An evaluation of two different exercise regimes during the first year following stroke: a randomised controlled trial.
نویسندگان
چکیده
The purpose of this randomised controlled trial was to evaluate the effects of two different exercise approaches during the first 12 months post stroke on Instrumental Activities of Daily Living (IADL), motor function, gait performance, balance, grip strength, and muscle tone. This study is a double-blind longitudinal randomised trial of first-time-ever stroke patients. Seventy-five patients were included: 35 in an intervention group and 40 in a self-initiated exercise group. After discharge from acute rehabilitation, patients assigned in the intervention group had physiotherapy for a minimum amount of 80 hours during the first year. Patients in the self-initiated exercise group were not recommended any specific therapy besides treatment when needed. Main outcome measures were Instrumental Activities of Daily Living according to Fillenbaum, Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go Test, grip strength, Modified Ashworth Scale, and pulse monitoring. The patients were tested on admission, at discharge, and after 3, 6, and 12 months post stroke by an experienced investigator, blinded to group assignment. Twelve months post stroke showed higher levels of independence in all items of the Instrumental Activities of Daily Living Test and improvements in the results of Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go, and grip strength in both groups. Only a few significant differences were seen between groups, and they were in favour of the self-initiated exercise group (e.g., ability to use the telephone independently). Attending examination sessions following each intervention phase appeared to be strong motivators for training, irrespective of group allocation.
منابع مشابه
Exogenous Ketone Supplement Ingestion And Submaximal Exercise Response in Trained, Male Cyclists: A Randomised, Double-blind Study
Background. The acute ingestion of ketone body supplements can improve exercise responses such as oxygen consumption and blood lactate. Additionally, ketone body supplements show increases in circulating βhb concentration, matching those of someone in a state of nutritional ketosis. Studies testing ketone body supplements have reported different results in exercise response and varying gastroin...
متن کاملبررسی تأثیر آئینه درمانی بر عملکرد دست بیماران مبتلا به آسیب های ارتوپدیک
Background : Mirror therapy as a neural based rehabilitation technique, produces illusion of two healthy limbs for the brain. The aim of the present study was to determine effects of mirror therapy in restoring hand function in patients with active Range of Motion (ROM) impairments following orthopaedic injuries. Methods: In a randomised controlled trial, 30 patients with active ROM impairm...
متن کاملThe Effect of Prenatal Education on Mother’s Quality of Life during First Year P ostpartum among Iranian Women:A Randomized Controlled Trial
متن کامل
A randomised controlled trial evaluating family mediated exercise (FAME) therapy following stroke
BACKGROUND Stroke is a leading cause of disability among adults worldwide. Evidence suggests that increased duration of exercise therapy following stroke has a positive impact on functional outcome following stroke. The main objective of this randomised controlled trial is to evaluate the impact of additional family assisted exercise therapy in people with acute stroke. METHODS/DESIGN A prosp...
متن کاملP-78: A Randomised Placebo-Controlled Trial to Determine the Effect of Iron Supplementation on Neonatal Outcome in Pregnant Women with Normal Heamoglobin (Hb=11-13
Background: To study the effect of iran supplementation on neonal outcom in pregnant women with normal heamoglobin (Hb=11g/dl )13 g/dl Methods : two handrad pregnant women with Hb=11-13 g/dl in the early slage of pregmancy? Materials and Methods: Each woman look one tablet of 50 mg of ferrossalphate daily in the case group (n=100) and placebo group (n=100). Results: While no significant differe...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Physiotherapy theory and practice
دوره 25 2 شماره
صفحات -
تاریخ انتشار 2009