Document Detail

Determinants of improvement in walking capacity among individuals with chronic stroke following a multi-dimensional exercise program.
MedLine Citation:
PMID:  18382824     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify the determinants of improvement in walking capacity following therapeutic exercise in chronic stroke survivors.
DESIGN: A secondary analysis of data obtained from a prospective, single-blind, randomized controlled intervention trial.
SUBJECTS: Sixty-three community-dwelling individuals (mean age = 65 years, age range = 50-87 years) with a chronic stroke (post-stroke duration: mean = 5.5 years, range = 1-28 years).
METHODS: Subjects were randomized into a leg exercise group (n = 32) or an arm exercise group (n = 31). Subjects in each group underwent 3 1-hour exercise sessions per week for 19 weeks. Walking capacity, cardiorespiratory fitness, isometric knee extensor muscle strength, balance ability, and balance confidence were evaluated before and after the interventions. Multiple regression analysis was performed to identify the determinants of improvement in walking capacity.
RESULTS: After controlling for age, gender, post-stroke duration, and baseline walking capacity, gain in paretic leg muscle strength and peak oxygen consumption remained independently associated with gain in walking capacity (R2 = 0.229).
CONCLUSION: Enhancement of cardiorespiratory fitness and paretic leg muscle strength are both significant determinants in improving walking capacity among chronic stroke survivors. However, the rather weak relationship (R2 = 0.229) indicates that other factors not measured in this study may also contribute to the improvement in walking capacity.
Marco Y C Pang; Janice J Eng
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  40     ISSN:  1650-1977     ISO Abbreviation:  J Rehabil Med     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-06-02     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  284-90     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Exercise Therapy
Hemodynamics / physiology
Leg / physiopathology
Middle Aged
Muscle Strength / physiology
Outcome Assessment (Health Care)
Prospective Studies
Stroke / physiopathology,  psychology,  rehabilitation*
Time Factors
Walking* / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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