What is the benefit of a high-intensive exercise program on health-related quality of life and depression after stroke? A randomized controlled trial.
The aim of the study was to evaluate the impact of a high-intensive exercise program containing high-intensive functional exercises implemented to real-life situations together with group discussions on falls and security aspects in stroke subjects with risk of falls. This was a pre-specified second...
| Publicado en: | Advances in Physiotherapy Vol. 12; no. 3; pp. 125 - 134 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105090412&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105090412 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14038196 B6F jtl: Advances in Physiotherapy issn: 14038196 maglogo: Y pubinfo: dt: 2010 vid: 12 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105090412 52999904 10.3109/14038196.2010.488272 105090412 ppf: 125 ppct: 9 formats: fmt: @attributes: type: P tig: atl: What is the benefit of a high-intensive exercise program on health-related quality of life and depression after stroke? A randomized controlled trial. aug: au: Holmgren E Gosman-Hedström G Lindström B Wester P affil: Department of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå Stroke Center, Umeå University, 901 87 Umeå, Sweden; eva.holmgren@physiother.umu.se sug: subj: Stroke Rehabilitation Exercise Community Programs Quality of Life Depression Therapy Human Short Form-36 Health Survey (SF-36) Geriatric Depression Scale Questionnaires Scales Stroke Physiopathology Stroke Complications Activities of Daily Living Random Assignment Clinical Trials Outpatients Sweden Power Analysis Descriptive Statistics Chi Square Test Pearson's Correlation Coefficient T-Tests Fisher's Exact Test Repeated Measures Data Analysis Software Male Female Aged Aged, 80 and Over Aged: 65+ years Aged, 80 & over Male Female ab: The aim of the study was to evaluate the impact of a high-intensive exercise program containing high-intensive functional exercises implemented to real-life situations together with group discussions on falls and security aspects in stroke subjects with risk of falls. This was a pre-specified secondary outcome for this study. For evaluation, Short Form-36 (SF-36) health-related quality of life (HRQoL) and the Geriatric Depression Scale-15 (GDS-15) were used. This was a single-center, single-blinded, randomized, controlled trial. Consecutive ≥55 years old stroke patients with risk of falls at 3–6 months after first or recurrent stroke were randomized to the intervention group (IG, n=15) or to the control group (CG, n=19) who received group discussion with focus on hidden dysfunctions but no physical fitness training. The 5-week high-intensive exercise program was related to an improvement in the CG in the SF-36 Mental Component Scale and the Mental Health subscale at 3 months follow-up compared with baseline values while no improvement was seen in the IG at this time. For the SF-36 Physical Component Scale, there was an improvement in the whole study group at 3 and 6 months follow-up compared with baseline values without any significant changes between the IG and CG. The GDS-15 was unchanged throughout the follow-up period for both groups. Based on these data, it is concluded that high-intensive functional exercises implemented in real-life situations should also include education on hidden dysfunctions after stroke instead of solely focus on falls and safety aspects to have a favorable impact on HRQoL. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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