Predictors of response to treadmill exercise in stroke survivors

التفاصيل البيبلوغرافية
العنوان: Predictors of response to treadmill exercise in stroke survivors
المؤلفون: Joachim Cerny, Andreas R. Luft, Clemens Becker, Benjamin Hertler, Kamil Uludag, Larry W. Forrester, Christoph Globas, Daniel F. Hanley, Judith M. Lam, Richard F. Macko
المساهمون: University of Zurich, Cognitive Neuroscience, RS: FPN CN I
المصدر: Neurorehabilitation and Neural Repair, 24(6), 567-574. SAGE Publications Inc.
سنة النشر: 2010
مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, 610 Medicine & health, Walking, Severity of Illness Index, Article, law.invention, Physical medicine and rehabilitation, Randomized controlled trial, law, Predictive Value of Tests, Severity of illness, Post-hoc analysis, Outcome Assessment, Health Care, Medicine, Humans, Stroke, Gait, Gait Disorders, Neurologic, Aged, Rehabilitation, business.industry, Stroke Rehabilitation, Cardiorespiratory fitness, General Medicine, Middle Aged, medicine.disease, Prognosis, Exercise Therapy, 10040 Clinic for Neurology, Paresis, 2742 Rehabilitation, Treatment Outcome, 2728 Neurology (clinical), Physical Fitness, Predictive value of tests, 2808 Neurology, Physical therapy, Exercise Test, Female, business, human activities
الوصف: Background. Aerobic treadmill exercise (T-EX) therapy has been shown to benefit walking and cardiorespiratory fitness in stroke survivors with chronic gait impairment even long after their stroke. The response, however, varies between individuals. Objective . The purpose of this post hoc analysis of 2 randomized controlled T-EX trials was to identify predictors for therapy response. Methods. In all, 52 participants received T-EX for 3 (Germany) or 6 (United States) months. Improvements in overground walking velocity (10 m/6-min walk) and fitness (peak VO2) were indicators of therapy response. Lesion location and volume were measured on T1-weighted magnetic resonance scans. Results . T-EX significantly improved gait and fitness, with gains in 10-m walk tests ranging between +113% and −25% and peak VO2 between −12% and 88%. Baseline walking impairments or fitness deficits were not predictive of therapy response; 10-m walk velocity improved more in those with subcortical rather than cortical lesions and in patients with smaller lesions. Improvements in 6-minute walk velocity were greater in those with more recent strokes and left-sided lesions. No variable other than training intensity, which was different between trials, predicted fitness gains. Conclusions. Despite proving overall effectiveness, the response to T-EX varies markedly between individuals. Whereas intensity of aerobic training seems to be an important predictor of gains in cardiovascular fitness, lesion size and location as well as interval between stroke onset and therapy delivery likely affect therapy response. These findings may be used to guide the timing of training and identify subgroups of patients for whom training modalities could be optimized.
وصف الملف: NNR10_PredictorsOfResponseToTreadmillExerciseInStrokeSurvivors.pdf - application/pdf; Predictors_of_response_to_treadmill_exercise.pdf - application/pdf
اللغة: English
تدمد: 1545-9683
DOI: 10.1177/1545968310364059
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f7e78357cae05552bb18dd21f9e8e6a3
https://doi.org/10.1177/1545968310364059
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....f7e78357cae05552bb18dd21f9e8e6a3
قاعدة البيانات: OpenAIRE
الوصف
تدمد:15459683
DOI:10.1177/1545968310364059