Manual Therapy, Posturology & Rehabilitation Journal
http://mtprehabjournal.com/article/doi/10.17784/mtprehabjournal.2014.12.163
Manual Therapy, Posturology & Rehabilitation Journal
Review

Ergospirometric assessment: Relevance for rehabilitation of stroke subjects.

Polese, Janaina Cunha; Teixeira-Salmela, Luci Fuscaldi; Faria, Luiza Martins; Velloso, Marcelo; Parreira, Verônica Franco

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Abstract

Introduction: Cardiorespiratory fitness is markedly reduced in stroke subjects, resulting in patterns of inactivity and sedentary lifestyles. In this sense, tests of aerobic exercises are critical for the prescription of this type of training. Aims: To review the available data regarding the cardiorespiratory, metabolic parameters, and protocols used to assess cardiorespiratory fitness in stroke subjects, and to discuss their relevance for stroke rehabilitation. Method: A literature review was carried out in MEDLINE, CINAHL, EMBASE, and PEDro databases. The articles identified by the initial search strategy were evaluated, according to the following criteria: (1) the target population included stroke subjects, (2) employed a spirometric instrumentation, (3) reported results from randomized clinical trials, experimental, or quasi- experimental designs, and (4) included in the analyses any cardiorespiratory or metabolic parameters to assess cardiorespiratory fitness. Results: The 15 identified studies included a total sample of 665 stroke subjects. The experimental groups received training on cycle ergometers, treadmills, mobility, water, and unilateral lower limb exercises with isokinetic dynamometer. Most studies assessed oxygen consumption, two analyzed anaerobic threshold, and one examined heart rate and respiratory exchange ratios. Conclusions: Although differences between the studies were found regarding the investigated outcomes, the assessment and training protocols, this review found evidence that cardiorespiratory parameters, mainly oxygen consumption, were sensitive to training.

Keywords

Stroke, hemiparesis, physiotherapy, physical fitness

References

 


1. Hollmann W, Prinz JP. Ergospirometry and its history. Sports Med 1997;23(2):93-105.

2. Koch B, Schaper C, Ittermann T, Spielhagen T, Dorr M, Volzke H, et al. Reference values for cardiopulmonary exercise testing in healthy volunteers: the SHIP study. Eur Respir J 2009;33(2):389-97.

3. Neder J A, Nery L E. Teste de Exercicio Cardiopulmonar. J Pneumol 28[Supl 3], S166-S206. 2002.

4. Liu M TT, Hara K H Y, Fujiwara T. Physical fitness in persons with hemiparetic stroke. Keio J Med 52[4], 211-219. 2003.

5. Mackay J, Mensah G A. The Atlas of Heart Disease and Stroke. Geneva: World Health Organization; 2002.

6. Manns PJ, Tomczak CR, Jelani A, Cress ME, Haennel R. Use of the continuous scale physical functional performance test in stroke survivors. Arch Phys Med Rehabil 2009;90(3):488-93.

7. Alzahrani MA, Ada L, Dean CM. Duration of physical activity is normal but frequency is reduced after stroke: an observational study. J Physiother 2011;57(1):47-51.

8. Wendel-Vos GC, Schuit AJ, Feskens EJ, Boshuizen HC, Verschuren WM, Saris WH, et al. Physical activity and stroke. A meta-analysis of observational data. Int J Epidemiol 2004;33(4):787-98.

9. Lee C D E, Folsom A R M D, Blair S N P E D. Physical activity and stroke risk: a meta-analysis. Stroke 2003;34:2475- 2481.

10. Lee MJ, Kilbreath SL, Singh MF, Zeman B, Lord SR, Raymond J, et al. Comparison of effect of aerobic cycle training and progressive resistance training on walking ability after stroke: a randomized sham exercise-controlled study. J Am Geriatr Soc 2008;56(6):976-85.

11. Quaney BM, Boyd LA, McDowd JM, Zahner LH, He J, Mayo MS, et al. Aerobic exercise improves cognition and motor function poststroke. Neurorehabil Neural Repair 2009;23(9):879-85.

12. Duncan P, Studenski S, Richards L, Gollub S, Lai SM, Reker D, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke 2003;34(9):2173-80.

13. Letombe A, Cornille C, Delahaye H, Khaled A, Morice O, Tomaszewski A, et al. Early post-stroke physical conditioning in hemiplegic patients: A preliminary study. Ann Phys Rehabil Med 2010;53(10):632-42.

14. Billinger SA, Guo LX, Pohl PS, Kluding PM. Single limb exercise: pilot study of physiological and functional responses to forced use of the hemiparetic lower extremity. Top Stroke Rehabil 2010;17(2):128-39.

15. Pang MY, Eng JJ. Determinants of improvement in walking capacity among individuals with chronic stroke following a multi-dimensional exercise program. J Rehabil Med 2008;40(4):284-90.

16. Pang MY, Eng JJ, Dawson AS, McKay HA, Harris JE. A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatr Soc 2005;53(10):1667-74.

17. Okada M. Cardiorespiratory fitness of post-stroke patients: as inpatients and as outpatients. Int J Rehabil Res 2005;28(3):285-8.

18. Chu KS, Eng JJ, Dawson AS, Harris JE, Ozkaplan A, Gylfadottir S. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil 2004;85(6):870-4.

19. Katz-Leurer M, Shochina M, Carmeli E, Friedlander Y. The influence of early aerobic training on the functional capacity in patients with cerebrovascular accident at the subacute stage. Arch Phys Med Rehabil 2003;84(11):1609- 14.

20. Macko RF, Ivey FM, Forrester LW, Hanley D, Sorkin JD, Katzel LI, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke 2005;36(10):2206-11.

21. da Cunha ITJ, Lim PA, Qureshy H, Henson H, Monga T, Protas EJ. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Arch Phys Med Rehabil 2002;83(9):1258-65.

22. Rimmer JH, Rauworth AE, Wang EC, Nicola TL, Hill B. A preliminary study to examine the effects of aerobic and therapeutic (nonaerobic) exercise on cardiorespiratory fitness and coronary risk reduction in stroke survivors. Arch Phys Med Rehabil 2009;90(3):407-12.

23. Sibley KM, Tang A, Patterson KK, Brooks D, McIlroy WE. Changes in spatiotemporal gait variables over time during a test of functional capacity after stroke. J Neuroeng Rehabil 2009;6:27.

24. Tang A, Sibley KM, Thomas SG, Bayley MT, Richardson D, McIlroy WE, et al. Effects of an aerobic exercise program on aerobic capacity, spatiotemporal gait parameters, and functional capacity in subacute stroke. Neurorehabil Neural Repair 2009;23(4):398-406.

25. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke 1995;26(1):101-5.

26. Sacco RL, Wolf PA, Kannel WB, McNamara PM. Survival and recurrence following stroke. The Framingham study. Stroke 1982;13(3):290-5.

27. Hill K, Ellis P, Bernhardt J, Maggs P, Hull S. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother 1997;43(3):173-80.

28. Kelly JO, Kilbreath SL, Davis GM, Zeman B, Raymond J. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil 2003;84(12):1780-5.

29. ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med 2003;167(2):211-77.

30. Tang A, Sibley KM, Thomas SG, McIlroy WE, Brooks D. Maximal exercise test results in subacute stroke. Arch Phys Med Rehabil 2006;87(8):1100-5.

31. Rimmer JH, Nicola T, Riley B, Creviston T. Exercise training for African Americans with disabilities residing in difficult social environments. Am J Prev Med 2002;23(4):290-5.

32. McArdle W, Katch F, Katch V. Fisiologia do exercicio- Energia, Nutrição e Desempenho Humano. 4 ed. Rio de Janeiro: Guanabara Koogan; 1998.

33. Chen JK, Chen TW, Chen CH, Huang MH. Preliminary study of exercise capacity in post-acute stroke survivors. Kaohsiung J Med Sci 2010;26(4):175-81.

34. Duncan P, Richards L, Wallace D, Stoker-Yates J, Pohl P, Luchies C, et al. A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke 1998;29(10):2055-60.

35. Patterson SL, Forrester LW, Rodgers MM, Ryan AS, Ivey FM, Sorkin JD, et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil 2007;88(1):115-9.

36. Andre C. Manual do AVC. 2 ed. Rio de Janeiro: Revinter; 2006.

37. da Cunha-Filho IT, Henson H, Wankadia S, Protas EJ. Reliability of measures of gait performance and oxygen consumption with stroke survivors. J Rehabil Res Dev 2003;40(1):19-25.

 

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