Early functional improvement after stroke correlates with cardiovascular fitness
Cardiovascular fitness exerts directly beneficial effects on functional and cognitive outcomes in patients of chronic stroke. However, the effect of early rehabilitation on cardiovascular function has not yet been thoroughly examined. We tested whether complementary rehabilitation program could infl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-11-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X17308422 |
| _version_ | 1818426407890452480 |
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| author | Chun-Kai Chen Mao-Hsiung Huang Wen-Lung Liang Ruey-Tay Lin Suh-Hang H. Juo |
| author_facet | Chun-Kai Chen Mao-Hsiung Huang Wen-Lung Liang Ruey-Tay Lin Suh-Hang H. Juo |
| author_sort | Chun-Kai Chen |
| collection | DOAJ |
| description | Cardiovascular fitness exerts directly beneficial effects on functional and cognitive outcomes in patients of chronic stroke. However, the effect of early rehabilitation on cardiovascular function has not yet been thoroughly examined. We tested whether complementary rehabilitation program could influence cardiovascular fitness in an early stage of stroke patients. The associations for post-acute stroke functional recovery with cardiovascular fitness were explored. Thirty-seven patients with mean poststroke interval of 8.6 ± 3.8 days underwent inpatient rehabilitation of 22.8 ± 3.8 days. Functional outcomes of 15.3 points (17.2%) in functional independence measure improved after rehabilitation program. The therapeutic cardiovascular fitness was determined in ramp exercise test on a cycling ergometer. Peak oxygen uptake (V˙O2peak) significantly increased by 24.8% after early stroke rehabilitation. Multivariate regression analysis was performed to assess for associations of functional improvement with respect to change in V˙O2peak and extremities motor impairment. V˙O2peak gain accounted for more functional recovery than extremities motor improvement (R2 = 0.42). In conclusion, these results suggest that cardiovascular fitness appears to increase after complementary program in early stroke rehabilitation, and better cardiovascular fitness may be associated with greater functional improvement. Keywords: Fitness, Oxygen uptake, Rehabilitation, Stroke |
| first_indexed | 2024-12-14T14:29:21Z |
| format | Article |
| id | doaj.art-f71fb856b540479cbe8adf46cfb72917 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-14T14:29:21Z |
| publishDate | 2018-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-f71fb856b540479cbe8adf46cfb729172022-12-21T22:57:51ZengWileyKaohsiung Journal of Medical Sciences1607-551X2018-11-013411643649Early functional improvement after stroke correlates with cardiovascular fitnessChun-Kai Chen0Mao-Hsiung Huang1Wen-Lung Liang2Ruey-Tay Lin3Suh-Hang H. Juo4Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Graduate Institute of Medicine, Collage of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanGraduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan; Institute of New Drug Development, China Medical University, Taichung, Taiwan; Drug Development Center, China Medical University, Taichung, Taiwan; Centre for Myopia and Eye Disease, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Corresponding author. Centre for Myopia and Eye Disease, Department of Medical Research, China Medical University Hospital, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan.Cardiovascular fitness exerts directly beneficial effects on functional and cognitive outcomes in patients of chronic stroke. However, the effect of early rehabilitation on cardiovascular function has not yet been thoroughly examined. We tested whether complementary rehabilitation program could influence cardiovascular fitness in an early stage of stroke patients. The associations for post-acute stroke functional recovery with cardiovascular fitness were explored. Thirty-seven patients with mean poststroke interval of 8.6 ± 3.8 days underwent inpatient rehabilitation of 22.8 ± 3.8 days. Functional outcomes of 15.3 points (17.2%) in functional independence measure improved after rehabilitation program. The therapeutic cardiovascular fitness was determined in ramp exercise test on a cycling ergometer. Peak oxygen uptake (V˙O2peak) significantly increased by 24.8% after early stroke rehabilitation. Multivariate regression analysis was performed to assess for associations of functional improvement with respect to change in V˙O2peak and extremities motor impairment. V˙O2peak gain accounted for more functional recovery than extremities motor improvement (R2 = 0.42). In conclusion, these results suggest that cardiovascular fitness appears to increase after complementary program in early stroke rehabilitation, and better cardiovascular fitness may be associated with greater functional improvement. Keywords: Fitness, Oxygen uptake, Rehabilitation, Strokehttp://www.sciencedirect.com/science/article/pii/S1607551X17308422 |
| spellingShingle | Chun-Kai Chen Mao-Hsiung Huang Wen-Lung Liang Ruey-Tay Lin Suh-Hang H. Juo Early functional improvement after stroke correlates with cardiovascular fitness Kaohsiung Journal of Medical Sciences |
| title | Early functional improvement after stroke correlates with cardiovascular fitness |
| title_full | Early functional improvement after stroke correlates with cardiovascular fitness |
| title_fullStr | Early functional improvement after stroke correlates with cardiovascular fitness |
| title_full_unstemmed | Early functional improvement after stroke correlates with cardiovascular fitness |
| title_short | Early functional improvement after stroke correlates with cardiovascular fitness |
| title_sort | early functional improvement after stroke correlates with cardiovascular fitness |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X17308422 |
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