Rehabilitation Sciences Post-Graduation Program, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.
NeuroRehabilitation. 2021;48(4):533-542. doi: 10.3233/NRE-210022.
Studies demonstrate the benefits of upper limbs cycle ergometer (ULCE) in subacute and chronic stroke subjects, but the literature still needs to explore the acute phase of the disease.
Verify the effects of ULCE on muscular strength, trunk control and independence of post-stroke subjects in hospital acute phase.
In this randomized clinical trial participants were allocated into two groups. The control group (CG) performed two daily sessions of conventional physiotherapy, while the intervention group (IG) had one daily session of conventional physiotherapy and one of ULCE. The interventions were carried out for 20 minutes for five days. Both groups were assessed before and after the treatment for upper limbs strength by manual dynamometer, trunk control by Trunk Impairment Scale and level of independence by the Modified Rankin Scale.
Twenty subjects with mean ages of 63.5±4.5 were enrolled. There was a significant intra-group difference of palmar grip, shoulder abductors, elbow flexor and wrist extensor strength, trunk control and functional independence only in IG. Inter-group difference for all variables showed superiority in IG.
ULCE is an effective device for increasing muscle strength, trunk control and consequently improving the independence of post-stroke subjects in the acute hospital phase.
研究表明上肢功率自行车（ULCE）对亚急性和慢性脑卒中患者有益，但文献仍需要探索疾病的急性期。
验证 ULCE 对住院急性脑卒中患者肌肉力量、躯干控制和独立性的影响。
本随机临床试验将参与者分为两组。对照组（CG）每天进行两次常规物理治疗，而干预组（IG）每天进行一次常规物理治疗和一次 ULCE。干预持续 5 天，每天 20 分钟。两组均在治疗前后使用手动测力计评估上肢力量、躯干损伤量表评估躯干控制以及改良 Rankin 量表评估独立性。
共有 20 名平均年龄为 63.5±4.5 岁的受试者入组。仅 IG 组的手掌抓握力、肩部外展肌、肘屈肌和腕伸肌力量、躯干控制和功能独立性的组内差异具有统计学意义。所有变量的组间差异均显示 IG 组更具优势。
ULCE 是一种有效的设备，可增加肌肉力量、躯干控制，从而提高脑卒中患者在急性住院期的独立性。
