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Title
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Effectiveness of active cycling in subacute stroke rehabilitation : a randomized controlled trial
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Author
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Abstract
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| 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. (C) 2016 by the American Congress of Rehabilitation Medicine |
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Language
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English
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Source (journal)
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Archives of physical medicine and rehabilitation. - Chicago, Ill., 1952, currens
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Publication
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Chicago, Ill.
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2017
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ISSN
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0003-9993
[print]
1532-821X
[online]
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DOI
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10.1016/J.APMR.2017.02.004
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Volume/pages
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98
:8
(2017)
, p. 1576-1585
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ISI
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000407305900010
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Pubmed ID
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28284834
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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