Effects of Resistance Training and Aerobic Training on Ambulation in Chronic Stroke

被引:66
|
作者
Severinsen, Kaare [1 ]
Jakobsen, Johannes K. [2 ]
Pedersen, Asger R. [1 ]
Overgaard, Kristian [3 ]
Andersen, Henning [4 ]
机构
[1] Hammel Neurorehabil & Res Ctr, DK-8450 Hammel, Denmark
[2] Rigshosp, Neurocentret, DK-2100 Copenhagen, Denmark
[3] Aarhus Univ, Dept Publ Hlth, Sect Sport Sci, Aarhus, Denmark
[4] Aarhus Univ Hosp, Dept Neurol, DK-8000 Aarhus, Denmark
关键词
Stroke; Rehabilitation; Exercise; Randomized Clinical Trial; IMPROVES MUSCLE STRENGTH; FUNCTIONAL PERFORMANCE; GAIT PERFORMANCE; EXERCISE; IMPAIRMENTS; RELIABILITY; TERM; HEMIPARESIS; VELOCITY; OUTCOMES;
D O I
10.1097/PHM.0b013e3182a518e1
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: The aim of this study was to directly compare the effects of aerobic training (AT) with progressive resistance training (RT) after stroke to determine whether AT-induced fitness gains or RT-induced strength gains translate into improved ambulation across a 12-wk intervention and whether gains are retained 1 yr after cessation of formal training. Design: This study is a randomized controlled 12-wk intervention trial with a 1-yr follow-up. Forty-three community-dwelling independent walkers with a chronic ischemic hemiparetic stroke were allocated to AT using a cycle ergometer (n = 13), RT using training machines (n = 14), or low-intensity sham training of the arms (n = 16). The main outcome measures were 6-min walk distance and fast 10-m walking speed. Results: Comparisons between AT, RT, and sham training revealed no clinically relevant effects on walking velocity or walking distance. Muscle strength improved after RT (P < 0.0001) and was preserved at 1-yr follow-up (P < 0.001). Aerobic capacity increased after AT (P < 0.001) but was lost during the follow-up observation period. Conclusions: Improvement of muscle strength or aerobic capacity using non-task-specific training methods does not result in improved ambulation in patients with chronic stroke. Muscle strength gains were maintained at follow-up, whereas all improvements of aerobic capacity were lost, indicating a long-lasting effect of intensive RT even without maintenance training.
引用
收藏
页码:29 / 42
页数:14
相关论文
共 50 条
  • [11] The Insula Modulates the Effects of Aerobic Training on Cardiovascular Function and Ambulation in Multiple Sclerosis
    Albergoni, Matteo
    Storelli, Loredana
    Preziosa, Paolo
    Rocca, Maria
    Filippi, Massimo
    NEUROLOGY, 2023, 100 (17)
  • [12] The insula modulates the effects of aerobic training on cardiovascular function and ambulation in multiple sclerosis
    Matteo Albergoni
    Loredana Storelli
    Paolo Preziosa
    Maria A. Rocca
    Massimo Filippi
    Journal of Neurology, 2023, 270 : 1672 - 1681
  • [13] Resistance versus aerobic exercise training in chronic heart failure
    Mandic S.
    Myers J.
    Selig S.E.
    Levinger I.
    Current Heart Failure Reports, 2012, 9 (1) : 57 - 64
  • [14] Effects of aerobic cycling training on cardiovascular fitness and heart rate recovery in patients with chronic stroke
    Jin, Hong
    Jiang, Yibo
    Wei, Qin
    Chen, Long
    Ma, Genshan
    NEUROREHABILITATION, 2013, 32 (02) : 327 - 335
  • [15] Effects of Aerobic Training, Resistance Training, or Both on Glycemic Control in Type 2 Diabetes
    Lyerly, G. William
    Church, Timothy
    Blair, Steven N.
    CURRENT CARDIOVASCULAR RISK REPORTS, 2008, 2 (04) : 289 - 290
  • [16] Effects of aerobic training, resistance training, or both on circulating irisin and myostatin in untrained women
    Shabani, Ramin
    Izaddoust, Fatemeh
    ACTA GYMNICA, 2018, 48 (02) : 47 - 55
  • [17] Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness
    Montero, David
    Vinet, Agnes
    Roberts, Christian K.
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2015, 178 : 69 - 76
  • [18] Effects of weight-shift training on walking ability, ambulation, and weight distribution in individuals with chronic stroke: a pilot study
    Andersson, Pontus
    Franzen, Erika
    TOPICS IN STROKE REHABILITATION, 2015, 22 (06) : 437 - 443
  • [19] THE EFFECTS OF TASK-ORIENTED CIRCUIT TRAINING AND TREADMILL AEROBIC EXERCISE TRAINING ON CARDIAC RISK AND METABOLIC OUTCOMES IN CHRONIC STROKE SURVIVORS
    Kelly, L.
    Devasahayam, A. J.
    Wallack, E.
    Curtis, M.
    Chaves, A.
    Randell, E.
    McCarthy, J.
    Ploughman, M.
    INTERNATIONAL JOURNAL OF STROKE, 2018, 13 : 161 - 161
  • [20] Effects of individual task specific training verses group circuit training on balance and ambulation in sub-acute stroke
    Ali, Mudassar
    Khan, Shakir Ullah
    Bin Asim, Hafiz Ali
    RAWAL MEDICAL JOURNAL, 2020, 45 (01): : 233 - 235