Deans' stroke musings: Effectiveness of active cycling in subacute stroke rehabilitation: A randomized controlled trial

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 10, 2017

Effectiveness of active cycling in subacute stroke rehabilitation: A randomized controlled trial

Useless to extrapolate to other survivors since the group chosen was so highly fit already.

Effectiveness of active cycling in subacute stroke rehabilitation: A randomized controlled trial

Archives of Physical Medicine and Rehabilitation , Volume 98(8) , Pgs. 1576-1585.

NARIC Accession Number: J76699. What's this?
ISSN: 0003-9993.
Author(s): Vanroy, Christel; Feys, Hilde; Swinnen, Anke; Vanlandewijck, Yves; Truijen, Steven; Vissers, Dirk; Michielsen, Marc; Wouters, Kristien; Cras, Patrick.
Publication Year: 2017.
Number of Pages: 15.
Abstract: Study examined the effects of 3 months of aerobic training followed by coaching on aerobic capacity, strength, and gait speed after subacute stroke. Fifty-nine patients with first stroke and able to cycle at 50 revolutions per minute were enrolled in the study 3 to 10 weeks after stroke onset. Patients were randomly allocated to a 3-month active cycling group (ACG) and education, or to a control group (CG). Afterward, patients in the ACG were randomly assigned either to a coaching or to a non-coaching group for 9 months. Aerobic capacity, isometric knee extension strength, and gait ability and speed were measured before and after intervention and during follow-up at 6 and 12 months. A nonsignificant difference was found in workload (Watt-peak) between ACG and CG after 3 months. Furthermore, after 3 months of cycling and after 9 months of coaching, all groups showed significant changes over time in peak oxygen consumption, Watt-peak, leg strength, and gait speed. Also, significant changes over time were found in the ACG and the CG in patients with walking inability at baseline. No significant differences between training groups were found over time. Although this study did not gather objective exercise data from the training device during follow-up, the 3-month active cycling program combined with education sessions seemed an applicable method in subacute stroke rehabilitation. New long-term aerobic training interventions should focus on coaching approaches to facilitate training after supervised active cycling.
Descriptor Terms: AMBULATION, EXERCISE, MENTORING, OUTCOMES, PATIENT EDUCATION, PHYSICAL THERAPY, REHABILITATION, STROKE, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Vanroy, Christel, Feys, Hilde, Swinnen, Anke, Vanlandewijck, Yves, Truijen, Steven, Vissers, Dirk, Michielsen, Marc, Wouters, Kristien, Cras, Patrick. (2017). Effectiveness of active cycling in subacute stroke rehabilitation: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation , 98(8), Pgs. 1576-1585. Retrieved 9/10/2017, from REHABDATA database.