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Early functional improvement after stroke correlates with cardiovascular fitness.
Chen, Chun-Kai; Huang, Mao-Hsiung; Liang, Wen-Lung; Lin, Ruey-Tay; Juo, Suh-Hang H.
Afiliación
  • Chen CK; Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Graduate Institute of Medicine, Collage of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Huang MH; Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
  • Liang WL; Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
  • Lin RT; Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
  • Juo SH; Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan; Institute of New Drug Development, China Medical University, Taichung, Taiwan; Drug Development Center, China Medical University, Taichung, Taiwan; Centre for Myopia and Eye Disease, Department of Medical Research
Kaohsiung J Med Sci ; 34(11): 643-649, 2018 Nov.
Article en En | MEDLINE | ID: mdl-30392571
Cardiovascular fitness exerts directly beneficial effects on functional and cognitive outcomes in patients of chronic stroke. However, the effect of early rehabilitation on cardiovascular function has not yet been thoroughly examined. We tested whether complementary rehabilitation program could influence cardiovascular fitness in an early stage of stroke patients. The associations for post-acute stroke functional recovery with cardiovascular fitness were explored. Thirty-seven patients with mean poststroke interval of 8.6 ± 3.8 days underwent inpatient rehabilitation of 22.8 ± 3.8 days. Functional outcomes of 15.3 points (17.2%) in functional independence measure improved after rehabilitation program. The therapeutic cardiovascular fitness was determined in ramp exercise test on a cycling ergometer. Peak oxygen uptake (V˙O2peak) significantly increased by 24.8% after early stroke rehabilitation. Multivariate regression analysis was performed to assess for associations of functional improvement with respect to change in V˙O2peak and extremities motor impairment. V˙O2peak gain accounted for more functional recovery than extremities motor improvement (R2 = 0.42). In conclusion, these results suggest that cardiovascular fitness appears to increase after complementary program in early stroke rehabilitation, and better cardiovascular fitness may be associated with greater functional improvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema Cardiovascular / Accidente Cerebrovascular Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Kaohsiung J Med Sci Asunto de la revista: MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: China
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema Cardiovascular / Accidente Cerebrovascular Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Kaohsiung J Med Sci Asunto de la revista: MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: China