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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A Home- and Community-Based Physical Activity Program Can Improve the Cardiorespiratory Fitness and Walking Capacity of Stroke Survivors
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A Home- and Community-Based Physical Activity Program Can Improve the Cardiorespiratory Fitness and Walking Capacity of Stroke Survivors

机译：基于家庭和社区的身体活动计划可以提高中风幸存者的心肺健身和行走能力

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Background: The cardiorespiratory fitness of stroke survivors is low. Center-based exercise programs that include an aerobic component have been shown to improve poststroke cardiorespiratory fitness. This pilot study aims to determine the feasibility, safety, and preliminary efficacy of an individually tailored home-and community-based exercise program to improve cardiorespiratory fitness and walking capacity in stroke survivors. Methods: Independently ambulant, community-dwelling stroke survivors were recruited. The control (n = 10) and intervention (n = 10) groups both received usual care. In addition the intervention group undertook a 12-week, individually tailored, home-and community-based exercise program, including once-weekly telephone or e-mail support. Assessments were conducted at baseline and at 12 weeks. Feasibility was determined by retention and program participation, and safety by adverse events. Efficacy measures included change in cardiorespiratory fitness (peak oxygen consumption [VO2peak]) and distance walked during the Six-Minute Walk Test (6MWT). Analysis of covariance was used for data analysis. Results: All participants completed the study with no adverse events. All intervention participants reported undertaking their prescribed program. VO2peak improved more in the intervention group (1.17 +/- .29 L/min to 1.35 +/-.33 L/min) than the control group (1.24 +/-.23 L/min to 1.24 +/-.33 L/min, between-group difference =.18 L/min, 95% confidence interval [CI]:.01-. 36). Distance walked improved more in the intervention group (427 +/- 123 m to 494 +/- 67m) compared to the control group (456 +/- 101m to 470 +/- 106m, between-group difference = 45 m, 95% CI:.3-90). Conclusions: Our individually tailored approach with once-weekly telephone or e-mail support was feasible and effective in selected stroke survivors. The 16% greater improvement in VO(2)peak during the 6MWT achieved in the intervention versus control group is comparable to improvements attained in supervised, center-based programs.
机译：背景：中风幸存者的心肺健康状况较低。以中心为基础的锻炼项目，包括有氧成分，已被证明可以改善中风后的心肺健康。这项试点研究的目的是确定一项个性化的家庭和社区锻炼计划的可行性、安全性和初步疗效，以改善中风幸存者的心肺健康和步行能力。方法：招募独立流动的社区卒中幸存者。对照组（n=10）和干预组（n=10）均接受常规护理。此外，干预组还进行了为期12周的个性化家庭和社区锻炼计划，包括每周一次的电话或电子邮件支持。在基线检查和12周时进行评估。可行性由保留和项目参与决定，安全性由不良事件决定。疗效指标包括在六分钟步行测试（6MWT）期间心肺功能（峰值耗氧量[VO2peak]）和步行距离的变化。数据分析采用协方差分析。结果：所有参与者均完成了研究，无不良事件发生。所有参与干预的参与者都报告他们正在进行规定的计划。与对照组（1.24+/-.23 L/min至1.24+/-.33 L/min，组间差异=.18 L/min，95%置信区间[CI]：.01-.36））相比，干预组的VO2peak改善更多（1.17+/-.29 L/min至1.35+/-.33 L/min）。与对照组（456+/-101m至470+/-106m，组间差异=45m，95%可信区间为3-90）相比，干预组（427+/-123m至494+/-67m）的步行距离改善更多。结论：我们的个人定制方法，每周一次电话或电子邮件支持，在选定的中风幸存者中是可行和有效的。与对照组相比，干预组在6MWT期间的VO（2）峰值改善了16%，与受监督的、基于中心的项目的改善相当。

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