Adaptive physical activity improves mobility function and quality of life in chronic hemiparesis

被引：55

作者：

Macko, Richard F. ^{[2
,3
,4
,5
,6
,7
]}

Benvenuti, Francesco ^{[1
]}

Stanhope, Steven ^{[8
]}

Macellari, Velio ^{[9
]}

Taviani, Antonia ^{[1
]}

Nesi, Barbara ^{[1
]}

Weinrich, Michael ^{[10
]}

Stuart, Mary ^{[2
,11
,12
]}

机构：

[1] Dipartimento Riabilitaz, I-56028 Pisa, Italy

[2] VAMC, Dept Vet Affairs Maryland Hlth Care Syst, Ctr Geriatr Res Educ & Clin, Baltimore, MD USA

[3] VAMC, VA Rehabil Res & Dev Exercise, Baltimore, MD USA

[4] VAMC, Robot Ctr Excellence, Baltimore, MD USA

[5] Univ Maryland, Sch Med, Dept Neurol, Baltimore, MD 21201 USA

[6] Univ Maryland, Sch Med, Dept Med, Baltimore, MD 21201 USA

[7] Univ Maryland, Sch Med, Div Gerontol, Baltimore, MD 21201 USA

[8] NIH, Phys Disabil Branch, Bethesda, MD 20892 USA

[9] Ist Super Sanita, Dipartimento Tecnol & Salute, I-00161 Rome, Italy

[10] NICHHD, NIH, Bethesda, MD 20892 USA

[11] Univ Maryland Baltimore Cty, Dept Sociol, Baltimore, MD 21228 USA

[12] Univ Maryland Baltimore Cty, Dept Anthropol, Baltimore, MD 21228 USA

来源：

JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT | 2008年 / 45卷 / 02期

关键词：

activities of daily living; adaptive physical activity; exercise; group exercise; hemiplegia; home exercise regimen; mobility; quality of life; rehabilitation; stroke;

D O I：

10.1682/JRRD.2007.02.0025

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

This study investigated the effects of an adaptive physical activity (APA) program on mobility function and quality of life (QOL) in chronic stroke patients. Twenty subjects with chronic hemiparesis completed a 2-month, combined group, class-home exercise regimen that emphasized mobility training. APA improved Berg Balance Scale scores (35 2 vs 45 +/- 2, p = 0.00 1), 6-minute walk distances (114 +/- 15 vs 142 +/- 7 m, p < 0.001), and Short Physical Performance Battery scores (3.2 +/- 0.4 vs 5.2 +/- 0.6, p < 0.001). Barthel Index scores increased (75 +/- 4 vs 84 +/- 4, p < 0.001), but Lawton scores were unchanged. Geriatric Depression Scale (p < 0.01) and Stroke Impact Scale (SIS), Mobility, Participation, and Recovery improved with APA (p < 0.03). APA has the potential to improve gait, balance, and basic but not instrumental activities of daily living profiles in individuals with chronic stroke. Improved depression and SIS scores suggest APA improves stroke-specific outcomes related to QOL.

引用

页码：323 / 328

页数：6

共 37 条

[1] A treadmill and overground walking program improves walking in persons residing in the community after stroke: A placebo-controlled randomized trial [J].