Key result
Early aerobic exercise improved endurance and walking performance in stroke patients, with no modification effect from autonomic impairment.
Why the study?
Does early aerobic training improve resting heart rate, peak workload, and walking performance in patients after a first ischemic stroke, and does autonomic impairment modify this effect?
RCT (n=64)
Randomized
Does early aerobic training improve resting heart rate, peak workload, and walking performance in patients after a first ischemic stroke, and does autonomic impairment modify this effect?
Early aerobic training improves peak workload and walking parameters in subacute stroke patients, and this benefit is not modified by baseline autonomic impairment.
Answers are grounded in this paper and cite their sources.
Supports early aerobic training in subacute stroke rehab to boost endurance and walking; extends evidence by showing no modification by autonomic impairment.
PURPOSE: To investigate whether autonomic impairment post stroke modifies the influence of early aerobic training in relation to resting heart rate, peak workload and walking performance at the subacute stage post event. METHODS: Sixty-four patients after a first ischemic stroke were included and randomly assigned either to an aerobic training or to a control group. The training period lasted 8 weeks. Heart rate variability (HRV) parameters, aerobic and functional abilities were measured. RESULTS: Early aerobic exercise significantly improved endurance and walking performance in stroke patients (p< 0.05). A significant association was found between the HRV parameters two weeks post event and heart rate at rest and peak workload at the beginning of the program. No significant interaction effects between autonomic impairment and training on outcome measures were found. CONCLUSION: Early aerobic training resulted in positive effects on peak workload and walking parameters in stroke patients. No modification effect was found between HRV parameters and exercise on those parameters.
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Katz‐Leurer et al. (2007) conducted an RCT in First ischemic stroke (n=64). Early aerobic training vs. Control group was evaluated on Endurance and walking performance (p=<0.05). Early aerobic exercise improved endurance and walking performance in stroke patients, with no modification effect from autonomic impairment.
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