Effects of a 6-Week Aquatic Treadmill Exercise Program on Cardiorespiratory Fitness and Walking Endurance in Subacute Stroke Patients

Background: Dementia after stroke, particularly subacute period is often overlooked. Today the quality of human life is increasingly high, finding scales that have high value for detection of dementia in patients with stroke is increasingly interested. MoCA test is high sensitivity with mild dementia and identify more abnormalities of awareness caused by vascular, but MoCA have not been studied much in Vietnam. Objective: Assessing MoCA test in subacute stroke patients and compare MoCA versus MMSE in these patients. Subjects: 90 patients with subacute stroke period, these people are being treated at Department of cardiovascular internal medicine at Hue Central Hospital, from 7/2014 - 7/2015. Methods: cross-sectional description and analysis. Results: The mean age is 65.57 ± 13.38, accounting for 54.4% male and 45.6% female. Age, duration of illness has weak correlation with MoCA. The risk factors: hypertension, stroke ischemic transient, alcoholism, smoking, heart disease, diabetes, dyslipidemia related no statistical significance with MoCA. The proportion of dementia in subacute stroke according MoCA is 82.2%. The concordance between MoCA and MMSE was good (kappa = 0.684). Using DSM-IV criteria as the gold standard we found MoCA more valuable in the dementia diagnosis than MMSE (AUC 0.864 versus 0.774, p <0.05). Conclusion: The rate of dementia in stroke subacute period according MoCA is quite high. MoCA is valuable than MMSE in detecting dementia in patients with stroke subacute period, this scale is short, easy to implement so should put into using widely in clinical practice. Key words: MoCA test, subacute stroke, dementia

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Effect of Therapy Using Aquatic Treadmill on the Functional Status of Patients with Knee Arthrosis

Acta Balneologica ◽

10.36740/abal202001105 ◽

2020 ◽

Vol 62 (1) ◽

pp. 27-32 ◽

Cited By ~ 1

Author(s):

Agnieszka Maruszewska ◽

Lech Panasiuk ◽

Agnieszka Buczaj ◽

Anna Pecyna

Keyword(s):

Range Of Motion ◽

Perceived Exertion ◽

Treadmill Exercise ◽

Exercise Programme ◽

Locomotor System ◽

Lequesne Index ◽

Knee Arthrosis ◽

Index Of Severity ◽

And Function ◽

Aquatic Treadmill

Introduction: Arthrosis is considered as a disease of the whole locomotor system, which may be prevented and treated at early stages. Gonarthrosis develops gradually within 10-15 years, interfering with daily activities and capability for work. Aquatic exercises are considered as a potentially effective therapeutic intervention in persons with knee arthrosis. Aim: Assessment of the effectiveness of a 4-week aquatic treadmill exercise programme, with respect to the measurement of pain, balance, function, and mobility. Materials and Methods: The study covered 15 patients with gonarthrosis, using a 4-week cycle of exercises. The results of measurements included a visual-analogue scale for assessing pain, Time Up and Go (TUG) for balance, 6-meter walk test for mobility and Lequesne index for function. The exercise protocol covered an aquatic treadmill using water jets to destabilize while standing, and achieve high ratings of perceived exertion during walking. Results: The comparison of results obtained by the patients after 20 interventions, with those obtained before therapy allowing the presumption that on the level of significance α= 0.05 there occurred statistically significant differences in the results of the tests performed (p<0.05). This concerned both pain complaints (VAS scale, Lequesne index of severity for arthrosis of the knee), as well as functional tests TUG, and measurement of the range of motion (p = 0.041-0.001). Conclusions: Based on the results of the study a decrease was observed in pain complaints, improvement of the range of motion in the joints, balance and function, after participation in a 4-week aquatic treadmill exercise programme, which contained the components of balance and endurance training.

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Correlation between Crossed Cerebellar Diaschisis and Prognosis of Functional Ambulation in Subacute Stroke Patients

Journal of rehabilitation welfare engineering & assistive technology ◽

10.21288/resko.2018.12.3.159 ◽

2018 ◽

Vol 12 (3) ◽

pp. 159-167

Author(s):

Y. H. Lim ◽

J. H. Kim ◽

N. R. Yun ◽

S. A. Park ◽

M. H. Kim ◽

...

Keyword(s):

Stroke Patients ◽

Crossed Cerebellar Diaschisis ◽

Subacute Stroke ◽

Cerebellar Diaschisis

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Effects of Self RehAbilitation Video Exercises (SAVE) on Functional Restorations in Patients with Subacute Stroke

Healthcare ◽

10.3390/healthcare9050565 ◽

2021 ◽

Vol 9 (5) ◽

pp. 565

Author(s):

Seung-Hwan Jung ◽

Eunhee Park ◽

Ju-Hyun Kim ◽

Bi-Ang Park ◽

Ja-Won Yu ◽

...

Keyword(s):

Acute Stroke ◽

Short Form ◽

Intervention Group ◽

Exercise Program ◽

Berg Balance Scale ◽

Control Group ◽

Early Recovery ◽

Subacute Stroke ◽

Sf 36 ◽

State Examination

Background: Additional exercise therapy has been shown to positively affect acute stroke rehabilitation, which requires an effective method to deliver increased exercise. In this study, we designed a 4-week caregiver-supervised self-exercise program with videos, named “Self rehAbilitation Video Exercises (SAVE)”, to improve the functional outcomes and facilitate early recovery by increasing the continuity of rehabilitation therapy after acute stroke. Methods: This study is a non-randomized trial. Eighty-eight patients were included in an intervention group (SAVE group), who received conventional rehabilitation therapies and an additional self-rehabilitation session by watching bedside exercise videos and continued their own exercises in their rooms for 60 min every day for 4 weeks. Ninety-six patients were included in a control group, who received only conventional rehabilitation therapies. After 4 weeks of hospitalization, both groups assessed several outcome measurements, including the Berg Balance Scale (BBS), Modified Barthel Index (MBI), physical component summary (PCS) and the mental component summary of the Short-Form Survey 36 (SF-36), Mini-Mental State Examination, and Beck Depression Inventory. Results: Differences in BBS, MBI, and PCS components in SF-36 were more statistically significant in the SAVE group than that in the control group (p < 0.05). Patients in the SAVE group showed more significant improvement in BBS, MBI, and PCS components in SF-36 as compared to that in the control group. Conclusions: This evidence-based SAVE intervention can optimize patient recovery after a subacute stroke while keeping the available resources in mind.

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Postural Control Disturbances Induced by Virtual Reality in Stroke Patients

Applied Sciences ◽

10.3390/app11041510 ◽

2021 ◽

Vol 11 (4) ◽

pp. 1510

Author(s):

Charles Morizio ◽

Maxime Billot ◽

Jean-Christophe Daviet ◽

Stéphane Baudry ◽

Christophe Barbanchon ◽

...

Keyword(s):

Virtual Reality ◽

Postural Control ◽

Virtual Environments ◽

Center Of Pressure ◽

Dynamic Condition ◽

Static Condition ◽

Stroke Patients ◽

Post Stroke ◽

Subacute Stroke

People who survive a stroke are often left with long-term neurologic deficits that induce, among other impairments, balance disorders. While virtual reality (VR) is growing in popularity for postural control rehabilitation in post-stroke patients, studies on the effect of challenging virtual environments, simulating common daily situations on postural control in post-stroke patients, are scarce. This study is a first step to document the postural response of stroke patients to different challenging virtual environments. Five subacute stroke patients and fifteen age-matched healthy adults were included. All participants underwent posturographic tests in control conditions (open and closed eyes) and virtual environment without (one static condition) and with avatars (four dynamic conditions) using a head-mounted device for VR. In dynamic environments, we modulated the density of the virtual crowd (dense and light crowd) and the avoidance space with the avatars (near or far). Center of pressure velocity was collected by trial throughout randomized 30-s periods. Results showed that more challenging conditions (dynamic condition) induced greater postural disturbances in stroke patients than in healthy counterparts. Our study suggests that virtual reality environments should be adjusted in light of obtaining more or less challenging conditions.

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