Bicycle Ergometry in Subacute-Stroke Survivors: Feasibility, Safety, and Exercise Performance

Yates, Joni S; Studenski, Stephanie A.; Gollub, S; Whitman, R. Douglas; Perera, Subashan; Lai, Sue Min; Duncan, Pamela W.

doi:10.1123/japa.12.1.64

Cited by 49 publications

(48 citation statements)

References 14 publications

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“…3,9,13,14,18,22,23,69–71 This study examined the effect of a novel training strategy that encouraged use of the hemiparetic limb in people with stroke. The time course and intensity of the training intervention appear sufficient for improving VO 2 during submaximal work efforts and gait velocity (10-m fast walk).…”

Section: Resultsmentioning

confidence: 99%

Single Limb Exercise: Pilot Study of Physiological and Functional Responses to Forced Use of the Hemiparetic Lower Extremity

Billinger

Guo

Pohl

et al. 2010

Topics in Stroke Rehabilitation

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Purpose Stroke-related deficits can impede both functional performance and walking tolerance. Individuals with hemiparesis rely on the stronger limb during exercise and functional tasks. The single limb exercise (SLE) intervention was a unique training protocol that focused only on the hemiparetic limb. Our objective was to determine the effect of the SLE intervention on cardiorespiratory fitness parameters. Methods Twelve participants (5 male) with a mean age of 60.6 ±14.5 years and 69.1 ± 82.2 months post stroke participated in the training intervention. All participants performed SLE using the hemiparetic leg three times a week for 4 weeks. The nonhemiparetic limb served as the control limb and did not engage in SLE. Peak oxygen uptake (VO2 peak) and oxygen uptake (VO2) were measured at baseline and post intervention in all 12 participants. At pre and post intervention, gait velocity was assessed in a subset of participants (n = 7) using the 10-m fast-walk test. Results After the 4-week SLE training intervention, significant improvements were found for VO2 during submaximal work effort (P = .009) and gait velocity (n = 7) (P = .001). Peak oxygen uptake did not increase (P = .41) after the training intervention. Conclusion These data suggest that SLE training was an effective method for improving oxygen uptake and reducing energy expenditure during submaximal effort. Unilateral exercise focused on the hemiparetic leg may be an effective intervention strategy to consider for stroke rehabilitation.

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Section: Resultsmentioning

confidence: 99%

Single Limb Exercise: Pilot Study of Physiological and Functional Responses to Forced Use of the Hemiparetic Lower Extremity

Billinger

Guo

Pohl

et al. 2010

Topics in Stroke Rehabilitation

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“…After a screening exercise stress test 16 for safety and baseline assessments, subjects were randomized in blocks of 6. Research staff blinded to treatment assignment performed interview-and laboratory-based outcome assessments.…”

Section: Methodsmentioning

confidence: 99%

Daily Functioning and Quality of Life in a Randomized Controlled Trial of Therapeutic Exercise for Subacute Stroke Survivors

Studenski

Duncan

Perera

et al. 2005

Stroke

Self Cite

133

132

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Background and Purpose-The ability of therapeutic exercise after stroke to improve daily functioning and quality of life (QOL) remains controversial. We examined treatment effects on these outcomes in a randomized controlled trial (RCT) of exercise in subacute stroke survivors. Methods-This is a secondary analysis of a single-blind RCT of a 12-week program versus usual care. Baseline, post-treatment and 6-month post-treatment daily functioning and QOL were assessed by Barthel index, Functional Independence Measure, instrumental activities of daily living, Medical Outcomes Study short-form 36-item questionnaire (SF-36), and Stroke Impact Scale (SIS). Results-Of 100 randomized subjects, 93 completed the postintervention assessment, (mean age 70; 54% male; 81% white; mean Orpington Prognostic Score 3.4), and 80 had 6-month post-treatment assessment.

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“…[154][155][156] Stroke survivors have been shown to achieve significantly lower maximal workloads, heart rate, and blood pressure responses than control subjects during progressive exercise testing to volitional fatigue. 157,158 Other earlier studies, which used various adapted ergometry devices or exercise protocols with smaller sample sizes, yielded similar findings.…”

Section: Exercise Across the Continuum Of Stroke Care Cardiorespiratomentioning

confidence: 99%

Physical Activity and Exercise Recommendations for Stroke Survivors

Billinger¹,

Arena

Bernhardt³

et al. 2014

Stroke

1,126

623

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2532Purpose-This scientific statement provides an overview of the evidence on physical activity and exercise recommendations for stroke survivors. Evidence suggests that stroke survivors experience physical deconditioning and lead sedentary lifestyles. Therefore, this updated scientific statement serves as an overall guide for practitioners to gain a better understanding of the benefits of physical activity and recommendations for prescribing exercise for stroke survivors across all stages of recovery. Methods-Members of the writing group were appointed by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and the American Heart Association's Manuscript Oversight Committee. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and indicate gaps in current knowledge. Results-Physical inactivity after stroke is highly prevalent. The assessed body of evidence clearly supports the use of exercise training (both aerobic and strength training) for stroke survivors. Exercise training improves functional capacity, the ability to perform activities of daily living, and quality of life, and it reduces the risk for subsequent cardiovascular events. Physical activity goals and exercise prescription for stroke survivors need to be customized for the individual to maximize long-term adherence. Conclusions-The recommendation from this writing group is that physical activity and exercise prescription should be incorporated into the management of stroke survivors. The promotion of physical activity in stroke survivors should emphasize low-to moderate-intensity aerobic activity, muscle-strengthening activity, reduction of sedentary behavior, and risk management for secondary prevention of stroke. (Stroke. 2014;45:2532-2553.)

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Bicycle Ergometry in Subacute-Stroke Survivors: Feasibility, Safety, and Exercise Performance

Cited by 49 publications

References 14 publications

Single Limb Exercise: Pilot Study of Physiological and Functional Responses to Forced Use of the Hemiparetic Lower Extremity

Single Limb Exercise: Pilot Study of Physiological and Functional Responses to Forced Use of the Hemiparetic Lower Extremity

Daily Functioning and Quality of Life in a Randomized Controlled Trial of Therapeutic Exercise for Subacute Stroke Survivors

Physical Activity and Exercise Recommendations for Stroke Survivors

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