Characterizing Heart Rate Response During Upper Extremity Repetitive Task Practice in Chronic Stroke.
Importance: Although the cardiopulmonary benefits of aerobic exercise poststroke are well-established, typical stroke rehabilitation does not elicit an aerobic response. Objective: To characterize heart rate response during upper extremity repetitive task practice (RTP) and determine factors that pr...
| Published in: | American Journal of Occupational Therapy Vol. 78; no. 2; pp. 1 - 7 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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American Occupational Therapy Association
Mar/Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176477276&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176477276 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Mar/Apr2024 vid: 78 iid: 2 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 176477276 176477276 176477276 10.5014/ajot.2024.050478 176477276 ppf: 1 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Characterizing Heart Rate Response During Upper Extremity Repetitive Task Practice in Chronic Stroke. aug: au: Davidson, Sara Bischof-Bockbrader, Andrea Zimmerman, Eric Rosenfeldt, Anson B. Alberts, Jay L. Linder, Susan M. affil: Sara Davidson, PTA, BSAS, is Administrative Program Coordinator, Concussion Center, Cleveland Clinic, Cleveland, OH sug: subj: Upper Extremity Physiopathology Stroke Rehabilitation Chronic Disease Heart Rate Aerobic Exercises Exercise Intensity Task Performance and Analysis Motor Skills Human Male Female Middle Age Aged Secondary Analysis Academic Medical Centers Occupational Therapists Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Importance: Although the cardiopulmonary benefits of aerobic exercise poststroke are well-established, typical stroke rehabilitation does not elicit an aerobic response. Objective: To characterize heart rate response during upper extremity repetitive task practice (RTP) and determine factors that predict a higher aerobic intensity during RTP. Design: Secondary analysis of a subset of data from a randomized clinical trial. Setting: Research laboratory in a large academic medical center. Participants: Patients with chronic stroke (N = 19). Intervention: Participants received 90 min of RTP for 24 sessions across 8 wk. Outcomes and Measures: Aerobic intensity as measured by heart rate reserve (HRR) during RTP. Results: A total of 2,968 tasks were included in the analysis. Of the tasks performed, approximately 79.5% elicited a very light aerobic response (<30% HRR), 10.2% elicited a light aerobic response (30%–39% HRR), and 10.3% elicited a moderate to vigorous intensity aerobic response (≥40% HRR). Of the tasks that elicited a moderate to vigorous intensity aerobic response, 54.1% were performed in standing, 79.7% were gross motor in nature, and 27.9% had targets at or above shoulder height. Standing position, targets at or above shoulder height, and gross motor tasks predicted higher HRR (all ps <.001). Conclusions and Relevance: To maximize aerobic intensity during poststroke RTP, therapists should include gross motor tasks trained in standing with targets at or above shoulder height. Plain-Language Summary: The study characterizes heart rate response in stroke rehabilitation and identifies factors that predict a higher aerobic intensity during upper extremity repetitive task practice. Certain task characteristics were more likely to produce an aerobic response, including gross motor, targets at or above the shoulder, and a standing position. Occupational therapists should include gross motor tasks trained in standing with targets at or above shoulder height to maximize aerobic intensity during poststroke repetitive task practice. Monitoring heart rate may improve awareness of aerobic response to training. The study findings show that occupational therapists should include gross motor tasks trained in standing with targets at or above shoulder height to maximize aerobic intensity during poststroke repetitive task practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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