Effects of aerobic training on quality of life and functional capacity of chronic stroke survivors
DOI:
https://doi.org/10.11606/issn.2317-0190.v12i3a102531Keywords:
Stroke, Aerobic Conditioning, Rehabilitation, Quality of LifeAbstract
Stroke victims presentwith a high energetic consumption during the motor activities most of the times and, despite the evidences of this post stroke deficiency, few authors have investigated the effects of aerobic training. Objective: To assess the effects of an aerobic training in functional capability and quality of life (QOL) in people with chronic impairment following stroke. Methods: Two participants were assessed, one man and one woman, recruited from Newton Paiva University clinic school, in Belo Horizonte/MG. The functional capability was assessed by the Six Minutes Walk Test and the perception of QOL by the Nottingham Health Profile instrument (NHP). Evaluations were performed before the intervention and repeated within the 10th, 20th, 30th and 40th sessions. Results and Discussion: The reduction both in the distance and in the walk velocity are in general associated with changes in balance, muscle weakness and physical deconditioning. In the present study the distance walked by both participants has increased, suggesting improvement in the functional capability. A reduction in the score of the NHP has also been noticed, which suggests a better quality of life after the rehabilitation protocol. Conclusion: The participants of the study increased their functional capability and altered in a positive way their perception of QOL after the aerobic training program. To generalize these results to people with sequels of a stroke in a chronic phase studies with a bigger sample are necessary.
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References
Wolfe CD. The impact of stroke. Br Med Bull. 2000;56:275-286.
Brasil. Ministério da Saúde. Sistema de Informações sobre Mortalidade. DATASUS - TABNET. Indicadores de Dados Básicos - Brasil 97 [texto na Internet]. Brasília (DF): Ministério da Saúde; 1999 [citado 2005]. Disponível em: http://www.datasus.com.br
Gomes MM. Doenças do cérebro: prioridade de política de saúde pública no Brasil. Rev Bras Neurol. 1992;28:11-16.
Judge JO, Underwood M, Genosa T. Exercise to improve gait velocity in older persons. Arch Phys Med Rehabil. 1993;74:400-406.
Teixeira-Salmela LF, Oliveira ESG, Santana EGS, Resende GP. Fortalecimento muscular e condicionamento físico em hemiplégicos. Acta Fisiatr. 2000;7:108-118. Doi: https://doi.org/10.5935/0104-7795.20000001
Teixeira-Salmela LF, Olney SJ, Nadeau S, Brouwer B. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil. 1999;80:1211-1218.
Teixeira-Salmela LF, Augusto ACC, Lima RCM, Goulart F. Musculação e condicionamento aeróbio em hemiplégicos: impacto no desenvolvimento motor. Rev bras fisioter. 2003;7:209-215.
Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth JE, et al. Physical activity and exercise recommendations for stroke survivors. Stroke. 2004;35:1230-1180.
Dean CM, Shepherd RB. Task-related training improves performance of seated reaching tasks after stroke: a randomized controlled trial. Stroke. 1997;28:722-728.
Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physicological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101-105.
Macko RF, DeSouza CA, Tretter LD, Silver KH, Smith GV, Anderson PA, 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.
Monga TN, Deforge DA, Williams J, Wolfe LA. Cardiovascular responses to acute exercise in patients with cerebrovascular accidents. Arch Phys Med Rehabil 1988;69:937-940.
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.
Radanovic M. Características do atendimento de pacientes com Acidente Vascular cerebral em hospital, secundário. Arq Neuro-Psiquiatr. 2000;58:99-106.
Sampaio RF, Mancini MC, Fonseca ST. Produção científica e atuação profissional: aspectos que limitam essa integração na fisioterapia e na terapia ocupacional. Rev bras fisioter. 2002;6:113-118.
Brito RR, Santos CFF, Bueno FF. Reabilitação pulmonar e qualidade de vida de pacientes portadores de DPOC. Rev fisioter Univ São Paulo. 2002;9:9-16.
Hunt SM, McKenna SP, McEwen J, Backett EM, Williams J, Papp E. A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health. 1980;34:281-6.
Monsó E, Fiz JM, Isquierdo J, Alonso J, Coll R, Rossell A, et al. Quality of life in severe chronic obstrutive pulmonary disease: correlation with lung and muscle function. Respir Med. 1998;92:221-7.
Hunt S, McKenna S. Measuring health status: a new tool for clinicians and epidemiologists. J Coll Gen Pract. 1985;35:185-8.
Casado J, Gonzalez N, Moraleda S, Orueta R, Carrnona J, Gomez-Calcerrada R. Health-related quality of life of elderly patients in primary care. Aten Primaria. 2001;28:167-73.
Velozo CA, Magalhaes LC, Pan AW, Leiter P. Functional scale diascrimination at admision and discharge: Rasch analysis of the level of rehabilitation scale-III. Arch Phys Med Rehabil. 1995;76:705-12
Goulart FV, Teixeira-Salmela LF, Lima LAO, Moraes SG, Guedes LU, Cardoso F. Physical conditioning and functional performance in Parkinson's disease patientes after a physical therapy intervention. In: VII International Physioteraphy Congress. Sydney: Australian Physiotherapy Association; 2002. p. 94-94.
Teixeira-Salmela LF, Magalhaes LC, Souza AC, Lima MC, Lima RCM, Goulart F. Adaptação do perfil de saúde de Nottingham: um instrumento simples de avaliação da qualidade de vida. Cad Saúde Pública. 2004;20:905-914.
Butland RRA. Two -, six -, and 12 - minute walking tests in respiratory disease. BMJ. 1982;284:1007-1008.
Noonam V, Dean E. Submaximal exercise testing: clinical application and interpretation. Phys Ther. 2000;80:782-807.
Hamilton DM, Haennel RG. Validity and reliability of the 6-Minute walk test in a cardiac rehabilitation population. J Cardiopulm Rehabil. 2000;20:156-164.
Steele B. Timed walking tests of exercise capacity in chronic cardioplumonary illness. J Cardiopulm Rehabil. 1996;16:25-33.
ATS Statement: Guidelines for the six - minute walk test. Am J Respir Crit Care Med. 2002;166:111-117.
Smith GV, Silver KH, Goldberg AP, Macko RF. "Task-oriented" exercise improves hamstring strength and spatic reflexes in chronic stroke patients. Stroke. 1999;30:2112-8.
Eng JJ, Chu KS, Dawson AS, Kim CM, Hepburn KE. Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion. Stroke. 2002;33:756-61.
Pohl PS, Perera S, Duncan PW, Maletsky R, Whitman R, Studenski S. Gains in distance walking in a 3-month follow-up poststroke: What Changes? Neurorehabil Neural Repair. 2004;18:30-6.
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Crit Care Med. 1998;158:1384-1387.
Ahlsio B, Britton M, Murria V, Theorell T. Disablement and quality of life after stroke. Stroke. 1984;15:886-90.
Ebraihim S, Barer D, Nouri F. Use of Nottingham health profile with patients after stroke. J Epidemiol Community Health. 1986;40:166-9.
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