| Feasibility of adapted aerobic cycle ergometry tasks to encourage paretic limb use after stroke: a case series. | |
| | |
MedLine Citation:
|
PMID: 18645295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cardiorespiratory fitness, along with sensorimotor recovery, is important for optimal function after stroke. Development of exercises that simultaneously address aerobic training and increase paretic limb involvement may improve outcomes and maximize productivity of therapy sessions. This case series assessed the feasibility of and characterized the cardiorespiratory and sensorimotor demands of adapted aerobic cycle ergometer activities hypothesized to increase paretic limb use. Mechanically loaded and electromyographic (EMG) feedback pedaling were compared to traditional pedaling in three poststroke case studies and a healthy control group. Submaximal oxygen uptake (Vo2), heart rate, perceived rate of exertion (RPE), and EMG of four leg muscles were assessed. Mechanically loaded ergometry increased RPE and altered muscle activity in healthy participants, while participants with stroke did not consistently increase paretic limb activation. EMG feedback pedaling increased target limb activity in healthy participants and decreased nonparetic activity in stroke participants. This paper highlights the challenges involved in adapting training tasks for individuals who are not able to walk at training intensities. Further work is necessary to refine adapted tasks for optimal effectiveness, and consideration of additional methods that permit differential interlimb loading may have additional value. |
| | |
Authors:
|
Kathryn M Sibley; Ada Tang; Dina Brooks; David A Brown; William E McIlroy |
Related Documents
:
|
17710985 - Aerobic capacity of fifth-year medical students at chiang mai university. 18292925 - Do low-frequency electrical myostimulation and aerobic training similarly improve perfo... 17308315 - Effects of exercise on aerobic capacity and fatigue in women with primary sjogren's syn... 10769915 - Effects of music on mood during bench stepping exercise. 2893635 - The assessment of the beta-adrenoceptor blocking activity and cardioselectivity of koe ... 18654795 - Effect of exercise intensities on free fatty acid uptake in whole-body organs measured ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of neurologic physical therapy : JNPT Volume: 32 ISSN: 1557-0576 ISO Abbreviation: J Neurol Phys Ther Publication Date: 2008 Jun |
Date Detail:
|
Created Date: 2008-07-22 Completed Date: 2008-09-04 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 101193365 Medline TA: J Neurol Phys Ther Country: United States |
Other Details:
|
Languages: eng Pagination: 80-7 Citation Subset: IM |
Affiliation:
|
Institute of Medical Science, Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Bicycling / physiology* Biomechanics Case-Control Studies Electromyography Feasibility Studies Female Heart Rate / physiology Humans Male Middle Aged Oxygen Consumption / physiology Paresis / physiopathology, rehabilitation* Physical Exertion / physiology Physical Fitness / physiology Stroke / physiopathology, rehabilitation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The reliability of the Vestibular Autorotation Test (VAT) in patients with dizziness.
Next Document: Use of three gait-training strategies in an individual with multiple, chronic strokes.