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Titre : | Effectiveness of Active Cycling in Subacute Stroke Rehabilitation: A Randomized Controlled Trial (2017) |
Auteurs : | Christel Vanroy ; Hilde Feys ; Anke Swinnen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/8, 2017) |
Article en page(s) : | pp. 15761585 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Education ; Essai clinique ; Exercice physique ; Mentorat ; Rééducation et réadaptation |
Mots-clés: | Stroke ; Clinical trial ; Exercise ; Mentoring |
Résumé : |
Objective To examine the effects of 3 months of aerobic training (AT) followed by coaching on aerobic capacity, strength, and gait speed after subacute stroke. Design Randomized controlled trial. Setting Inpatient rehabilitation center. Participants Patients (N=59; mean age + SD, 65.4+10.3y; 21 women (36%); Barthel Index ≤50 in 64% of patients) with first stroke and able to cycle at 50 revolutions/min were enrolled in the study 3 to 10 weeks after stroke onset. Interventions Patients were randomly allocated to a 3-month active cycling group (ACG, n=33) and education, or to a control group (CG, n=26). Afterward, patients in the ACG were randomly assigned either to a coaching (n=15) or to a noncoaching group (n=16) for 9 months. Main Outcome Measures Aerobic capacity, isometric knee extension strength, and gait ability and speed were measured before and after intervention and during follow-up at 6 and 12 months. Results A nonsignificant difference was found in workload (Wattpeak) (P=.078) between ACG and CG after 3 months. Furthermore, after 3 months of cycling and after 9 months of coaching, all groups showed significant changes over time (P≤.027) in peak oxygen consumption, Wattpeak, leg strength, and gait speed. Also, significant changes over time (P<.001 were found in the acg and cg patients with walking inability at baseline.> Conclusions No significant differences between training groups were found over time. Although our study did not have objective exercise data from the training device during follow-up, the 3-month active cycling (AC) program combined with education sessions seemed an applicable method in subacute stroke rehabilitation. New long-term AT interventions should focus on coaching approaches to facilitate training after a supervised AC program. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317301387 |