Cardiopulmonary Response to Exercise Testing in People with Chronic Stroke: A Retrospective Study

Billinger, Sandra A.; Taylor, Jordan M.; Quaney, Barbara M.

doi:10.1155/2012/987637

Cited by 23 publications

(36 citation statements)

References 37 publications

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“…Mean estimated prestroke peak Vo 2 was 27.3 (7.4) mL·kg −1 ·min −1 and is consistent with that of previous studies using measured peak Vo 2 . 5,11 This supports previous evidence that after stroke, patients had lower CR fitness prestroke for their age, using ACSM categories. Table 3 demonstrates estimated prestroke peak Vo 2 and fitness level for sex and age (Figure 1).…”

Section: Resultssupporting

confidence: 86%

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Use of a Nonexercise Estimate for Prestroke Peak Vo 2 During the Acute Stroke Hospital Stay

Mattlage

Redlin

Rosterman

et al. 2016

Cardiopulm Phys Ther J

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Purpose For individuals with acute stroke, it is difficult to conduct an exercise test to assess peak oxygen consumption (peak Vo2). Therefore, the purpose of this study was to use a clinically feasible tool for assessing prestroke peak Vo2 using a nonexercise estimation equation to test whether estimated prestroke peak Vo2 was related to the functional outcome measures at discharge from the hospital in individuals after an acute stroke. We hypothesized that the estimated prestroke peak Vo2 would be significantly related to discharge Physical Performance Test (PPT), 6-minute walk test (6MWT), and lower extremity Fugl-Meyer (LEFM) assessment. Methods Estimated prestroke peak Vo2 was calculated using a previously validated prediction equation using the following variables: body mass index, age, sex, resting heart rate, and a self-reported measure of physical activity. Outcome measures were assessed 4 days after enrollment or immediately before discharge (whichever occurred first). Results Thirty-four participants (mean age = 56.0, SD = 12.6 years; 20 men) with acute stroke were enrolled within 48 hours of admission. For all individuals, mean estimated prestroke peak Vo2 was 27.3 (SD = 7.4) mL·kg−1·min−1 and had a weak, nonsignificant relationship with the PPT (r = 0.19; P = .28), 6MWT (r = 0.10; P = .56), and LEFM (r = 0.32; P = .06). However, when considering sex, women, but not men, had a significant relationship with LEFM (r = 0.73; P = .005) and moderate but nonsignificant relationship with PPT (r = 0.53; P = .06) and 6MWT (r = 0.47; P = .10). Conclusions Within 48 hours of stroke admission, we were able to administer a nonexercise equation to estimate prestroke peak Vo2. For the entire sample, functional measures conducted at discharge were not related to estimated prestroke peak Vo2. However, when considering sex, the relationship between prestroke Vo2 and the functional measures was strengthened.

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Section: Resultssupporting

confidence: 86%

“…2–5 Assessing peak Vo 2 using a metabolic cart with gas analysis is considered the gold standard. 6 Peak Vo 2 may be an indicator of one’s ability to participate in varying levels of activity such as exercise and activities of daily living (ADLs), especially in older adults 7,8 and individuals after stroke.…”

Section: Introductionmentioning

confidence: 99%

Use of a Nonexercise Estimate for Prestroke Peak Vo 2 During the Acute Stroke Hospital Stay

Mattlage

Redlin

Rosterman

et al. 2016

Cardiopulm Phys Ther J

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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

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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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“…8,10,11 In these studies, subjects completed exercises that improved breathing capacity. These exercises consisted of learning diaphragmatic breathing; for example, the physiotherapist told the subject to conduct an inspiration to fill the abdomen 26 or to use inspiratory exercises combined with breathing through pursed lips. 10 The physiotherapist helped in proprioception work by placing his or her hand on the subject's abdomen, which facilitated the understanding of abdominal breathing.…”

Section: Practical Implications Of the Incentive Spirometer For Ventimentioning

confidence: 99%

Systematic Review of Inspiratory Muscle Training After Cerebrovascular Accident

Martín-Valero¹,

de-la-Casa-Almeida²,

Casuso-Holgado³

et al. 2015

Respir Care

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Only 6 studies were relevant to this review. Three different types of interventions were found (maximum inspiratory training, controlled training, and nonintervention) in 3 different groups. One specific study compared 3 inspiratory muscle training groups with a group of breathing exercises (diaphragmatic exercises with pursed lips) and a control group. Future long-term studies with larger sample sizes are needed. It is necessary to apply respiratory muscle training as a service of the national health system and to consider its inclusion in the conventional neurological program.

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Cardiopulmonary Response to Exercise Testing in People with Chronic Stroke: A Retrospective Study

Cited by 23 publications

References 37 publications

Use of a Nonexercise Estimate for Prestroke Peak Vo 2 During the Acute Stroke Hospital Stay

Use of a Nonexercise Estimate for Prestroke Peak Vo 2 During the Acute Stroke Hospital Stay

Physical Activity and Exercise Recommendations for Stroke Survivors

Systematic Review of Inspiratory Muscle Training After Cerebrovascular Accident

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