Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju, Republic of Korea (Dr Han); and Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi, Republic of Korea (Dr Im).
J Cardiopulm Rehabil Prev. 2018 Sep;38(5):314-319. doi: 10.1097/HCR.0000000000000243.
To assess the feasibility and safety of a 6-week course of water walking performed using a motorized aquatic treadmill in individuals with subacute stroke for cardiorespiratory fitness, walking endurance, and activities of daily living.
Twenty subacute stroke patents were randomly assigned to aquatic treadmill exercise (ATE) or land-based exercise (LBE). The ATE group (n = 10) performed water-based aerobic exercise on a motorized aquatic treadmill, and the LBE group (n = 10) performed land-based aerobic exercise on a cycle ergometer. Both groups performed aerobic exercise for 30 minutes, 5 times per week for 6 weeks. Primary outcome measures were 6-minute walk test for walking endurance and cardiopulmonary fitness parameters of a symptom-limited exercise tolerance test, and secondary measures were Korean version of the Modified Barthel Index (K-MBI) for activities of daily living. All variables were assessed at baseline and at the end of the intervention.
The ATE group showed significant improvements in 6-minute walk test (P = .005), peak oxygen uptake ((Equation is included in full-text article.)O2peak; P = .005), peak heart rate (P = .007), exercise tolerance test duration (P = .005), and K-MBI (P = .008). The LBE group showed a significant improvement only in K-MBI (P = .012). In addition, improvement in (Equation is included in full-text article.)O2peak was greater in the ATE than in the LBE group.
This preliminary study showed that a 6-week ATE program improved peak aerobic capacity and walking endurance in patients with subacute stroke. The improvement in (Equation is included in full-text article.)O2peak after an ATE exercise program was greater than that observed after an LBE program. Therefore, ATE effectively improves cardiopulmonary fitness in patients with subacute stroke.
评估使用电动水上跑步机进行 6 周水上行走对亚急性脑卒中患者心肺适应性、步行耐力和日常生活活动能力的可行性和安全性。
将 20 名亚急性脑卒中患者随机分为水上跑步机运动（ATE）组和陆地运动（LBE）组。ATE 组（n=10）在电动水上跑步机上进行水上有氧运动，LBE 组（n=10）在功率自行车上进行陆地有氧运动。两组均每周 5 次，每次 30 分钟，连续 6 周进行有氧运动。主要结局指标为步行耐力的 6 分钟步行试验和症状限制运动耐量试验的心肺功能参数，次要结局指标为韩国版改良巴氏指数（K-MBI）评估日常生活活动能力。所有变量均在基线和干预结束时进行评估。
ATE 组 6 分钟步行试验（P=0.005）、峰值摄氧量（(Equation is included in full-text article.)O2peak；P=0.005）、峰值心率（P=0.007）、运动耐量试验持续时间（P=0.005）和 K-MBI（P=0.008）均显著改善。LBE 组仅 K-MBI 显著改善（P=0.012）。此外，ATE 组的 (Equation is included in full-text article.)O2peak 改善程度大于 LBE 组。
本初步研究表明，6 周 ATE 方案可提高亚急性脑卒中患者的峰值有氧能力和步行耐力。ATE 运动方案后 (Equation is included in full-text article.)O2peak 的改善程度大于 LBE 运动方案。因此，ATE 可有效提高亚急性脑卒中患者的心肺适应性。
