Ofori Ernest Kwesi, Frimpong Emmanuel, Ademiluyi Adeolu, Olawale Olajide Ayinla
Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USA.
Movement Physiology Research Laboratory, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
J Phys Ther Sci. 2019 Mar;31(3):211-216. doi: 10.1589/jpts.28.211. Epub 2019 Mar 19.
[Purpose] The aim of this study was to assess the effects of ergometer cycling on the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase. [Participants and Methods] Twenty (20) patients with stroke in the sub-acute phase were randomly allocated to either an ergometer cycling group (n=10) or a control group (n=10). The experimental (ergometer cycling) group performed cycling exercises in addition to conventional physiotherapy for 60 minutes per session, three times per week for 8 weeks. The control group only received conventional physiotherapy for the same duration as the experimental group. Assessments of participants' functional ambulatory category, ambulatory velocity, 6-minute walk test, heart rate and blood pressure were conducted at baseline and at the end of the 8-week intervention. [Results] The means of the ambulatory velocity and distance walked in 6 minutes were significantly higher in the ergometer cycling group than those of the control group at week 8. However, the increase in the FAC score was not significant. The means of heart rate, systolic and diastolic blood pressures significantly decreased in the ergometer cycling group compared to the control group at the end of the 8-week of intervention. [Conclusion] This study demonstrated that ergometer cycling improved the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase.
[目的] 本研究旨在评估测力计骑行对亚急性期脑卒中患者步行功能和心血管健康状况的影响。[参与者与方法] 20例亚急性期脑卒中患者被随机分为测力计骑行组（n = 10）和对照组（n = 10）。实验组（测力计骑行组）除接受常规物理治疗外，还进行骑行锻炼，每次60分钟，每周3次，共8周。对照组仅接受与实验组相同时长的常规物理治疗。在基线期和8周干预结束时，对参与者的功能性步行分类、步行速度、6分钟步行试验、心率和血压进行评估。[结果] 在第8周时，测力计骑行组的步行速度均值和6分钟步行距离显著高于对照组。然而，功能性步行分类（FAC）评分的增加并不显著。在8周干预结束时，与对照组相比，测力计骑行组的心率、收缩压和舒张压均值显著降低。[结论] 本研究表明，测力计骑行改善了亚急性期脑卒中患者的步行功能和心血管健康状况。
