Forced Aerobic Exercise Preceding Task Practice Improves Motor Recovery Poststroke.
Am J Occup Ther
; 71(2): 7102290020p1-7102290020p9, 2017.
Article
em En
| MEDLINE
| ID: mdl-28218596
ABSTRACT
OBJECTIVE:
To understand how two types of aerobic exercise affect upper-extremity motor recovery post-stroke. Our aims were to (1) evaluate the feasibility of having people who had a stroke complete an aerobic exercise intervention and (2) determine whether forced or voluntary exercise differentially facilitates upper-extremity recovery when paired with task practice.METHOD:
Seventeen participants with chronic stroke completed twenty-four 90-min sessions over 8 wk. Aerobic exercise was immediately followed by task practice. Participants were randomized to forced or voluntary aerobic exercise groups or to task practice only.RESULTS:
Improvement on the Fugl-Meyer Assessment exceeded the minimal clinically important difference 12.3, 4.8, and 4.4 for the forced exercise, voluntary exercise, and repetitive task practice-only groups, respectively. Only the forced exercise group exhibited a statistically significant improvement.CONCLUSION:
People with chronic stroke can safely complete intensive aerobic exercise. Forced aerobic exercise may be optimal in facilitating motor recovery associated with task practice.
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MEDLINE
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En
Ano de publicação:
2017
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Article