Thursday, August 15, 2019

Aerobic exercise significantly improves endurance and walking ability in stroke patients, finds study

Aerobic exercise significantly improves aerobic endurance and walking ability in stroke patients, finds new study.

The new research has found that stroke survivors who completed group-based aerobic exercise programs similar in design and duration to cardiac rehabilitation programs significantly improved their aerobic endurance and walking ability.


Although stroke remains the leading cause of disability current rehabilitation care following stroke has little to no focus on aerobic fitness and when continued rehabilitation activity is suggested patients often fail to keep active without any support or guidance, according to a study to assess the impact of aerobic exercise programs on endurance and walking ability after stroke.


The physical therapy we currently provide to patients after a stroke focuses more in improving the ability to move and move well rather than on increasing how far and long you can move, said the lead author of the study.  It doesn't matter how well you can walk, if your endurance level keeps you at home.


Nearly 500 adults average ages between 54-71 completed aerobic exercise programs similar in structure to cardiac rehabilitation.  Participants attended 2-3 sessions per week for about 3 months. Of nearly 2 dozen different exercise groups, walking was the most common type of activity, followed by stationary cycling as mixed mode aerobic exercise. Physical abilities were tested before and after the intervention.


Looking at results by activity type, researchers found-
*mixed aerobic activity provides the best result ( 4 treatment groups) followed by walking ( 12 treatment groups)
*cycling or recumbent stepping ( machine that allows stepping while in seated position) while still significant was the least effective ( 7 treatment groups)

*overall, participants significantly improved their endurance level and walking speed.
*On average, participants walked almost half the size of a football field during a 6 minute walking test. Participants with mild movement impairments benefited the most.

These benefits were realised regardless of how long it had been since their stroke, the Dr. said. Our analysis included stroke survivors across a wide range, from less than 6 months to greater than a year since their stroke, and the benefits were seen whether they started an aerobic exercise program one month or one year after having a stroke.


Cardiac rehab programs may be a viable option for patients after a stroke who have health risks and endurance losses similar to traditional cardiac rehab participants, said the study's co-author. Almost every hospital has a cardiac rehab program, so it's an existing platform that could be used for stroke survivors, Funneling patients with stroke into these existing programs may be an easy, cost-effective solution with long-term benefits.


While this study suggests group-based aerobic exercise programs improve health and endurance in stroke survivors, no control group analysis was performed for results comparison. Limited hollow-up data were available to determine whether the health benefits persisted.


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Read more at Speciality Medical Dialogues: Aerobic exercise significantly improves endurance and walking ability in stroke patients, finds study https://speciality.medicaldialogues.in/aerobic-exercise-significantly-improves-endurance-and-walking-ability-in-stroke-patients-finds-study/

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