Document Detail


What is the benefit of a high-intensive exercise program on health-related quality of life and depression after stroke? A randomized controlled trial.
MedLine Citation:
PMID:  21037954     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of the study was to evaluate the impact of a high-intensive exercise program containing high-intensive functional exercises implemented to real-life situations together with group discussions on falls and security aspects in stroke subjects with risk of falls. This was a pre-specified secondary outcome for this study. For evaluation, Short Form-36 (SF-36) health-related quality of life (HRQoL) and the Geriatric Depression Scale-15 (GDS-15) were used. This was a single-center, single-blinded, randomized, controlled trial. Consecutive >55 years old stroke patients with risk of falls at 3-6 months after first or recurrent stroke were randomized to the intervention group (IG, n = 15) or to the control group (CG, n = 19) who received group discussion with focus on hidden dysfunctions but no physical fitness training. The 5-week high-intensive exercise program was related to an improvement in the CG in the SF-36 Mental Component Scale and the Mental Health subscale at 3 months follow-up compared with baseline values while no improvement was seen in the IG at this time. For the SF-36 Physical Component Scale, there was an improvement in the whole study group at 3 and 6 months follow-up compared with baseline values without any significant changes between the IG and CG. The GDS-15 was unchanged throughout the follow-up period for both groups. Based on these data, it is concluded that high-intensive functional exercises implemented in real-life situations should also include education on hidden dysfunctions after stroke instead of solely focus on falls and safety aspects to have a favorable impact on HRQoL.
Authors:
Eva Holmgren; Gunilla Gosman-Hedström; Britta Lindström; Per Wester
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-6-14
Journal Detail:
Title:  Advances in physiotherapy     Volume:  12     ISSN:  1651-1948     ISO Abbreviation:  -     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-11-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100894597     Medline TA:  Adv Physiother     Country:  -    
Other Details:
Languages:  ENG     Pagination:  125-133     Citation Subset:  -    
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