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Titre : | Effects of Twice-Weekly Intense Aerobic Exercise in Early Subacute Stroke: A Randomized Controlled Trial (2016) |
Auteurs : | Klas Sandberg ; Marie Kleist ; Lars Falk |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/8, 2016) |
Article en page(s) : | pp. 12441253 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Exercice physique ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Exercise ; Quality of life ; Randomized controlled trial ; Essai contrôlé randomisé ; Stroke |
Résumé : |
Objective To examine the effects of 12 weeks of twice-weekly intensive aerobic exercise on physical function and quality of life after subacute stroke. Design Randomized controlled trial. Setting Ambulatory care. Participants Patients (N=56; 28 women) aged ≥50 years who had a mild stroke (98% ischemic) and were discharged to independent living and enrolled 20 days (median) after stroke onset. Interventions Sixty minutes of group aerobic exercise, including 2 sets of 8 minutes of exercise with intensity up to exertion level 14 or 15 of 20 on the Borg rating of perceived exertion scale, twice weekly for 12 weeks (n=29). The nonintervention group (n=27) received no organized rehabilitation or scheduled physical exercise. Main Outcome Measures Primary outcome measures included aerobic capacity on the standard ergometer exercise stress test (peak work rate) and walking distance on the 6-minute walk test (6MWT). Secondary outcome measures included maximum walking speed for 10m, balance on the timed Up and Go (TUG) test and single leg stance (SLS), health-related quality of life on the European Quality of Life Scale (EQ-5D), and participation and recovery after stroke on the Stroke Impact Scale (SIS) version 2.0 domains 8 and 9. Participants were evaluated pre- and postintervention. Patient-reported measures were also evaluated at 6-month follow-up. Results The following improved significantly more in the intervention group (pre- to postintervention): peak work rate (group * time interaction, P=.006), 6MWT (P=.011), maximum walking speed for 10m (P<.001 tug test sls right and left open p=".022," respectively closed aerobic exercise was associated with improved eq-5d scores analog scale perceived recovery domain these patient-reported improvements persisted at follow-up.> Conclusions Intensive aerobic exercise twice weekly early in subacute mild stroke improved aerobic capacity, walking, balance, health-related quality of life, and patient-reported recovery. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316001052 |