Document Detail


Exercise capacity and cardiovascular adaptations to aerobic training early after stroke.
MedLine Citation:
PMID:  15735999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinicians are becoming increasingly interested in the use of aerobic training to enhance functional outcomes after stroke. Several studies have demonstrated the effectiveness of training among individuals in the chronic poststroke period. However, there is limited information on the response to training in earlier stages of recovery. The purpose of this article is to review what is known regarding the capacity of people early after stroke (<4 months) to respond to the physiological demands of exercise (exercise capacity) as well as their ability to make long-term cardiovascular adaptations to aerobic exercise. There is evidence that exercise capacity, as measured by peak oxygen consumption on maximal exercise tests, is reduced in this population. There is also evidence, albeit limited, that exercise trainability soon after stroke can be both feasible and safe, if appropriate screening and monitoring are used. Moreover, there are early indications that activity-level functions such as walking speed, mobility, and balance may be enhanced through such programs. Further research is necessary to elucidate the most appropriate timing and design of fitness programs for people early after stroke.
Authors:
Marilyn J MacKay-Lyons; Jonathan Howlett
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Topics in stroke rehabilitation     Volume:  12     ISSN:  1074-9357     ISO Abbreviation:  Top Stroke Rehabil     Publication Date:  2005  
Date Detail:
Created Date:  2005-02-28     Completed Date:  2005-04-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9439750     Medline TA:  Top Stroke Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-44     Citation Subset:  IM    
Affiliation:
School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adaptation, Physiological*
Adult
Aged
Anaerobic Threshold
Cardiovascular Physiological Phenomena
Exercise / physiology*
Exercise Tolerance / physiology*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Oxygen Consumption / physiology
Physical Therapy Modalities
Recovery of Function
Risk Assessment
Severity of Illness Index
Stroke / diagnosis*,  rehabilitation*
Treatment Outcome

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


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