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Effect of Skater Exercise on Cardiopulmonary Fitness and Balance in Patients with Mild Chronic Stroke. - A Pilot Study -

  • Kim, Min-Su (Department of Rehabilitation Medicine, School of Medicine, Wonkwang University)
  • Received : 2016.09.20
  • Accepted : 2016.09.26
  • Published : 2016.10.30

Abstract

Purpose: This study was conducted to investigate the effects of skater exercise on cardiopulmonary fitness and balance function in patients with mild chronic stroke. Methods: A total of ten chronic stroke patients with mild neurologic deficits were recruited. The participants were divided into two groups, a skater exercise (n=5) and a control group (n=5). Skater exercise was performed by physical therapists in the experimental group, whereas patients in the control group conducted self-exercise. One session of the intervention was carried out for 30 minutes, three times per week for eight weeks. Cardiopulmonary function, falling index, and Euro-Quality of Life-5 Dimension (EQ-5D) were measured before and after the intervention. Results: No side effects were reported during and after skater exercise intervention. The peak aerobic capacity, falling index, and EQ-5D improved significantly in the experimental group compared with the control group after eight weeks of skater exercise (p=0.002, p=0.010, and p=0.006). Significant relationships were identified between the change in EQ-5D and peak aerobic capacity (R2=0.75, p=0.002)/falling index (R2=0.65, p=0.002). Conclusion: Skater exercise was an effective physical therapy to improve cardiopulmonary fitness and balance function in patients with mild chronic stroke.

Keywords

References

  1. Hong KS, Bang OY, Kang DW et al. Stroke statistics in Korea: Part I. Epidemiology and risk factors: a report from the Korean stroke society and clinical research center for stroke. J Stroke. 2013;15(1):2-20. https://doi.org/10.5853/jos.2013.15.1.2
  2. Chang WH, Sohn MK, Lee J et al. Korean stroke cohort for functioning and rehabilitation (KOSCO): study rationale and protocol of a multi-centre prospective cohort study. BMC Neurol. 2015;15:42. https://doi.org/10.1186/s12883-015-0293-5
  3. Cho GH, Lee WH. The effects of two motor dual task training on balance and gait in patients with chronic stroke. J Kor Phys Ther. 2010; 22(4):7-14. https://doi.org/10.1589/jpts.22.7
  4. Choi AY, Cho OS. The effects of mechanical horseback riding exercise on the dynamic balance in patients with cerebral infarction. J Kor Phys Ther. 2014;26(2):123-9.
  5. Kim JH, Kim JS. Effects of virtual reality program on standing balance in chronic stroke patients. J Kor Phys Ther. 2005;17(3):351-67.
  6. Lee JS, Nam GW, Kim KY, et al. Effect of weight bearing exercise on weight bearing and balance for patients with chronic stroke. J Kor Phys Ther. 2012;24(4):253-61. https://doi.org/10.1589/jpts.24.253
  7. Lim CG. The effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using the sprinter and the skater on balance and gait function in the stroke patients. J Kor Phys Ther. 2014;26(4):249-56.
  8. Yi TI, Kang Y, Lee YS. Reliability of single leg balance test using posturography. Korean J Sports Med. 2014;32(2):120-5. https://doi.org/10.5763/kjsm.2014.32.2.120
  9. Kim DK. Change of walking and stair up in hemiplegia by proprioceptive neuromuscular facilitation techniques. J Kor Phys Ther. 1999; 11(3):57-64.
  10. CHO SB. The effect of cardiorespiratory function of the off-seasons inline skating training program. Journal of Korea Sport Research. 2005; 16(3):117-24.
  11. Wallick ME, Porcari JP, Wallick SB, et al. Physiological responses to in-line skating compared to treadmill running. Med Sci Sports Exerc. 1995; 27(2):242-8.
  12. Yoon MR, Choi HS, Shin WS. Effects of the abdominal drawing-in maneuver and the abdominal expansion maneuver on grip strength, balance and pulmonary function in stroke patient. J Kor Phys Ther. 2015; 27(2):147-53. https://doi.org/10.18857/jkpt.2015.27.3.147
  13. Pang MY, Eng JJ, Dawson AS, et al. The use of aerobic exercise training in improving aerobic capacity in individuals with stroke: a meta-analysis. Clin Rehabil. 2006;20(2):97-111. https://doi.org/10.1191/0269215506cr926oa
  14. Moriya M, Aoki C, Sakatani K. Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients. Adv Exp Med Biol. 2016;923:203-8.
  15. Hegge AM, Ettema G, de Koning JJ, et al. The effects of the arm swing on biomechanical and physiological aspects of roller ski skating. Hum Mov Sci. 2014;36:1-11. https://doi.org/10.1016/j.humov.2014.05.001
  16. Kwon MJ. The fall circumstance and related factors associated with fall in the stroke patients. J Kor Phys Ther. 2008;20(3):19-28.
  17. Muehlbauer T, Kuehnen M, Granacher U. Inline skating for balance and strength promotion in children during physical education. Percept Mot Skills. 2013;117(3):665-81. https://doi.org/10.2466/30.06.PMS.117x29z9
  18. Lamoth CJ, van Heuvelen MJ. Sports activities are reflected in the local stability and regularity of body sway: older ice-skaters have better postural control than inactive elderly. Gait Posture. 2012;35(3):489-93. https://doi.org/10.1016/j.gaitpost.2011.11.014
  19. Walsh SF, Scharf MG. Effects of a recreational ice skating program on the functional mobility of a child with cerebral palsy. Physiother Theory Pract. 2014;30(3):189-95. https://doi.org/10.3109/09593985.2013.863414
  20. Casey AF, Quenneville-Himbeault G, Normore A, et al. A therapeutic skating intervention for children with autism spectrum disorder. Pediatr Phys Ther. 2015;27(2):170-7. https://doi.org/10.1097/PEP.0000000000000139
  21. Kwon MJ. Daily physical functioning and quality of life for stroke. J Kor Phys Ther. 2007;19(2):87-96.
  22. Billinger SA, Arena R, Bernhardt J et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(8):2532-53. https://doi.org/10.1161/STR.0000000000000022
  23. Schmid AA, Van Puymbroeck M, Altenburger PA et al. Balance is associated with quality of life in chronic stroke. Top Stroke Rehabil. 2013; 20(4):340-6. https://doi.org/10.1310/tsr2004-340