Volume 29, Issue 135 (July & August 2021)                   J Adv Med Biomed Res 2021, 29(135): 215-222 | Back to browse issues page


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Kadkhodaei Khalafi M, Simani L, Shojaei M, Hajiesmaeili M. Comparison of the Effect of Exercise Type on the Prognosis Scores in Patients with Acute Ischemic Stroke. J Adv Med Biomed Res 2021; 29 (135) :215-222
URL: http://journal.zums.ac.ir/article-1-6056-en.html
1- Dept.of Exercise Physiology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Dept. of Neurology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , maziar.shojaei@gmail.com
4- Anesthesiology Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (135118 Views)

Background and Objective: Cerebrovascular accidents (CVA) are of the main causes of mortality and morbidity in the world. This study aimed to investigate the two training protocols in patients with acute ischemic stroke (AIS), and their relationship with the patients’ prognosis.
Materials and Methods: This experimental study included 45 patients whose ages ranged from 45 to 65 years. Patients were recruited by convenience sampling and purposive method. The participants were categorized into two intervention groups high-intensity anaerobic training (HIT) and continuous aerobic exercise). The control group individuals had no history of exercise. All three scores were assessed at the beginning of the study and after 28 days.
SPSS 22 was used to analyze the collected data and the following statistical tests were performed: independent samples t-test, ANOVA and Tukey post hoc test. The level was considered to be 0.05.
Results: The National Institutes of Health Stroke Scale (NIHSS) score reduced in both exercise groups compared to the controls, in the post-intervention period (frame 9 to 7). The Mini- Mental State Examination (MMSE) score also increased in the continuous exercise group (from 21.93 to 23.4 in the HIT group and from 22.4 to 24.14 in the continuous group), while the Modified Rankin Scale (MRS) score reduced (frame 3 to 2) (P=0.001).
Conclusion: Performing intermittent exercise over four weeks can improve the overall prognosis quality of CVA patients by reducing the MRS score.

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Performing intermittent exercise over four weeks can improve the overall prognosis quality of CVA patients by reducing the MRS score.


Type of Study: Clinical Trials | Subject: Clinical Medicine
Received: 2020/06/10 | Accepted: 2020/12/19 | Published: 2021/02/28

References
1. Billinger SA, Arena R, Bernhardt J, et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45:2532-53. [DOI:10.1161/STR.0000000000000022]
2. Hornby TG, Straube DS, Kinnaird CR, et al. Importance of specificity, amount, and intensity of locomotor training to improve ambulatory function in patients oststroke. Top Stroke Rehabil. 2011;18:293-307. [DOI:10.1310/tsr1804-293]
3. Zhang Pe, Zhang QI, Hongjian Pu, et al. Very early – initiated physical rehabilitation protects against ischemic brain injury.Departman of rehabilitation of Huashan Hospital, Department of Neurology. University of Pittsburgh school of medicine.PA 15261,USA: 2015:https://www.researchgate.net/publication/269792216.doi:10.2741/E559. [PubMed] [Google Scholar]
4. Naghavi FS, Koffman E E, Lin B, Du Jy. Post –Stroke neuronal circuits and mental illnesses. Int J Physiol Pathophysiol Pharmacol.PMC6420715.2019: 11(1): 1-11. [PubMed] [Google Scholar]
5. Jafari, M,. Dalvandi, A. Quality of life of stroke survivors and its related factors. Iran J Nurs. 2014;87(27): 14-22. [DOI:10.29252/ijn.27.87.14]
6. Longo D, Fauci A , Kasper D, Hauser S. Harrison's Principles of Internal Medicine (2011).18th edition: McGraw-Hill Professional.
7. Lucas S, James D, Brassard P, Bailey D.. High-intensity interval exercise and cerebrovascular health: curiosity, cause, and consequence J Cereb Blood Flow & Metab (2015): 35, 902-911. [DOI:10.1038/jcbfm.2015.49]
8. Sundseth A, Thommessen B, Rønning OM. Outcome after mobilization within 24 hours of acute stroke: A randomized controlled trial. Stroke. 2012;43(9):2389-94. [DOI:10.1161/STROKEAHA.111.646687]
9. Vanroy C, Feys P, Anke S, Yves V, et al.. Effectiveness of active cycling in subacute stroke rehabilitation: A randomized controlled trial .Archives of Physical Medicine and Rehabilitation.2017;98(8):1576-85. [DOI:10.1016/j.apmr.2017.02.004]
10. Boyne P, Meyrose C, Westover J, Dustyn W. Exercise intensity affects acute neurotrophic and neurophysiological responses posts stroke. J Appl Physiol (1985). 2019;126(2):431-443. [DOI:10.1152/japplphysiol.00594.2018]
11. Tang K, Xia FC, Wagner PD, Breen EC.. Exercise-induced VEGF transcriptional activation in brain, lung and skeletal muscle. Respir Physiol Neurobiol. 2010; 170(1):16-22. [DOI:10.1016/j.resp.2009.10.007]
12. Matsuda F, Sakakima H, Yoshida Y. The effects of early exercise on brain damage and recovery after focal cerebral infarction in rats. Acta Physiol (Oxf). 2011 ; 201:275-87. [DOI:10.1111/j.1748-1716.2010.02174.x]
13. Pierce Boyne, Kari D, Daniel C, et al. High-intensity interval training and moderate-intensity continuous training in ambulatory chronic stroke: Published online 2016 . [DOI:10.2522/ptj.20150277]
14. Askim T, Dahl AE, Aamot IL, et al. High-intensity aerobic interval training for patients 3-9 months after stroke: a feasibility study. Physiother Res Int. 2014;19:129-139. [DOI:10.1002/pri.1573]
15. Carolee J, Winstein, Joel Stein ,Ross Arena , Barbara Bates, Leora R. Cherney A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016;47:e 98-e169. [DOI:10.1161/STR.0000000000000098]
16. Pin-Barre C, Laurin, J.. Physiological adaptations following endurance exercises after stroke: Focus on the plausible role of high-intensity interval training . Int. J Phys Med Rehabil, 2014.S3006 [DOI:10.4172/2329-9096.S3-006]
17. Burgomaster KA, Howarth KR, Phillips SM,et al.. Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans. 2008;J Physiol; 586(1):151-60. [DOI:10.1113/jphysiol.2007.142109]
18. Gibala Martini J, Little JP, Macdonald MJ, Hawley JA. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol. 2012;590:1077-1084. [DOI:10.1113/jphysiol.2011.224725]
19. Runge M, Hullmann K. (2011). Arm-ergometry in patients with cognitive impairments. B&G Move Health Sport. 27(1):27-30. [PubMed] [Google Scholar]. [DOI:10.1055/s-0030-1262765]
20. Alastair Wi, Philip MW Bath, Eivind B. Understanding the relationship between costs and the modified modified Rankin Scale: A systematic review, multidisciplinary consensus and recommendations for future studies. Eur Stroke J . 2017;2(1):3-12. [PubMed] [Google Scholar].: [DOI:10.1177/2396987316684705.]
21. Adams H, Davis P, Hansen M, et al. (2017). Baseline NIH stroke scale score strongly predicts outcome after stroke : A report of the trial of org 10172 in acute stroke treatment (TOAST)".2017; Neurol. 53 (1): 126-131. [DOI:10.1212/WNL.53.1.126]
22. Bonita R, Beaglehole R. Recovery of motor function after stroke. Stroke. 1988;19(12):1497-500. [DOI:10.1161/01.STR.19.12.1497]
23. Pohl M, Mehrholz J, Ritschel C, Ruckriem S. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: a randomized controlled trial. Stroke. 2002;33:553-558. [DOI:10.1161/hs0202.102365]
24. Lau KW, Mak MK. Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke. J Rehabil Med. 2011;43:709-713. [DOI:10.2340/16501977-0838]
25. Gjellesvik TI, Brurok B, Hoff J, et al. Effect of high aerobic intensity interval treadmill walking in people with chronic stroke: a pilot study with one year follow-up. Top Stroke Rehabil. 2012;19:353-360. [DOI:10.1310/tsr1904-353]
26. Boyne P, Dunning K, Carl D, et al. High-intensity interval training and moderate-intensity continuous training in ambulatory chronic stroke: Feasibil Study.2016;96(10):1533-44. [DOI:10.2522/ptj.20150277]
27. Ghasemi Shaygannejad V, Joker S, Rezaiean F, Armak M., Mahmoodi Z .(2010). The effectiveness of functional electrical stimulation (FES), biofeedback and exercise therapy on various parameters of lower limb muscle strength , kinematics of gait and balance in stroke patients: A comparative study .J Res Rehabil Sci.2010; 6(1).
28. Wist S, Julie Clivaz,J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke: A meta-analysis. Ann Physic Rehabil Med.2016; 59: 114-24. [DOI:10.1016/j.rehab.2016.02.001]
29. Lista I, Sorrentino G. (2013). Biological mechanisms of physical activity in preventing cognitive decline. Cell Mol Neurobiol.2013; 30(4):493-503. [DOI:10.1007/s10571-009-9488-x]
30. Holleran Carey L, Don D, Straube PT,et al. (2014). Feasibility and potential efficacy of high-intensity stepping training in variable contexts in subacute and chronic stroke. Neurorehabil Neural Repair. 2014; 28(7): 643-51. [DOI:10.1177/1545968314521001]
31. Swain D, Lutholtz B. Metabolic calculations (Applied Equations). Translated by Raeesi Abdoreza, Dana Publishing.pp.108-110.2001[ Persion Text Booke].

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