Publication
Title
Does a cycling program combined with education and followed by coaching promote physical activity in subacute stroke patients? A randomized controlled trial
Author
Abstract
Background: To investigate the effects of a three month active cycling program followed by coaching on physical activity in subacute stroke patients. Methods: Patients (n = 59; mean age =65.4 ± 10.3) aged ≤80 years with first stroke and able to cycle at 50 revolutions/minute enrolled 310 weeks post stroke. Patients were randomly allocated to three month active cycling group (n = 33) or to a control group (n = 26), 3 x 30 minutes training/week. Afterwards, the active cycling group was randomized into a coaching (n = 15) versus non-coaching group (n = 16) for nine months. Physical activity was measured by objective and self-reported measures, which were taken before/after the active cycling program and during six and 12 months, except the Baecke-questionnaire, which was used at baseline and 12 months. Results: A significant difference was found in Baecke/sport (95% confidence interval: 0.06, 2.24; p = 0.039) between the active cycling group and the control group, in patients with severe motor function deficits at baseline. Patients in the control group performed significant less sports at 12 months (mean Baecke/sportbaseline =3.07 ± 1.21, mean Baecke/sport12months = 1.43 ± 0.98; p = 0.01). Furthermore, all groups showed significant changes over time in all measures at three months (except: Physical Activity Scale for Individuals with Physical Disabilities, diary/Mets*minutes-moderate) and 12 month and additionally in a subgroup with severe motor function deficits (except diary Mets*minutes-sedentary). Conclusion: When active cycling combined with education is used in subacute patients with severe motor function deficits, more sport participation might be observed after one year. No other significant group differences were found over time. In all groups, however, patients showed significant improvement over time in physical activity measures. Future work is needed to explore the most effective coaching approach after an aerobic training program.
Language
English
Source (journal)
Disability and rehabilitation. - London, 1992, currens
Publication
London : 2019
ISSN
0963-8288
1464-5165 [online]
DOI
10.1080/09638288.2017.1395084
Volume/pages
41 :4 (2019) , p. 413-421
ISI
000458810300006
Pubmed ID
29105516
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identifier
Creation 23.11.2017
Last edited 04.03.2024
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