Dunn Ashlee, Marsden Dianne L, Barker Daniel, Van Vliet Paulette, Spratt Neil J, Callister Robin
a Priority Research Centre for Physical Activity and Nutrition, University of Newcastle , Callaghan , New South Wales , Australia.
d Hunter Medical Research Institute , New Lambton Heights , New South Wales , Australia.
Brain Inj. 2017;31(12):1617-1624. doi: 10.1080/02699052.2017.1355983. Epub 2017 Sep 5.
To evaluate the immediate and longer-term effects of an individually tailored, home- and community-based exercise programme with ongoing remote support in people with stroke on cardiorespiratory fitness (CRF), ambulation and health-related quality of life (HRQoL).
Twenty people 5.3 ± 3.5 months post stroke completed the 12-week HowFITSS? exercise programme aimed at increasing CRF and daily physical activity. Support was provided by phone and email, which decreased in frequency over time. Participants were assessed at baseline, then at 3, 6 and 12 months after initiation of the intervention. CRF (VO) was evaluated using a portable metabolic system during the 6-minute walk test (6MWT), the Shuttle Walk Test (SWT) and the cycle graded exercise test (cGXT). Walking speed, balance, body composition, fatigue, depression and HRQoL were also measured.
CRF improved significantly from pre-intervention to 12-month follow-up on the 6MWT (Effect Size, ES = 0.87; p = 0.002) and cGXT (ES = 0.60; p < 0.001), with more modest improvements on the SWT (ES = 0.52; p = 0.251). From baseline to 12 months, significant within-participant improvements were found for self-selected walking speed, balance and HRQoL. Performances on the remaining tests were maintained over the post-intervention period.
There may be health benefits of providing people with stroke an exercise intervention with long-term support that encourages increased regular physical activity.
评估一项针对中风患者的个性化、基于家庭和社区的运动计划，并持续提供远程支持，对心肺适能（CRF）、步行能力和健康相关生活质量（HRQoL）的即时和长期影响。
20名中风后5.3±3.5个月的患者完成了为期12周的HowFITSS?运动计划，旨在提高CRF和日常身体活动量。通过电话和电子邮件提供支持，随着时间推移频率降低。在基线时对参与者进行评估，然后在干预开始后的3个月、6个月和12个月进行评估。在6分钟步行试验（6MWT）、穿梭步行试验（SWT）和自行车分级运动试验（cGXT）期间，使用便携式代谢系统评估CRF（VO）。还测量了步行速度、平衡能力、身体成分、疲劳、抑郁和HRQoL。
从干预前到12个月随访，6MWT（效应量，ES = 0.87；p = 0.002）和cGXT（ES = 0.60；p < 0.001）的CRF显著改善，SWT的改善较为适度（ES = 0.52；p = 0.251）。从基线到12个月，自我选择的步行速度、平衡能力和HRQoL在参与者内部有显著改善。其余测试的表现在干预后期间保持稳定。
为中风患者提供一项具有长期支持的运动干预措施，鼓励增加定期体育活动，可能对健康有益。
