Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report / Susan M. Linder in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904210010p1-6904210010p8 Titre : Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report Type de document : texte imprimé Auteurs : Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; Matthew Rasanow, Auteur Année de publication : 2015 Article en page(s) : 6904210010p1-6904210010p8 Langues : Anglais (eng) Mots-clés : Aerobic exercise  cerebrovascular accident  ischemic stroke  exercise Résumé : OBJECTIVE. Previously, we demonstrated that forced aerobic exercise (FE) increases the pattern of neural activation in Parkinson’s disease. We sought to evaluate whether FE, when coupled with repetitive task practice, could promote motor recovery poststroke. METHOD. A 46-yr-old man with ischemic stroke exhibited chronic residual upper-extremity deficits, scoring 35/66 on the Fugl-Meyer Assessment (FMA) at baseline. He completed 24 training sessions comprising 45 min of FE on a motorized stationary bicycle followed by 45 min of upper-extremity repetitive task practice. RESULTS. From baseline to end of treatment, the FMA score improved by 20 points, perceived level of recovery on the Stroke Impact Scale increased by 20 percentage points, and cardiovascular function measured by peak oxygen uptake improved 30%. These improvements persisted 4 wk after the intervention ceased. CONCLUSION. FE may be a safe and feasible rehabilitation approach to augment recovery of motor and nonmotor function while improving aerobic fitness in people with chronic stroke. Permalink : ./index.php?lvl=notice_display&id=40413 [article] Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report [texte imprimé] / Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; Matthew Rasanow, Auteur . - 2015 . - 6904210010p1-6904210010p8. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904210010p1-6904210010p8 Mots-clés : Aerobic exercise  cerebrovascular accident  ischemic stroke  exercise Résumé : OBJECTIVE. Previously, we demonstrated that forced aerobic exercise (FE) increases the pattern of neural activation in Parkinson’s disease. We sought to evaluate whether FE, when coupled with repetitive task practice, could promote motor recovery poststroke. METHOD. A 46-yr-old man with ischemic stroke exhibited chronic residual upper-extremity deficits, scoring 35/66 on the Fugl-Meyer Assessment (FMA) at baseline. He completed 24 training sessions comprising 45 min of FE on a motorized stationary bicycle followed by 45 min of upper-extremity repetitive task practice. RESULTS. From baseline to end of treatment, the FMA score improved by 20 points, perceived level of recovery on the Stroke Impact Scale increased by 20 percentage points, and cardiovascular function measured by peak oxygen uptake improved 30%. These improvements persisted 4 wk after the intervention ceased. CONCLUSION. FE may be a safe and feasible rehabilitation approach to augment recovery of motor and nonmotor function while improving aerobic fitness in people with chronic stroke. Permalink : ./index.php?lvl=notice_display&id=40413

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Forced Aerobic Exercise Preceding Task Practice Improves Motor Recovery Poststroke. / Susan M. Linder in American Journal of Occupational Therapy, Vol. 71/2 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-9 Titre : Forced Aerobic Exercise Preceding Task Practice Improves Motor Recovery Poststroke. Type de document : texte imprimé Auteurs : Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; Tanujit Dey, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Exercice physique  Accident vasculaire cérébral  Membre supérieur  Récupération fonctionnelle Résumé : 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 upperextremity 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. Permalink : ./index.php?lvl=notice_display&id=49269 [article] Forced Aerobic Exercise Preceding Task Practice Improves Motor Recovery Poststroke. [texte imprimé] / Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; Tanujit Dey, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-9 Mots-clés : Exercice physique  Accident vasculaire cérébral  Membre supérieur  Récupération fonctionnelle Résumé : 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 upperextremity 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. Permalink : ./index.php?lvl=notice_display&id=49269

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Improving Quality of Life and Depression After Stroke Through Telerehabilitation / Susan M. Linder in American Journal of Occupational Therapy, Vol. 69/2 (Mars/Avril 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-10 Titre : Improving Quality of Life and Depression After Stroke Through Telerehabilitation Type de document : texte imprimé Auteurs : Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; R. Curtis Bay, Auteur Année de publication : 2015 Article en page(s) : p.1-10 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Etat dépressif  Qualité vie  Robotique  Télé médecineDepression  Exercise therapy  Quality of life  Robotics  Stroke  Telemedicine Résumé : OBJECTIVE. The aim of this study was to determine the effects of home-based robot-assisted rehabilitation coupled with a home exercise program compared with a home exercise program alone on depression and quality of life in people after stroke. METHOD. A multisite randomized controlled clinical trial was completed with 99 people <6 mo after stroke who had limited access to formal therapy. Participants were randomized into one of two groups, (1) a home exercise program or (2) a robot-assisted therapy + home exercise program, and participated in an 8-wk home intervention. RESULTS. We observed statistically significant changes in all but one domain on the Stroke Impact Scale and the Center for Epidemiologic Studies Depression Scale for both groups. CONCLUSION. A robot-assisted intervention coupled with a home exercise program and a home exercise program alone administered using a telerehabilitation model may be valuable approaches to improving quality of life and depression in people after stroke. Permalink : ./index.php?lvl=notice_display&id=35876 [article] Improving Quality of Life and Depression After Stroke Through Telerehabilitation [texte imprimé] / Susan M. Linder, Auteur ; Anson B. Rosenfeldt, Auteur ; R. Curtis Bay, Auteur . - 2015 . - p.1-10. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-10 Mots-clés : Accident cérébrovasculaire  Etat dépressif  Qualité vie  Robotique  Télé médecineDepression  Exercise therapy  Quality of life  Robotics  Stroke  Telemedicine Résumé : OBJECTIVE. The aim of this study was to determine the effects of home-based robot-assisted rehabilitation coupled with a home exercise program compared with a home exercise program alone on depression and quality of life in people after stroke. METHOD. A multisite randomized controlled clinical trial was completed with 99 people <6 mo after stroke who had limited access to formal therapy. Participants were randomized into one of two groups, (1) a home exercise program or (2) a robot-assisted therapy + home exercise program, and participated in an 8-wk home intervention. RESULTS. We observed statistically significant changes in all but one domain on the Stroke Impact Scale and the Center for Epidemiologic Studies Depression Scale for both groups. CONCLUSION. A robot-assisted intervention coupled with a home exercise program and a home exercise program alone administered using a telerehabilitation model may be valuable approaches to improving quality of life and depression in people after stroke. Permalink : ./index.php?lvl=notice_display&id=35876

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