Intracranial and hemodynamic effects of a bed-cycling exercise in critically ill patients with severe brain injuries and/or stroke

Thelandersson, Anneli; Nellgård, Bengt; Ricksten, Sven Erik; Cider, Åsa

doi:10.1016/j.physio.2015.03.1488

Cited by 2 publications

(2 citation statements)

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“…The first goal was to reach 20 minutes of cycling, active or passive. The second goal was to reach an exertion level rating of perceived exertion 11 , 12 , 13 that corresponded to ≥50% of the estimated maximum oxygen uptake and 60% of the maximum heart rate. 17 , 18 …”

Section: Methodsmentioning

confidence: 99%

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Effects of In-Bed Cycle Exercise in Patients With Acute Stroke: A Randomized Controlled Trial

Sandberg

Kleist

Wijkman

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate the effects of in-bed cycle exercise in addition to usual care in patients with acute stroke, National Institutes of Health Stroke Scale (NIHSS) 7-42, regarding walking ability, functional outcomes, and inpatient care days. Design Randomized controlled trial. Setting Hospital care. Participants Patients (N=56) with stroke NIHSS 7-42 were recruited 24-48 hours after stroke onset from 2 stroke units in Sweden. Interventions Both groups received usual care. The intervention group also received 20 minutes bed cycling 5 days per week with a maximum of 15 sessions. Main Outcome Measures The primary outcome was median change in walking ability measured with the 6-minute walk test (6MWT). Secondary outcome measures included the median change in modified Rankin Scale (mRS), Barthel Index (BI) for activities of daily living, and inpatient care days. Measurements were performed at baseline, post intervention (3 weeks), and at 3-month follow-up. Results There was no significant difference in change of walking ability (6MWT) from baseline to follow-up between the intervention and control groups (median, 105m [interquartile range [IQR, 220m] vs 30m [IQR, 118m], respectively, P =.147, d =0.401). There were no significant differences between groups regarding mRS, BI, or inpatient care days. Patients with less serious stroke (NIHSS 7-12) seemed to benefit from the intervention. Conclusion Although this study may have been underpowered, patients with stroke NIHSS 7-42 did not benefit from in-bed cycle exercise in addition to usual care after acute stroke. A larger study is needed to confirm our results.

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Section: Methodsmentioning

confidence: 99%

“… 12 Feasibility has been proven during tests in intensive care, with no or a small effect on intracranial pressure after early in-bed cycling and passive exercise. 13 Nevertheless, there is a lack of studies exploring clinical outcomes from in-bed exercise in the acute poststroke period.…”

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confidence: 99%