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Vol. 53. Issue 200.
Pages 147-153 (October - December 2018)
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Vol. 53. Issue 200.
Pages 147-153 (October - December 2018)
Original Article
DOI: 10.1016/j.apunts.2018.09.001
Effectiveness of a multimodal low–moderate intensity exercise rehabilitation program for stroke survivors
Efectividad de un programa de rehabilitación basado en ejercicio multimodal de intensidad moderada-baja para supervivientes de ictus
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Montserrat Grau-Pellicera,
Corresponding author
MGrauP@CST.CAT

Corresponding author.
, Bernat-Carles Serdà-Ferrerb, Josep Medina-Casanovasc, Andrés Chamarro-Lusard
a Rehabilitation Unit, Hospital-Consorci Sanitari de Terrassa, Barcelona, Spain
b Department of Nursing, and Biomedical Research Institute, University of Girona, Spain
c Functional Rehabilitation Department, Private Foundation Institut Guttmann Neurorehabilitation Hospital, Badalona, Barcelona, Spain
d Basic, Evolutionary and Educational Psychology Department, Autonomous University of Barcelona, Spain
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Table 1. Effects or the multimodal exercise rehabilitation program.
Abstract
Introduction

The amount of people who survive a stroke is increasing annually. Persons with stroke suffer neurological deficits and a physical deconditioning that compromise walking ability, basic activities of daily living and health-related quality of life (HRQoL). The aim of the study was to determine the effects of a 12-week multimodal low–moderate intensity exercise rehabilitation program on walking speed, walking endurance and adherence to physical activity.

Material and methods

An observational repeated-measures design was used. The intervention consisted of 24 sessions of 1 hour per session two alternative days a week. A total of 31 participants were recruited and were evaluated at baseline, post-intervention and at six months follow up.

Results

Twenty-five participants completed the rehabilitation program. Significant improvements were found at the end of the intervention and those were maintained at six months on walking speed (10MWT *p0.004), walking endurance (6MWT **p0.000) and adherence (walking min/day **p0.000). Participants reported an overall satisfaction with the rehabilitation program of 94%: fitness, walking capacity, balance, accomplished expectations, satisfaction with the rehabilitation program, satisfaction with self-efficacy, learned strategies to improve QoL, adequate timing and would recommend the low–moderate intensity exercise rehabilitation program.

Conclusions

Promoting low–moderate intensity physical activity may be an interesting rehabilitation strategy for stroke survivors.

Keywords:
Rehabilitation
Physical activity
Multimodal exercise
Stroke
Adherence
Resumen
Introducción

la cantidad de personas que sobreviven a un accidente cerebrovascular aumenta cada año. Las personas con ictus sufren déficits neurológicos y un desacondicionamiento físico que compromete la capacidad para caminar, las actividades básicas de la vida diaria y la calidad de vida relacionada con la salud (CdVRS). El objetivo de este estudio fue determinar los efectos de un programa de rehabilitación multimodal de 12 semanas de duración, basado en ejercicios de intensidad baja- moderada, en la velocidad de deambulación, la resistencia al caminar y la adherencia a la actividad física.

Material y métodos

estudio observacional de medidas repetidas. La intervención consistió en 24 sesiones de 1 hora de duración dos días alternos por semana. Se reclutó un total de 31 participantes que se evaluaron al inicio, después de la intervención y a los seis meses.

Resultados

veinticinco participantes completaron el programa de rehabilitación. Al final de la intervención se detectaron mejoras significativas de la velocidad de deambulación (10MWT p0.004*), resistencia al caminar (6MWT p0.000**) y adherencia (minutos de caminata/día p0.000**). Estos resultados se mantuvieron a los seis meses. Los participantes manifestaron una satisfacción general con el programa de rehabilitación del 94% en relación a los siguientes ítems: condición física, capacidad para caminar, equilibrio, expectativas cumplidas, satisfacción con el programa, satisfacción con la autoeficacia, estrategias aprendidas para mejorar la calidad de vida, momento adecuado para participar en el programa y lo recomendarían a terceras personas.

Conclusiones

Promover la actividad física de intensidad baja-moderada puede ser una estrategia de rehabilitación interesante para los supervivientes de ictus.

Palabras clave:
Rehabilitación
Actividad física
Ejercicio multimodal
Ictus
Adherencia

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