[Purpose] The aim of this study was to assess the effects of ergometer cycling on the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase. [Participants and Methods] Twenty (20) patients with stroke in the sub-acute phase were randomly allocated to either an ergometer cycling group (n=10) or a control group (n=10). The experimental (ergometer cycling) group performed cycling exercises in addition to conventional physiotherapy for 60 minutes per session, three times per week for 8 weeks. The control group only received conventional physiotherapy for the same duration as the experimental group. Assessments of participants’ functional ambulatory category, ambulatory velocity, 6-minute walk test, heart rate and blood pressure were conducted at baseline and at the end of the 8-week intervention. [Results] The means of the ambulatory velocity and distance walked in 6 minutes were significantly higher in the ergometer cycling group than those of the control group at week 8. However, the increase in the FAC score was not significant. The means of heart rate, systolic and diastolic blood pressures significantly decreased in the ergometer cycling group compared to the control group at the end of the 8-week of intervention. [Conclusion] This study demonstrated that ergometer cycling improved the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase.

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BACKGROUND: Sitting is a common and familiar position used daily as a platform for many motor activities in the workplace, at school, or at home. OBJECTIVE: To investigate how difference in the chair design and selected sitting manipulations contribute to reach distance in sitting. METHODS: Ten healthy subjects were required to reach forward as far as possible while sitting in an adjustable chair with 0°, 10° forward or 10° backward inclination of the seat, with and without footrest and leg support, with legs crossed, and when holding the edge of the seat with the contralateral arm. RESULTS: In comparison to sitting with feet on the footrest, the maximal reaching distance decreased significantly when sitting on either forward or backward inclined seat (p <  0.05) and it increased when the subjects held the edge of the seat while seated with footrest and the posterior leg support (p <  0.05). There was no major effect of crossing the legs or the use of anterior leg support on the maximal reach distance. CONCLUSIONS: Modification of the chair design could increase or decrease reaching distance in sitting. The outcome of the study provides a background for future investigations of the effect of sitting positions on reaching distance in the workplace, at home, or at school.

Ability of the human body to regain balance after being externally perturbed is important in the maintenance of vertical posture. The goal of this study was to investigate trunk and leg muscle response to external perturbation while sitting on a stool with varying seat inclinations. Ten healthy subjects were required to receive a perturbation applied to the upper body while sitting on an adjustable stool with 0°, 10° forward or 10° backward inclination of the seat and without footrest and leg support. Electromyographic activities of the trunk and leg muscles and center of pressure displacements were recorded and analyzed during the anticipatory (APA) and compensatory (CPA) phases of postural control. APAs and CPAs were generated in response to an external perturbation. Delays in the onset of anticipatory muscle activity were seen when seated on the inclined seat compared to sitting on the horizontal seat (p < 0.05). To maintain balance after a perturbation, participants activated the trunk and thigh muscles, the activity of which was modulated to a greater degree than that of leg muscles. Moreover, they utilized co-contraction of muscles as the main mechanism of balance control in sitting. Furthermore, there was no effect of a seat inclination on COP displacements. The outcome provides a background for future investigations of the effect of seat inclination on control of balance in sitting.