Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program

The study aimed to investigate the effect of exercise retraining combined with a program of varied physical exercises on heart rate, training intensity, aerobic capacity, lower limb strength, and body composition of hemiplegic patient’s post-cerebrovascular accident. This was a 12-week follow-up st...

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Main Authors: Siloé Ntumba Tshıyamba, Carel Busano Nduakulu, Constant Nkıama, Godefroid Kusuayi
Format: Article
Language:English
Published: Turkish Journal of Kinesiology 2023-06-01
Series:Turkish Journal of Kinesiology
Subjects:
Online Access:https://dergipark.org.tr/en/download/article-file/2908836
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author Siloé Ntumba Tshıyamba
Carel Busano Nduakulu
Constant Nkıama
Godefroid Kusuayi
author_facet Siloé Ntumba Tshıyamba
Carel Busano Nduakulu
Constant Nkıama
Godefroid Kusuayi
author_sort Siloé Ntumba Tshıyamba
collection DOAJ
description The study aimed to investigate the effect of exercise retraining combined with a program of varied physical exercises on heart rate, training intensity, aerobic capacity, lower limb strength, and body composition of hemiplegic patient’s post-cerebrovascular accident. This was a 12-week follow-up study, of 30 post-stroke hemiplegic patients aged 18 years and over, who were subjected to an effort retraining program, consisting of walking on a treadmill at a progressive speed of 2.7 to 6 km per hour and a slope of 5 to 12% combined with various transfer exercises, going up and down stairs, on an ergometric bike, balance and limb strengthening thighs, Abdo and Buttocks, lasting 60 minutes per session, 3 times a week and from 40 to 75% progressive of the Maximum Heart Rate. We used the paired Student's t-test to compare continuous variables before and after the programs. A significant increase was obtained in 12 weeks of intervention for most of the parameters: +12 (37 vs 49); p < 0.001 for balance, +1.4 meters per second (1.39 vs 2.79). p < 0.001 for walking speed, +4 degrees (11 vs 15); p < 0.001 for step angle, +32 steps per minute (37 vs 69); p < 0.001 for walking cadence; +213 meters (143 vs. 356); p < 0.001 for the distance covered in six minutes, +3 ml/min/Kg (29 vs 32); p < 0.001 for maximum oxygen consumption and +12% (22 vs 34); p < 0.001 for lean body mass. On the other hand, the time of the Time up and go test, of the walk on the descent and ascent, and the fat mass, was significantly reduced: -14 seconds (55 vs 41), p < 0.003; -16 minutes (67 vs. 51); p < 0.001 and -16 minutes (59 vs 43); p < 0.001 and - 5% (41 vs 36); p
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spelling doaj.art-f728091cb4a34ec9a4fc06a4589bd8c62024-03-19T11:19:40ZengTurkish Journal of KinesiologyTurkish Journal of Kinesiology2459-01342023-06-0192859010.31459/turkjkin.1240330649Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises programSiloé Ntumba Tshıyamba0Carel Busano Nduakulu1Constant Nkıama2Godefroid Kusuayi3Department of Kinesiology, Unit of Physical Activities and Health, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of KinshasaDepartment of Kinesiology, Unit of Physical Activities and Health, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of KinshasaDepartment of Kinesiology, Unit of Physical Activities and Health, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of KinshasaMedical Fitness and Functional Exercises, Department of Kinesiology, Unit of Physical Activities and Health, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of KinshasaThe study aimed to investigate the effect of exercise retraining combined with a program of varied physical exercises on heart rate, training intensity, aerobic capacity, lower limb strength, and body composition of hemiplegic patient’s post-cerebrovascular accident. This was a 12-week follow-up study, of 30 post-stroke hemiplegic patients aged 18 years and over, who were subjected to an effort retraining program, consisting of walking on a treadmill at a progressive speed of 2.7 to 6 km per hour and a slope of 5 to 12% combined with various transfer exercises, going up and down stairs, on an ergometric bike, balance and limb strengthening thighs, Abdo and Buttocks, lasting 60 minutes per session, 3 times a week and from 40 to 75% progressive of the Maximum Heart Rate. We used the paired Student's t-test to compare continuous variables before and after the programs. A significant increase was obtained in 12 weeks of intervention for most of the parameters: +12 (37 vs 49); p < 0.001 for balance, +1.4 meters per second (1.39 vs 2.79). p < 0.001 for walking speed, +4 degrees (11 vs 15); p < 0.001 for step angle, +32 steps per minute (37 vs 69); p < 0.001 for walking cadence; +213 meters (143 vs. 356); p < 0.001 for the distance covered in six minutes, +3 ml/min/Kg (29 vs 32); p < 0.001 for maximum oxygen consumption and +12% (22 vs 34); p < 0.001 for lean body mass. On the other hand, the time of the Time up and go test, of the walk on the descent and ascent, and the fat mass, was significantly reduced: -14 seconds (55 vs 41), p < 0.003; -16 minutes (67 vs. 51); p < 0.001 and -16 minutes (59 vs 43); p < 0.001 and - 5% (41 vs 36); phttps://dergipark.org.tr/en/download/article-file/2908836motor and functional capacityhemiplegiaexercise retrainingvaried physical exercisesmotor and functional capacityhemiplegiaexercise retrainingvaried physical exercises
spellingShingle Siloé Ntumba Tshıyamba
Carel Busano Nduakulu
Constant Nkıama
Godefroid Kusuayi
Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
Turkish Journal of Kinesiology
motor and functional capacity
hemiplegia
exercise retraining
varied physical exercises
motor and functional capacity
hemiplegia
exercise retraining
varied physical exercises
title Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
title_full Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
title_fullStr Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
title_full_unstemmed Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
title_short Improvement of the motor and functional capacity of post-cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
title_sort improvement of the motor and functional capacity of post cerebrovascular accident hemiplegics by exercise retraining combined with a varied exercises program
topic motor and functional capacity
hemiplegia
exercise retraining
varied physical exercises
motor and functional capacity
hemiplegia
exercise retraining
varied physical exercises
url https://dergipark.org.tr/en/download/article-file/2908836
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AT constantnkıama improvementofthemotorandfunctionalcapacityofpostcerebrovascularaccidenthemiplegicsbyexerciseretrainingcombinedwithavariedexercisesprogram
AT godefroidkusuayi improvementofthemotorandfunctionalcapacityofpostcerebrovascularaccidenthemiplegicsbyexerciseretrainingcombinedwithavariedexercisesprogram