Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 407-412 , March 2009

A Preliminary Study to Examine the Effects of Aerobic and Therapeutic (Nonaerobic) Exercise on Cardiorespiratory Fitness and Coronary Risk Reduction in Stroke Survivors

  • James H. Rimmer, PhD

      Affiliations

    • Departments of Disability and Human Development, University of Illinois, Chicago, IL
    • Corresponding Author InformationReprint requests to James H. Rimmer, PhD, University of Illinois at Chicago, Dept of Disability and Human Development, 1640 W Roosevelt Rd (M/C 626), Chicago, IL 60608-6904
  • ,
  • Amy E. Rauworth, MS

      Affiliations

    • Departments of Disability and Human Development, University of Illinois, Chicago, IL
  • ,
  • Edward C. Wang, PhD

      Affiliations

    • College of Nursing, University of Illinois, Chicago, IL
  • ,
  • Terry L. Nicola, MD

      Affiliations

    • Department of Orthopedic Surgery, University of Illinois, Chicago, IL
  • ,
  • Bernadette Hill, MS, RN

      Affiliations

    • Advocate Christ Medical Center, Oak Lawn, IL

References 

  1. Blair S, Kohl HW, Barlow CE, et al. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. JAMA. 1995;273:1093–1098
  2. Blair SN, Kohl HW, Paffenbarger RS, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality (A prospective study of healthy men and women). JAMA. 1989;262:2395–2401
  3. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423–1434
  4. Pang M, Eng JJ, Dawson AS, Gylfadottir S. The use of aerobic exercise training in improving aerobic capacity in individuals with stroke: a meta-analysis. Clin Rehabil. 2006;20:97–111
  5. Ivey F, Macko RF, Ryan AS, Hafer-Macko CE. Cardiovascular health and fitness after stroke. Top Stroke Rehabil. 2005;12:1–16
  6. Macko RF, DeSouza CA, Tretter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients (A preliminary report). Stroke. 1997;28:326–330
  7. Macko RF, Ivey FM, Forrester LW, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005;26:2206–2211
  8. Duncan P, Studenski S, Richards L, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34:2173–2180
  9. Rimmer JH, Wang E. Aerobic exercise training in stroke survivors. Top Stroke Rehabil. 2005;12:17–30
  10. Ivey FM, Hafer-Macko CE, Macko RF. Exercise rehabilitation after stroke. NeuroRx. 2006;3:439–450
  11. van de Port I, Wood-Dauphinee S, Lindeman E, Kwakkel G. Effects of exercise training programs on walking competency after stroke: a systematic review. Am J Phys Med Rehabil. 2007;86:1–17
  12. Chu KS, Eng JJ, Dawson AS, Harris JE, Ozkaplan A, Gylfadottir S. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:870–874
  13. Rimmer JH, Riley B, Creviston T, Nicola T. Exercise training in a predominantly African-American group of stroke survivors. Med Sci Sports Exerc. 2000;32:1990–1996
  14. Meek C, Pollock A, Potter J, et al. A systematic review of exercise trials post stroke. Clin Rehabil. 2003;17:6–13
  15. Gordon N, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation. 2004;109:2031–2041
  16. Lennon O, Carey A, Gaffey N, Stephenson J, Blake C. A pilot randomized controlled trial to evaluate the benefit of the cardiac rehabilitation paradigm for the non-acute ischaemic stroke population. Clin Rehabil. 2008;22:125–133
  17. Wolf PA, Clagett GP, Easton JD, et al. Preventing ischemic stroke in patients with prior stroke and transient ischemic attack: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Stroke. 1999;30:1991–1994
  18. Crum R, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the Mini-Mental State Examination by age and educational level. JAMA. 1993;269:2386–2391
  19. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams and Wilkins; 2006;
  20. Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Arch Phys Med Rehabil. 2001;82:879–884
  21. Pang MY, Harris JE, Eng JJ. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2006;87:1–9
  22. Duncan P, Richards L, Wallace D, et al. A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke. 1998;29:2055–2060
  23. Macko RF, Katzel LI, Yataco A, et al. Low-velocity graded treadmill stress testing in hemiparetic stroke patients. Stroke. 1997;28:988–992
  24. Potempa K, Braun LT, Tinknell T, Popovich J. Benefits of aerobic exercise after stroke. Sports Med. 1996;21:337–346
  25. Potempa K, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101–105
  26. Mackay-Lyons MJ, Makrides L. Exercise capacity early after stroke. Arch Phys Med Rehabil. 2002;83:1697–1702

 Supported in part by the National Institutes of Health National Center for Medical Rehabilitation Research (grant no. HHS5R21HD40988).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01698-5

doi: 10.1016/j.apmr.2008.07.032

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 407-412 , March 2009