Eight patients participating in inpatient stroke rehabilitation were monitored for 1 day. The intensity chosen was more conservative than that of the study by MacKay-Lyons. The authors were interested in determining whether the time spent walking was at least 10 min in duration with a HR intensity of 40–80 % of HR reserve. This finding is quite striking considering that the majority of these individuals would benefit from aerobic exercise.Ī recent study by Prajapati and colleagues monitored self-selected walking activity and HR response during inpatient stroke rehabilitation. They reported that less than 3 min of physical therapy was in the defined HR range, and occupational therapy was under 1 min. Heart rate range was defined as 60–90 % of maximum HR. In the longitudinal study by MacKay-Lyons and Makrides, they used recommendations for HR intensity from the American College of Sports Medicine for an aerobic training effect. Previous work has suggested exercise intensity during traditional stroke rehabilitation is insufficient. ![]() Although the majority of time is spent sedentary or in bed, we should consider whether stroke rehabilitation activities are sufficient to provide any aerobic benefit. Specifically, one study reported that more time spent in bed was associated with an unfavorable outcome on the modified Rankin Scale (mRS) at 3 months poststroke. to 5:00 p.m.), the individuals during inpatient stroke rehabilitation were seen in bed or sitting 76 % of the day and standing or walking only 23 % of the time. When observing activity during the daytime hours (8:00 a.m. These observational studies have examined physical activity during inpatient stroke rehabilitation and have reported high levels of sedentary time. Several studies have examined physical activity during stroke rehabilitation and report high levels of inactivity during the day. However, despite these known benefits, most stroke rehabilitation programs lack aerobic exercise training. ![]() Meta-analysis suggests aerobic exercise is beneficial for improving cardiorespiratory fitness and walking performance. Further, when an exercise regimen is combined with pharmacologic treatment (i.e., antihypertensive medication), the risk of a second stroke is decreased by 80 %. With the continued growth of the elderly population and the fact that American adults with chronic disease and disability are more likely to have cardiovascular risk factors present (physical inactivity, hypertension, obesity), lifestyle interventions such as participation in exercise are extremely important. Studies have demonstrated that people after stroke have poor cardiorespiratory fitness and can benefit from aerobic exercise training. Exercise after stroke is an important component in the risk reduction of future cardiovascular events and recurrent stroke.
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