But do you want high-intensity? Because Andrew Marr blames high-intensity training for his stroke.
Can too much exercise cause a stroke?
You might want to consult your doctor on this. Bet s/he doesn't even know about Andrew Marr.
Before I could do anything like this I would need my leg spasticity cured.
Effects of a high-intensity task-oriented training on gait performance early after stroke: a pilot study
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Abstract
Objective:
To investigate the feasibility and the effects on gait of a high
intensity task-oriented training, incorporating a high cardiovascular
workload and large number of repetitions, in patients with subacute
stroke, when compared to a low intensity physiotherapy-programme.
Design and subjects: Randomized controlled clinical trial: Forty-four patients with stroke were recruited at 2 to 8 weeks after stroke onset.
Measures: Maximal gait speed assessed with the 10-metre timed walking test (10MTWT), walking capacity assessed with the six-minute walk test (6MWT). Control of standing balance assessed with the Berg Balance Scale and the Functional Reach test. Group differences were analysed using a Mann—Whitney U-test.
Results: Between-group analysis showed a statistically significant difference in favour of the high intensity task-oriented training in performance on the 10MTWT (Z = -2.13, P = 0.03) and the 6MWT (Z = -2.26, P = 0.02). No between-group difference were found for the Berg Balance Scale (Z = —0.07, P = 0.45) and the Functional Reach test (Z = —0.21, P = 0.84).
Conclusion: A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in patients with subacute stroke. In a future study, it seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
Design and subjects: Randomized controlled clinical trial: Forty-four patients with stroke were recruited at 2 to 8 weeks after stroke onset.
Measures: Maximal gait speed assessed with the 10-metre timed walking test (10MTWT), walking capacity assessed with the six-minute walk test (6MWT). Control of standing balance assessed with the Berg Balance Scale and the Functional Reach test. Group differences were analysed using a Mann—Whitney U-test.
Results: Between-group analysis showed a statistically significant difference in favour of the high intensity task-oriented training in performance on the 10MTWT (Z = -2.13, P = 0.03) and the 6MWT (Z = -2.26, P = 0.02). No between-group difference were found for the Berg Balance Scale (Z = —0.07, P = 0.45) and the Functional Reach test (Z = —0.21, P = 0.84).
Conclusion: A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in patients with subacute stroke. In a future study, it seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
| Dobkin BH Clinical practice. Rehabilitation after stroke. N Engl J Med 2005; 352: 1677-84. |
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