Linder Susan M, Rosenfeldt Anson B, Dey Tanujit, Alberts Jay L
Susan M. Linder, DPT, NCS, is Project Staff, Department of Biomedical Engineering and Cleveland Clinic Concussion Center, Cleveland Clinic, Cleveland, OH;
Anson B. Rosenfeldt, DPT, MBA, is Research Physical Therapist, Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH.
Am J Occup Ther. 2017 Mar/Apr;71(2):7102290020p1-7102290020p9. doi: 10.5014/ajot.2017.020297.
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 upper-extremity recovery when paired with task practice.
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.
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.
People with chronic stroke can safely complete intensive aerobic exercise. Forced aerobic exercise may be optimal in facilitating motor recovery associated with task practice.
了解两种有氧运动如何影响中风后上肢运动功能的恢复。我们的目标是：（1）评估中风患者完成有氧运动干预的可行性；（2）确定在与任务练习相结合时，强迫运动或自主运动是否对上肢恢复有不同程度的促进作用。
17名慢性中风患者在8周内完成了24次90分钟的训练课程。有氧运动后紧接着进行任务练习。参与者被随机分为强迫有氧运动组、自主有氧运动组或仅进行任务练习组。
Fugl-Meyer评估的改善超过了最小临床重要差异：强迫运动组、自主运动组和仅进行重复任务练习组分别为12.3、4.8和4.4。只有强迫运动组表现出统计学上的显著改善。
慢性中风患者能够安全地完成高强度有氧运动。强迫有氧运动可能最有利于促进与任务练习相关的运动功能恢复。
