High-intensity treadmill training and self-management for stroke patients undergoing rehabilitation: a feasibility study

Your doctor needs to reconcile the HIT(High intensity training) that Andrew Marr blames for causing his stroke and this research. YOUR DOCTOR'S RESPONSIBILITY! 

And your doctor will 100% guarantee that HIT will not cause a stroke? By verifying that your aneurysms will not blow out?

Do you really want to do high intensity training?

Because Andrew Marr blames high-intensity training for his stroke. 

Can too much exercise cause a stroke?

 The latest here:

High-intensity treadmill training and self-management for stroke patients undergoing rehabilitation: a feasibility study

 

• Sandra G. Brauer,
• Suzanne S. Kuys,
• Jennifer D. Paratz &
• Louise Ada 

Pilot and Feasibility Studies volume 7, Article number: 215 (2021) Cite this article

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Abstract

Background

Physical activity undertaken by stroke survivors is generally low. This trial investigated the feasibility of delivering a high-intensity treadmill and self-management program to people with stroke undergoing inpatient rehabilitation and determine whether physical activity, walking ability and cardiorespiratory fitness could be increased.

Method

A phase I, single-group, pre-post intervention study was conducted with stroke survivors undergoing inpatient rehabilitation who could walk. Participants undertook a high-intensity treadmill and self-management program for up to 30 min, three times a week for 8 weeks under the supervision of their usual physiotherapist. Feasibility was determined by examining compliance, satisfaction and adverse events. Clinical outcomes were amount of physical activity, walking ability, and cardiorespiratory fitness collected pre-training (week 0), post-training (week 8), and at follow-up (week 26).

Results

Forty stroke survivors participated, completing 10 (SD 6) sessions, 94% at the specified training intensity, with high satisfaction and no adverse events related to the intervention. At week 8, participants completed 2749 steps/day (95% CI 933 to 4564) more physical activity than at week 0. Walking distance increased by 110 m (95% CI 23 to 196), walking speed by 0.24 m/s (95% CI 0.05 to 0.42), and VO2 peak by 0.29 ml/kg/min (95% CI 0.03 to 0.56). At week 26, increases in physical activity, walking distance and speed, and cardiorespiratory fitness were maintained.

Conclusions

A high-intensity treadmill training program embedded within a self-management approach during inpatient rehabilitation appears feasible and potentially may offer sustained improvements in physical activity, walking ability, fitness, and quality of life. A randomised trial is warranted.

Trial registration

This feasibility study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12613000764730).

Peer Review reports

Key messages on feasibility

• Prior to this study, high-intensity treadmill training had not been embedded in a self-management approach during stroke rehabilitation to enable a transition to sustainable physical activity level follow discharge

• A high-intensity treadmill training program embedded within a self-management approach during inpatient stroke rehabilitation appears feasible

• Given this approach may offer sustained improvements in physical activity, a randomised trial is warranted.