liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effects of Twice-Weekly Intense Aerobic Exercise inQ1 Early Subacute Stroke: A Randomized Controlled Trial
Linköping University, Department of Medical and Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Department of Rehabilitation in Norrköping. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Internal Medicine in Norrköping.
Linköping University, Department of Medical and Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Department of Rehabilitation in Norrköping. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care. Region Östergötland, Heart and Medicine Center, Department of Dermatology and Venerology.ORCID iD: 0000-0001-8336-9767
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.ORCID iD: 0000-0003-3707-5869
2016 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 97, no 8, 1244-1253 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE:

To examine the effects of 12 weeks of twice-weekly intensive aerobic exercise on physical function and quality of life after subacute stroke.

DESIGN:

Randomized controlled trial.

SETTING:

Ambulatory care.

PARTICIPANTS:

Patients (N=56; 28 women) aged ≥50 years who had a mild stroke (98% ischemic) and were discharged to independent living and enrolled 20 days (median) after stroke onset.

INTERVENTIONS:

Sixty minutes of group aerobic exercise, including 2 sets of 8 minutes of exercise with intensity up to exertion level 14 or 15 of 20 on the Borg rating of perceived exertion scale, twice weekly for 12 weeks (n=29). The nonintervention group (n=27) received no organized rehabilitation or scheduled physical exercise.

MAIN OUTCOME MEASURES:

Primary outcome measures included aerobic capacity on the standard ergometer exercise stress test (peak work rate) and walking distance on the 6-minute walk test (6MWT). Secondary outcome measures included maximum walking speed for 10m, balance on the timed Up and Go (TUG) test and single leg stance (SLS), health-related quality of life on the European Quality of Life Scale (EQ-5D), and participation and recovery after stroke on the Stroke Impact Scale (SIS) version 2.0 domains 8 and 9. Participants were evaluated pre- and postintervention. Patient-reported measures were also evaluated at 6-month follow-up.

RESULTS:

The following improved significantly more in the intervention group (pre- to postintervention): peak work rate (group × time interaction, P=.006), 6MWT (P=.011), maximum walking speed for 10m (P<.001), TUG test (P<.001), SLS right and left (eyes open) (P<.001 and P=.022, respectively), and SLS right (eyes closed) (P=.019). Aerobic exercise was associated with improved EQ-5D scores (visual analog scale, P=.008) and perceived recovery (SIS domain 9, P=.002). These patient-reported improvements persisted at 6-month follow-up.

CONCLUSIONS:

Intensive aerobic exercise twice weekly early in subacute mild stroke improved aerobic capacity, walking, balance, health-related quality of life, and patient-reported recovery.

Place, publisher, year, edition, pages
Saunders Elsevier, 2016. Vol. 97, no 8, 1244-1253 p.
Keyword [en]
Exercise; Quality of life; Randomized controlled trial [publication type]; Rehabilitation; Stroke
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-128225DOI: 10.1016/j.apmr.2016.01.030ISI: 000381244200005PubMedID: 26903147OAI: oai:DiVA.org:liu-128225DiVA: diva2:930247
Note

Funding agencies: Swedish Stroke Association, Stockholm, Sweden; Henry and Ella Margareta Stahl Foundation, Norrkoping, Sweden; Medical Research Council of Southeast Sweden, Sweden; Research and Development Council, Local Health Care, Norrkoping, Sweden

Available from: 2016-05-23 Created: 2016-05-23 Last updated: 2016-09-27

Open Access in DiVA

fulltext(297 kB)55 downloads
File information
File name FULLTEXT01.pdfFile size 297 kBChecksum SHA-512
e50bc89fddfcade2a1a32bae7dd1ad8b47c17f41e16aa793ae979ea6ff42b02f5e0420ab33281a0eee07d8d7ac79e3ab8df7992b56d74001e41378fba6541c75
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Sandberg, KlasKleist, MarieFalk, LarsEnthoven, Paul
By organisation
Department of Medical and Health SciencesDepartment of Rehabilitation in NorrköpingFaculty of Medicine and Health SciencesDepartment of Internal Medicine in NorrköpingDivision of Neuro and Inflammation ScienceResearch & Development Unit in Local Health CareDepartment of Dermatology and VenerologyDivision of Physiotherapy
In the same journal
Archives of Physical Medicine and Rehabilitation
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 55 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 147 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf