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Titre : | High Frequency and Intensity Rehabilitation in 641 Subacute Ischemic Stroke Patients (2021) |
Auteurs : | József Tollár ; Ferenc Nagy ; Bence Csutorás ; Nándor Prontvai ; Zsófia Nagy ; Katalin Török ; Eszter Blényesi ; Zsolt Vajda ; Dóra Farkas ; Béla E. Tóth ; Imre Repa ; Mariann Moizs ; Dávid Sipos ; András Kedves ; Árpád Kovács ; Tibor Hortobágyi |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 1, 2021) |
Article en page(s) : | p. 9-18 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.07.012 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Exercice physique ; Qualité de vie ; Réadaptation ; Réalité de synthèse |
Résumé : |
Objectives
To determine the effects of exergaming on quality of life (QoL), motor, and clinical symptoms in subacute stroke patients. Design A pseudorandomized controlled trial, using a before-after test design. Setting University hospital. Participants Subacute, ischemic stroke outpatients (N=3857), 680 of whom were randomized and 641 completed the study. Interventions We determined the effects of 5 times a week twice daily (EX2; 50 sessions; n=286) and once daily (EX1; 25 sessions; n=272) exergaming and low-intensity standard care (control [CON]; 25 sessions; n=83) on clinical, mobility, blood pressure (BP), and QoL outcomes. Main Outcome Measures The primary outcome was Modified Rankin Scale. Secondary outcomes were activities of daily living, 5 aspects of health-related QoL, Beck Depression Inventory, 6-minute walk test (6MWT), Berg Balance Scale (BBS), and static balance (center of pressure). Results During exercise, the peak heart rate was 134, 134, and 126 beats per minute in the EX2, EX1, and CON groups, respectively. mRS improved similarly in the EX2 (1.8; effect size, d=4.0) and EX1 (1.4; d=2.6) groups, but more than in the CON group (0.7; d=0.6). QoL, Barthel Index, BBS, 6MWT, and standing posturography improved more in the EX2 group and the same in the EX1 and CON groups. Systolic and diastolic resting BP decreased more in the EX2 and EX1 groups than in the CON group. The intervention effects did not differ between men (n=349) and women (n=292). Conclusions Twice daily compared with once daily high-intensity exergaming or once daily lower intensity standard care produced superior effects on clinical and motor symptoms, BP, and QoL in male and female subacute ischemic stroke participants. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320305281#! |