| Early post-stroke physical conditioning in hemiplegic patients: A preliminary study. | |
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MedLine Citation:
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PMID: 21036118 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To establish the value of an early post-stroke evaluation of cardiorespiratory fitness in hemiparetic patients using a one-leg cycling exercise test and to analyze the impact of an adapted physical activity programme 12 weeks after the stroke. PROTOCOL: Eighteen hemiparetic stroke patients participated in the study. The subjects were randomly assigned to one of two groups: the control group (CG) underwent 4 weeks of conventional rehabilitation, whereas the training group (TG) performed additional physical exercises. The initial evaluation (T1) was carried out after 1 week of exercise and the final evaluation (T2) was performed after 28 days. Both evaluations consisted of maximal graded tests performed with the valid leg, followed by completion of a questionnaire on personal autonomy in activities of daily living (ADL). RESULTS: In the CG group, we recorded a 4 to 8% increase in peak oxygen uptake (VO₂ peak). There was no significant increase in peak power output (Wpeak). However, the TG displayed significantly (P<0.05) greater peak values than those recorded on study entry (Wpeak: +30%, VO₂ peak: +20%). The TG showed a statistically significant improvement in the Barthel and Katz ADL scale scores, whereas the pre- and post-rehabilitation values did not differ significantly in the CG. However, there was no correlation between the Barthel/Katz scale scores and Wpeak. CONCLUSION: Evaluation of cardiorespiratory fitness by using the valid leg seems to be feasible in hemiplegic patients 1 month post-stroke. Early post-stroke physical training appears to be needed to limit the negative effects of functional hypoactivity. |
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Authors:
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A Letombe; C Cornille; H Delahaye; A Khaled; O Morice; A Tomaszewski; N Olivier |
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Publication Detail:
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Type: Journal Article Date: 2010-10-16 |
Journal Detail:
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Title: Annals of physical and rehabilitation medicine Volume: 53 ISSN: 1877-0665 ISO Abbreviation: Ann Phys Rehabil Med Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101502773 Medline TA: Ann Phys Rehabil Med Country: Netherlands |
Other Details:
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Languages: eng; fre Pagination: 632-42 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Centre de rééducation « L'Espoir », Hellemmes, France. a.letombe@orcet-helios.org |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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