patient and • 40%-70% peak oxygen uptake; 40%-70% heart rate reserve; 50%-80% maximal heart rate; RPE 11-14 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) caregivers. 79 To facilitate optimal outcomes from an exercisebased stroke rehabilitation program, an assessment of familial support should be undertaken.…”

Section: Barriers To Physical Activity and Exercise Training In Strokmentioning

confidence: 99%

See 1 more Smart Citation

Physical Activity and Exercise Recommendations for Stroke Survivors

Gordon¹,

Gulanick²,

Costa³

et al. 2004

Circulation

364

196

View full text Add to dashboard Cite

“…18 Compared with controls, the exercise group demonstrated significant gains in peak oxygen uptake and strength and improvements in body composition.…”

Section: Effects Of Exercise Training and Rehabilitation Programs In mentioning

confidence: 92%

Section: Barriers To Physical Activity and Exercise Training In Strokmentioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Gordon¹,

Gulanick²,

Costa³

et al. 2004

Circulation

364

196

View full text Add to dashboard Cite

“…However, few studies have specifically assessed the effects of exercise training on markers of CVD risk in the stroke population [16]. Rimmer et al reported that exercise training improved dyslipidemia and measures of regional adiposity in morbidly obese individuals with stroke (mean body mass index [BMI] >35) [54]. Additionally, Fletcher et al reported that a home exercise training program improved left ventricular ejection fraction and lipid profiles in chronically disabled individuals, the majority of whom were individuals with stroke [55].…”

Section: Effects Of Treadmill Training On Markers Of Cardiovascular-mmentioning

confidence: 99%

Task-oriented treadmill exercise training in chronic hemiparetic stroke

Ivey

Hafer‐Macko²,

Macko³

2008

JRRD

View full text Add to dashboard Cite

Abstract-Patients with stroke have elevated hemiparetic gait costs secondary to low activity levels and are often severely deconditioned. Decrements in peak aerobic capacity affect functional ability and cardiovascular-metabolic health and may be partially mediated by molecular changes in hemiparetic skeletal muscle. Conventional rehabilitation is time delimited in the subacute stroke phase and does not provide adequate aerobic intensity to reverse the profound detriments to fitness and function that result from stroke. Hence, we have studied progressive full body weight-support treadmill (TM) training as an adjunct therapy in the chronic stroke phase. Task-oriented TM training has produced measurable changes in fitness, function, and indices of cardiovascular-metabolic health after stroke, but the precise mechanisms for these changes remain under investigation. Further, the optimal dose of this therapy has yet to be identified for individuals with stroke and may vary as a function of deficit severity and outcome goals. This article summarizes the functional and metabolic decline caused by inactivity after stroke and provides current evidence that supports the use of TM training during the chronic stroke phase, with protocols and inclusion/exclusion criteria described. Our research findings are discussed in relation to associated research.Key words: aerobic activity, ambulatory function, cardiovascular disease risk, exercise training, hemiplegia, metabolic health, physical deconditioning, rehabilitation, stroke, treadmill. PROBLEM OF POSTSTROKE DECONDITIONINGStroke is a leading cause of disability [1][2][3][4], with residual neurological deficits that persistently impair function and lead to profound physical deconditioning [5][6]. By limiting mobility and increasing fall risk, the hemiparetic gait that accompanies chronic stroke promotes a sedentary lifestyle, which leads to disability through deconditioning and "learned non-use" [7][8]. Peak cardiovascular fitness levels following hemiparetic stroke are roughly half those of age-matched sedentary individuals [5,[9][10]. Further, the energy requirements of hemiparetic gait are elevated by 55 to 100 percent compared with age-matched control subjects [11][12]. This detrimental combination of poor peak exercise capacity and elevated energy demands for hemiparetic gait is termed diminished physiological fitness reserve [13]. The cardiovascular deconditioning coupled with the secondary body composition abnormalities that follow stroke Abbreviations: ACSM = American College of Sports Medicine, ADL = activities of daily living, BMI = body mass index, CVD = cardiovascular disease, ECG = electrocardiogram, HR = heart rate, HRR = HR reserve, IGT = impaired glucose tolerance, MHC = myosin heavy chain, T2DM = type 2 diabetes mellitus, TM = treadmill, TNF-α = tumor necrosis factor-α, WIQ = Walking Impairment Questionnaire, VA = Department of Veterans Affairs, VO 2 = peak oxygen consumption.

show abstract

“…People with stroke are especially vulnerable to the effects of a sedentary lifestyle and would benefit greatly from increasing the amount of physical activity they regularly obtain [9][10][11][12][13]. Unfortunately, options for exercise and recreation are often limited by numerous personal (e.g., motivation, self-efficacy) [14][15] and environmental or facility barriers (e.g., inaccessible programs, equipment, and services offered in community recreation facilities) [16].…”

Section: Introductionmentioning

confidence: 99%

Barriers associated with exercise and community access for individuals with stroke

Rimmer

Wang²,

Smith

2008

JRRD

Self Cite

292

226

View full text Add to dashboard Cite

Abstract-Increasing participation in physical activity among people with stroke continues to be a major challenge for healthcare professionals. We administered a survey to a group of 83 adults with unilateral stroke (mean age = 54.2 yr) to determine their perceived barriers to exercise. The five most common barriers in rank order were (1) cost of the program (61%), (2) lack of awareness of a fitness center in the area (57%), (3) no means of transportation to a fitness center (57%), (4) no knowledge of how to exercise (46%), and (5) no knowledge of where to exercise (44%). The least common barriers were (1) lack of interest (16%), (2) lack of time (11%), and (3) concern that exercise would worsen their condition (1%). People with stroke reported several barriers that prevented or reduced their participation in exercise. Healthcare professionals must identify and remove these barriers to promote greater participation in exercise among people with stroke.

show abstract

Exercise training in a predominantly African-American group of stroke survivors

Cited by 105 publications

References 23 publications

Physical Activity and Exercise Recommendations for Stroke Survivors

Physical Activity and Exercise Recommendations for Stroke Survivors

Task-oriented treadmill exercise training in chronic hemiparetic stroke

Barriers associated with exercise and community access for individuals with stroke

Contact Info

Product

Resources

About