Article

OBJECTIVE: To examine the effects of 3 months of aerobic training (AT) followed
by coaching on aerobic capacity, strength, and gait speed after subacute stroke.
DESIGN: Randomized controlled trial. SETTING: Inpatient rehabilitation center.
PARTICIPANTS: Patients (N=59; mean age +/- SD, 65.4+/-10.3y; 21 women (36%);
Barthel Index </=50 in 64% of patients) with first stroke and able to cycle at 50
revolutions/min were enrolled in the study 3 to 10 weeks after stroke onset.
INTERVENTIONS: Patients were randomly allocated to a 3-month active cycling group
(ACG, n=33) and education, or to a control group (CG, n=26). Afterward, patients
in the ACG were randomly assigned either to a coaching (n=15) or to a noncoaching
group (n=16) for 9 months. MAIN OUTCOME MEASURES: Aerobic capacity, isometric
knee extension strength, and gait ability and speed were measured before and
after intervention and during follow-up at 6 and 12 months. RESULTS: A
nonsignificant difference was found in workload (Wattpeak) (P=.078) between ACG
and CG after 3 months. Furthermore, after 3 months of cycling and after 9 months
of coaching, all groups showed significant changes over time (P</=.027) in peak
oxygen consumption, Wattpeak, leg strength, and gait speed. Also, significant
changes over time (P<.001) were found in the ACG and the CG in patients with
walking inability at baseline. CONCLUSIONS: No significant differences between
training groups were found over time. Although our study did not have objective
exercise data from the training device during follow-up, the 3-month active
cycling (AC) program combined with education sessions seemed an applicable method
in subacute stroke rehabilitation. New long-term AT interventions should focus on
coaching approaches to facilitate training after a supervised AC program.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS