| Titre : | Effect of mixed and collective physical activity in chronic stroke rehabilitation : A randomized cross-over trial in low-income settings (2023) |
| Auteurs : | Félix Nindorera ; Ildephonse Nduwimana ; Alexis Sinzakaraye ; Eric Havyarimana ; Yannick Bleyenheuft ; Jean-Louis Thonnard ; Oyéné Kossi |
| Type de document : | Article |
| Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 66, n° 4, May 2023) |
| Article en page(s) : | 101704 |
| Note générale : | https://doi.org/10.1016/j.rehab.2022.101704 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Mise en condition physique de l'homme ; Réadaptation ; Traitement par les exercices physiques |
| Mots-clés: | Réadaptation communautaire ; Entraînement collectif ; Milieu à faible revenus ; Performance motrice |
| Résumé : | Background The prevalence of physical inactivity after stroke is high and exercise training improves many outcomes. However, access to community training protocols is limited, especially in low-income settings. Objective To investigate the feasibility and efficacy of a new intervention: Circuit walking, balance, cycling and strength training (CBCS) on activity of daily living (ADL) limitations, motor performance, and social participation restrictions in people after stroke. Methods Forty-six community-dwelling individuals with chronic stroke who were no longer in conventional rehabilitation were randomized into an immediate CBCS group (IG; initially received CBCS training for 12 weeks in phase 1), and a delayed CBCS group (DG) that first participated in sociocultural activities for 12 weeks. In phase 2, participants crossed over so that the DG underwent CBCS and the IG performed sociocultural activities. The primary outcome was ADL limitations measured with the ACTIVLIM-Stroke scale. Secondary outcomes included motor performance (balance: Berg Balance Scale [BBS], global impairment: Stroke Impairment Assessment Set [SIAS] and mobility: 6-minute and 10-metre walk tests [6MWT and 10mWT] and psychosocial health [depression and participation]). Additional outcomes included feasibility (retention, adherence) and safety. Results ADL capacity significantly improved pre to post CBCS training (ACTIVLIM-stroke, +3,4 logits, p |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065722000768 |
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