Physical Activity in the Prevention and Treatment of Stroke

Gallanagh, Siobhan; Quinn, Terence J.; Alexander, Jen; Walters, Matthew

doi:10.5402/2011/953818

Cited by 95 publications

(66 citation statements)

References 91 publications

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“…Some studies have shown that physical activity is an important tool for improving physical fitness, reducing risks related to cardiovascular diseases 27 , aside from its psychosocial benefits 12 . Billinger et al 12 also stated that some precautions should be taken, such as patient follow-up through medical examinations.…”

Section: Discussionmentioning

confidence: 99%

Habilidade motora, sintomas depressivos e função cognitiva em pacientes pós-AVC

2019

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RESUMO Os objetivos deste estudo foram (1) caracterizar pacientes pós-AVC em relação à habilidade motora (HM), sintomas depressivos (SD) e função cognitiva (FC); (2) realizar comparações desses aspectos entre sexo, idade, nível de atividade física; e (3) correlacioná-los com o tempo pós-AVC. Avaliamos 135 sujeitos com idade média de 60 (±15) anos e tempo médio pós-AVC de 17 meses. Foram usados os seguintes instrumentos: questionário sociodemográfico, Protocolo de Habilidade Motora de Fugl-Meyer (HM), Inventário de Depressão de Beck (SD) e Mini Exame do Estado Mental (FC). O teste Mann-Whitney foi utilizado para comparação entre sexo, idade e prática de atividade física. O coeficiente de Spearman para verificar a correlação entre o tempo pós-AVC e as variáveis analisadas (HM, SD e FC). O grupo obteve uma média de 118,19 (±30,45) para HM, 9,93 (±7,14) para SD e de 21,7 (±5,43) para FC. Além disso, nossos resultados mostram que as mulheres apresentam maiores níveis de sintomas depressivos do que os homens, pacientes maiores de 50 anos apresentaram pior escore para FC. Não houve diferenças significativas entre pacientes praticantes e não praticantes de atividade física em relação à habilidade motora, sintomas depressivos e função cognitiva. Não foram encontradas correlações significativas entre o tempo pós-AVC e as variáveis analisadas. Nossos resultados contribuem para o planejamento e ações que busquem a melhora da qualidade de vida dos pacientes.

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Section: Discussionmentioning

confidence: 99%

Habilidade motora, sintomas depressivos e função cognitiva em pacientes pós-AVC

2019

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“…On the basis of the available evidence, it is recommended that stroke survivors undertake regular aerobic exercise to increase aerobic capacity and improve gait efficiency, thereby reducing fall risk and enhancing functional independence, as well as reducing the risk of recurrent cardiovascular events. 126 In addition, resistance (strength) training is advocated to increase independence in activities of daily living, flexibility training to increase range of movement and prevent deformities, and neuromuscular training to enhance balance and coordination. 124 The prescription of exercise for the stroke survivor is comparable in many ways to the prescription of medications; that is, one recommends a safe and effective dosage (ie, frequency, intensity, time, type) according to individual functional capacity and limitations, while simultaneously attempting to avoid underdosing or overdosing.…”

Section: Rationale For Physical Activity/structured Exercisementioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Billinger¹,

Arena

Bernhardt³

et al. 2014

Stroke

1,031

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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“…The review summarizes the current guidelines and recommendations for exercise therapy and highlights areas in which further research and investigation would be useful to determine optimal exercise prescription for effective prevention and rehabilitation in stroke. [14] …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of aerobic exercise and balanced diet for motor and functional recovery of stroke survivors with and without diabetics and post stroke diabetics

Rajalaxmi¹,

Selvam²,

M³

et al. 2017

Natl J Physiol Pharm Pharmacol

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Background: Diabetes is a strong risk factor for stroke, it is unsettled stroke is different in patients with and without diabetes. Hyperglycemia has been observed after an acute stroke and is associated with poor prognosis. Stroke patients with diabetes mellitus appear to have a worse prognosis in term of both mortality and residual disability. Aims and Objective: The study aims to prospectively characterize stroke in the diabetic patients in stroke population. To determine the time course of recovery and prognosis in stroke patients with diabetes and the relation between non-diabetes, pre diabetes, and post diabetes. Materials and Methods: A total of 65 subjects were enrolled for the study from the Outpatient Department of ACS Medical College and Hospital. 30 patients after exclusion were subjected for the therapeutic session under 3 groups of 10 each, such as non-diabetic, diabetic before stroke and diabetic after the stroke, and each group comprising males and females. The treatment session of 3 months comprised aerobic exercises, neurological rehabilitation, and prescribed diet. Pre-and post-test using, Scandinavian stroke scale (SSS), Barthel's Index (BI), and random blood glucose level. Data were analyzed using twotailed t-tests, delineated as a mean ±standard deviation and the level of significance was set at P < 0.01 for SSS, P < 0.005 for BI, and P < 0.005 for random glucose level (RGL). Results: Pre-and post-intervention data of SSS and BI of all the three groups of subjects recorded significant increase at P < 0.01 and P < 0.05, respectively, indicating the positive impact of the treatment session on mitigation of disabilities. The RGL data of both diabetic groups recorded a significant reduction in the post-treatment estimation, confirming the effectiveness of the treatment regimen in regulating the blood glucose level as well. Conclusion: This study has demonstrated the positive impact of physical activity; particularly the aerobic exercise and nutritional alterations in successful intervention of the disabilities of stroke survivors with and without diabetes.

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Physical Activity in the Prevention and Treatment of Stroke

Cited by 95 publications

References 91 publications

Habilidade motora, sintomas depressivos e função cognitiva em pacientes pós-AVC

Habilidade motora, sintomas depressivos e função cognitiva em pacientes pós-AVC

Physical Activity and Exercise Recommendations for Stroke Survivors

Effectiveness of aerobic exercise and balanced diet for motor and functional recovery of stroke survivors with and without diabetics and post stroke diabetics

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