دورية أكاديمية
أعرض في EDS

FES-assisted Cycling Improves Aerobic Capacity and Locomotor Function Postcerebrovascular Accident.

التفاصيل البيبلوغرافية
العنوان: FES-assisted Cycling Improves Aerobic Capacity and Locomotor Function Postcerebrovascular Accident.
المؤلفون: Aaron SE; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC., Vanderwerker CJ; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC., Embry AE; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC., Newton JH; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC., Lee SCK; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC., Gregory CM; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC.
المصدر: Medicine and science in sports and exercise [Med Sci Sports Exerc] 2018 Mar; Vol. 50 (3), pp. 400-406.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8005433 Publication Model: Print Cited Medium: Internet ISSN: 1530-0315 (Electronic) Linking ISSN: 01959131 NLM ISO Abbreviation: Med Sci Sports Exerc Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, Md : Lippincott Williams & Wilkins
Original Publication: Madison, Wis., American College of Sports Medicine.
مواضيع طبية MeSH: Electric Stimulation Therapy* , Exercise Therapy* , Oxygen Consumption*, Stroke/*physiopathology , Stroke Rehabilitation/*methods, Adult ; Aged ; Bicycling ; Exercise Tolerance ; Female ; Gait ; Humans ; Male ; Middle Aged ; Paresis/rehabilitation ; Pilot Projects ; Walking Speed
مستخلص: Purpose: After a cerebrovascular accident (CVA) aerobic deconditioning contributes to diminished physical function. Functional electrical stimulation (FES)-assisted cycling is a promising exercise paradigm designed to target both aerobic capacity and locomotor function. This pilot study aimed to evaluate the effects of an FES-assisted cycling intervention on aerobic capacity and locomotor function in individuals post-CVA.
Methods: Eleven individuals with chronic (>6 months) post-CVA hemiparesis completed an 8-wk (three times per week; 24 sessions) progressive FES-assisted cycling intervention. V˙O2peak, self-selected, and fastest comfortable walking speeds, gait, and pedaling symmetry, 6-min walk test (6MWT), balance, dynamic gait movements, and health status were measured at baseline and posttraining.
Results: Functional electrical stimulation-assisted cycling significantly improved V˙O2peak (12%, P = 0.006), self-selected walking speed (SSWS, 0.05 ± 0.1 m·s, P = 0.04), Activities-specific Balance Confidence scale score (12.75 ± 17.4, P = 0.04), Berg Balance Scale score (3.91 ± 4.2, P = 0.016), Dynamic Gait Index score (1.64 ± 1.4, P = 0.016), and Stroke Impact Scale participation/role domain score (12.74 ± 16.7, P = 0.027). Additionally, pedal symmetry, represented by the paretic limb contribution to pedaling (paretic pedaling ratio [PPR]) significantly improved (10.09% ± 9.0%, P = 0.016). Although step length symmetry (paretic step ratio [PSR]) did improve, these changes were not statistically significant (-0.05% ± 0.1%, P = 0.09). Exploratory correlations showed moderate association between change in SSWS and 6-min walk test (r = 0.74), and moderate/strong negative association between change in PPR and PSR.
Conclusions: These results support FES-assisted cycling as a means to improve both aerobic capacity and locomotor function. Improvements in SSWS, balance, dynamic walking movements, and participation in familial and societal roles are important targets for rehabilitation of individuals after CVA. Interestingly, the correlation between PSR and PPR suggests that improvements in pedaling symmetry may translate to a more symmetric gait pattern.
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معلومات مُعتمدة: R01 HD062588 United States HD NICHD NIH HHS; U54 GM104941 United States GM NIGMS NIH HHS; P20 GM109040 United States GM NIGMS NIH HHS
تواريخ الأحداث: Date Created: 20180221 Date Completed: 20181227 Latest Revision: 20190301
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5847329
DOI: 10.1249/MSS.0000000000001457
PMID: 29461462
قاعدة البيانات: MEDLINE
الوصف
تدمد:1530-0315
DOI:10.1249/MSS.0000000000001457