Forced and Voluntary Aerobic Cycling Interventions Improve Walking Capacity in Individuals With Chronic Stroke.
Forced and Voluntary Aerobic Cycling Interventions Improve Walking Capacity in Individuals With Chronic Stroke.
复制标题
DOI：
10.1016/j.apmr.2020.08.006
复制
发表时间：
2021-01
影响因子：
4.3
通讯作者：
Alberts JL
中科院分区：
文献类型：
--
作者：
Linder SM;Davidson S;Rosenfeldt A;Lee J;Koop MM;Bethoux F;Alberts JL
To determine the efficacy of high-intensity cycling to improve walking capacity in persons with chronic stroke, identify variables that predict improvement in walking capacity, and quantify the relationship between Six Minute Walk Test (6MWT) and Cardiopulmonary Exercise (CPX) Test variables. Secondary analysis of data from 2 randomized clinical trials Research laboratory Individuals with chronic stroke (N=43) Participants were randomized to one of the following time-matched interventions, occurring 3 times per week for 8 weeks: 1) forced aerobic exercise and upper extremity repetitive task practice (FE+RTP, N=16), 2) voluntary aerobic exercise and upper extremity repetitive task practice (VE+RTP, N=14), or 3) a non-aerobic control group (control, N=13). Change in walking capacity as measured by the 6MWT from baseline to end of treatment (EOT). Significant increases were observed in distance traveled during the 6MWT at EOT compared to baseline in the FE+RTP (p<0.001) and VE+RTP (p<0.001) groups, but not in the control group (p=0.21). Among aerobic exercise participants, a multivariate regression analysis revealed that cycling cadence, power output, and baseline 6MWT distance were significant predictors of change in walking capacity. An 8-week aerobic cycling intervention prescribed at 60–80% of heart rate reserve and moderate to high cadence and resistance led to significant improvements in walking capacity in our cohort of persons with chronic stroke. Individuals with low baseline levels of walking capacity may benefit most from aerobic cycling to improve over ground locomotion. While the 6MWT did not elicit a comparable cardiorespiratory response as the maximal exertion CPX test, the 6MWT can be considered a valid and clinically relevant submaximal test of cardiorespiratory function in individuals with chronic stroke.
登录
查看更多内容
影响因子：
8.3
作者：
Brown, DA;Kautz, SA
通讯作者：
Kautz, SA
影响因子：
158.5
作者：
Dobkin, BH
通讯作者：
Dobkin, BH
影响因子：
5.1
作者：
Liang JN;Brown DA
通讯作者：
Brown DA
影响因子：
3.2
作者：
MacKay-Lyons, Marilyn;Billinger, Sandra A.;Unsworth, Karen
通讯作者：
Unsworth, Karen
影响因子：
8.3
作者：
Fulk, George D.;He, Ying;Dunning, Kari
通讯作者：
Dunning, Kari