Exercise Rehabilitation After Stroke

被引：97

作者：

Ivey F.M. ^{[1
,2
,3
]}

Hafer-Macko C.E. ^{[1
,2
,3
]}

Macko R.F. ^{[1
,2
,3
]}

机构：

[1] University of Maryland School, Medicine Departments of Medicine and Neurology and Divisions of Gerontology and Rehabilitation Medic, Baltimore, MD

[2] Veterans Affairs Medical Center (VAMC) Geriatrics Research, Education, Clinical Center

[3] VAMC Rehabilitation Research and Development Exercise, Robotics Center, Stroke Research Enhancement Program, Baltimore, MD

来源：

NeuroRX | 2006年 / 3卷 / 4期

关键词：

chronic disability; exercise; rehabilitation; Stroke; treadmill;

D O I：

10.1016/j.nurx.2006.07.011

中图分类号：

学科分类号：

摘要：

Stroke is a leading cause of disability that results not only in persistent neurological deficits, but also profound physical deconditioning that propagates disability and worsens cardiovascular risk. The potential for exercise-mediated adaptations to improve function, fitness, and cardiovascular health after stroke has been underestimated: it represents an emerging arena in neurotherapeutics. To define the health rationale for cardiovascular (aerobic) exercise, we first outline the impact of debilitating secondary biological changes in muscle and body composition on fitness and metabolic health after stroke. We provide an overview of evidence-based advances in exercise therapeutics, with a focus on task-oriented models that combine a progressive aerobic conditioning stimulus with motor learning to improve multiple physiological domains that determine longitudinal outcomes after stroke. Although progress in development of safe and effective exercise strategies is advancing, fundamental questions regarding dose intensity, prescription to optimize central and peripheral neuromuscular adaptations, and the public health value of exercise in secondary stroke prevention remain unanswered. Key issues steering future research in exercise neurotherapeutics are discussed within the context of initiatives to facilitate translation to community-based studies, requisite for dissemination. © 2006 The American Society for Experimental NeuroTherapeutics, Inc.

引用

页码：439 / 450

页数：11

共 48 条

[1]

Corcoran P.J., Jebsen R.H., Brengelmann G.L., Simons B.C., Effects of plastic and metal leg braces on speed and energy cost of hemiparetic ambulation, Arch Phys Med Rehabil, 51, pp. 69-77, (1970)

[2]

Gersten J.W., Orr W., External work of walking in hemiparetic patients, Scand J Rehabil Med, 3, pp. 85-88, (1971)

[3]

Fisher S.V., Gullickson Jr. G., Energy cost of ambulation in health and disability: a literature review, Arch Phys Med Rehabil, 59, pp. 124-133, (1978)

[4]

Olney S.J., Monga T.N., Costigan P.A., Mechanical energy of walking of stroke patients, Arch Phys Med Rehabil, 67, pp. 92-98, (1986)

[5]

Mol V.J., Baker C.A., Activity intolerance in the geriatric stroke patient, Rehabil Nurs, 16, pp. 337-343, (1991)

[6]

McArdle W.D., Katch K.F., Katch V.L., Energy nutrition and human performance, (1996)

[7]

Ivey F.M., Macko R.F., Ryan A.S., Hafer-Macko C.E., Cardiovascular health and fitness after stroke, Top Stroke Rehabil, 12, pp. 1-16, (2005)

[8]

ACSM's guidelines for exercise testing and prescription. 6th ed., (2000)

[9]

Bruce R.A., Kusumi F., Hosmer D., Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease, Am Heart J, 85, pp. 546-562, (1973)

[10]

Jette M., Sidney K., Blumchen G., Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity, Clin Cardiol, 13, pp. 555-565, (1990)

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