Abstract
Introduction : In 2014, American Heart Association and American Stroke Association (AHA/ASA) issued exercise guidelines for stroke patients. Aim of the Study: To study the effects of an exercise programme based on AHA/ ASA guidelines, on gait kinematics and kinetics in patients with chronic ischemic stroke. Materials and Methods: Twelve stroke patients, 67.33 ± 9.14 years old, followed an 8-week exercise programme, with 3 hourly sessions per week, consisting of strength, endurance and flexibility training, as well as neuromuscular activities. Patients’ gait kinematics and kinetics were evaluated before and after the intervention using a 3-dimensional gait analysis system. Results: In most cases, patients in the intervention group showed significant increase or no change in gait kinematics, significant increase in joint moments at the anterior-posterior plane during support phase, and non-signi- ficant change in the frontal and transverse planes kinetics. Conclusions: Exercise prevented further deterioration and/or led to improved walking pattern.
Highlights
In 2014, American Heart Association and American StrokeAssociation (AHA/ASA) issued exercise guidelines for stroke patients
Stroke patients often adopt a sedentary lifestyle [3] [4] [5] [6]. This may be attributed to 1) factors associated with patients themselves, such as depression, lack of interest or motivation, decreased perception, decreased confidence, ignorance that exercise is possible and desirability and fear of falls, of a new stroke or other undesirable effects; 2) practical factors, such as lack of support from family or other social actors, inability to access exercise sites, inadequate public transport, health professionals’ ignorance of the availability of physical activity services; 3) financial cost [7] [8] [9] [10] [11]
There was an obvious increase in the joints range of motion in the sagittal plane during the final measurement, both in the paretic and non-paretic lower limbs, throughout the movement path in the intervention group
Summary
Association (AHA/ASA) issued exercise guidelines for stroke patients. Stroke patients often adopt a sedentary lifestyle [3] [4] [5] [6] This may be attributed to 1) factors associated with patients themselves, such as depression, lack of interest or motivation, decreased perception, decreased confidence, ignorance that exercise is possible and desirability and fear of falls, of a new stroke or other undesirable effects; 2) practical factors, such as lack of support from family or other social actors, inability to access exercise sites, inadequate public transport, health professionals’ ignorance of the availability of physical activity services; 3) financial cost [7] [8] [9] [10] [11]. Exercise in groups may improve patient motivation [12].
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