Comparison of the Effectiveness of Aerobic Training with Conventional Physical Therapy Treatment in improving the Quality of life in Chronic Stroke Patients

Abstract

Background: Stroke is a dominant cause of death universally and the primary determinant of motor loss and impairment. Aerobic training walking is use for chronic stroke patient Objectives: Objective of this study was to compare the effects of Aerobic Exercise (Walking) Training and conventional physical therapy treatment among Chronic Stroke patient Methods: This randomized control trial was conducted on stroke patient in 6 months’ duration. A sample of 60 participants fulfilling the inclusion criteria was recruited through convenient sampling and randomly assigned to two groups. Design: Assessor blind Randomized Control trial Setting: Chaudhary Akram Teaching hospital rewind road Lahore. Duration: 12 weeks (3 months) Subjects: Chronic Stroke patient Intervention: Group A received aerobic training walking (n=30) walked over ground for 30 minutes, 3 times per week this will continue till 12 weeks and conventional treatment and group B (n=30) received conventional physical therapy including stretching and strengthening with massage to involved limb this treatment session will continue 30 minutes, 3 times per week this was continue till 12 weeks Main measure: Primary outcome of the treatment was measured using Health related quality of life Sf-36. Morticity index was measured as secondary outcome. Results: Mean of difference of pretest-posttest HRQOL in Group A was325.66±92.58 and in Group B was 233.33±101showing that there was statistically significant difference in improvement of both groups (P-value<0.05) and interventions of Group A (aerobic training) are better in improving quality of life as compared to interventions in group B (conventional physical therapy) Conclusion: Aerobic training walking shows better results as compared to conventional treatment stretching strengthening and massage in improving quality of life of chronic stroke patient

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

“…Rehabilitation protocols that include aerobic exercise or mixed exercise regimes with an aerobic component improve both functional mobility and cardiovascular fitness in patients with chronic stroke. Therefore, it can lead to better outcomes than conventional rehabilitation protocols [42][43][44].…”

“…Rehabilitation protocols for stroke survivors should prioritize muscle-strengthening exercises, low-to moderate-intensity aerobic exercise, increasing physical activity/minimizing inactivity, and risk management for secondary stroke prevention. Aerobic training improves chronic stroke patients' quality of life and the mortality index [44]. It has been shown that aerobic training improves cardiorespiratory fitness, muscular endurance, and functional recovery in stroke patients [45].…”