The effect of early aerobic training on independence six months post stroke
The effect of early aerobic training on independence six months post stroke
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DOI：
10.1191/0269215503cr671oa
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发表时间：
2003-10-01
影响因子：
3
通讯作者：
Shochina, M
中科院分区：
文献类型：
--
作者：
Katz-Leurer, M;Carmeli, E;Shochina, M
目的：调查早期有氧训练是否对中风患者在事件发生六个月后的日常和社交活动独立性产生有益影响。设计：随机临床试验。地点：康复中心。受试者：首次中风后的 92 名患者。干预措施：46 名患者使用腿部自行车测力计参加了为期八周的有氧训练计划。主要结果指标：在计划开始时测量两次 Frenchay 活动指数 (FAI) （事件前评分）和事件发生后六个月。结果：尽管与对照组相比，研究组患者在干预后立即的功能能力显着改善，但事件后六个月各组之间的 FAI 平均评分没有显着差异。事件严重程度、干预措施和 FAI 总分之间存在交互作用。受损程度较轻的研究组患者的平均 FAI 评分下降幅度明显较小。结论：按照中风后六个月的 FAI 总分衡量，早期、中等强度的有氧训练对日常和社交活动的独立性没有直接影响。
Objective: To investigate whether early aerobic training has a beneficial effect on stroke patients' independence in daily and social activities six months after the event.Design: Randomized clinical trial.Setting: Rehabilitation unit.Subjects: Ninety-two patients after a first stroke.Interventions: Forty-six patients participated in an eight-week programme of aerobic training, using a leg cycle ergometer.Main outcome measures: Frenchay Activities Index (FAI) measured twice, at entry to programme (pre-event score) and six months after the onset of the event.Results: Despite the significant improvement of study group patients' functional abilities immediately after the intervention compared with controls, no significant difference was found in FAI mean score between groups six months post event. An interaction effect was noted between event severity, intervention and FAI total score. Mean FAI score declined significantly less in the less severely impaired study group patients.Conclusions: Early, moderately intense aerobic training has no direct impact on independence in daily and social activities as measured by FAI total score six months after a stroke.