Effect of biofeedback cycling training on functional recovery and walking ability of lower extremity in patients with stroke.

作者: Huei-Ching Yang , Chia-Ling Lee , Roxane Lin , Miao-Ju Hsu , Chia-Hsin Chen

DOI: 10.1016/J.KJMS.2013.07.006

关键词: Modified Ashworth scaleMedicineBiofeedbackPhysical medicine and rehabilitationPreferred walking speedCyclingStrokeFunctional recoveryRehabilitationPhysical therapyCrossover study

摘要: Abstract This study aimed to investigate the effectiveness of biofeedback cycling training on lower limb functional recovery, walking endurance, and speed for patients with chronic stroke. Thirty-one stroke (stroke onset >3 months) were randomly assigned into two groups using a crossover design. One group ( N  = 16; mean: 53.6 ± 10.3 years) underwent conventional rehabilitation (30 minutes/time, 5 times per week 4 weeks), followed by only another weeks. The other group  = 15; 54.5 ± 8.0 same in reverse order. bike used this was MOTOmed viva2 Movement Trainer. Outcome measures included extremity subscale Fugl-Meyer assessment (LE-FMA), 6-minute walk test (6MWT), 10-meter (10MWT), modified Ashworth scale (MAS). All participants assessed at beginning study, end th week, 8 week. Thirty completed including interventions all assessments. results showed that improvements period significantly better than noncycling LE-FMA p

参考文章(39)
Jääskö L, Leyman I, Steglind S, Olsson S, Fugl-Meyer Ar, The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scandinavian Journal of Rehabilitation Medicine. ,vol. 7, pp. 13- 31 ,(1975)
Mi-Joung Lee, Sharon L. Kilbreath, Maria Fiatarone Singh, Brian Zeman, Stephen R. Lord, Jacquelene Raymond, Glen M. Davis, Comparison of effect of aerobic cycle training and progressive resistance training on walking ability after stroke: a randomized sham exercise-controlled study. Journal of the American Geriatrics Society. ,vol. 56, pp. 976- 985 ,(2008) , 10.1111/J.1532-5415.2008.01707.X
Pei‐Yi Lin, Jia‐Jin Jason Chen, Sang‐I Lin, None, The cortical control of cycling exercise in stroke patients: An fNIRS study Human Brain Mapping. ,vol. 34, pp. 2381- 2390 ,(2013) , 10.1002/HBM.22072
Christine C. Raasch, Felix E. Zajac, Locomotor strategy for pedaling: muscle groups and biomechanical functions. Journal of Neurophysiology. ,vol. 82, pp. 515- 525 ,(1999) , 10.1152/JN.1999.82.2.515
H. Henrik Ehrsson, Anders Fagergren, Tomas Jonsson, Göran Westling, Roland S. Johansson, Hans Forssberg, Cortical activity in precision- versus power-grip tasks: an fMRI study. Journal of Neurophysiology. ,vol. 83, pp. 528- 536 ,(2000) , 10.1152/JN.2000.83.1.528
Riccardo Mazzocchio, Sabine Meunier, Simona Ferrante, Franco Molteni, Leonardo G. Cohen, Cycling, a tool for locomotor recovery after motor lesions? NeuroRehabilitation. ,vol. 23, pp. 67- 80 ,(2008) , 10.3233/NRE-2008-23107
Olga Lazoura, Paraskevi J. Papadaki, Eleftheria Antoniadou, Nikolaos Groumas, Alexandros Papadimitriou, Paschal Thriskos, Ioannis V. Fezoulidis, Marianna Vlychou, Skeletal and Body Composition Changes in Hemiplegic Patients Journal of Clinical Densitometry. ,vol. 13, pp. 175- 180 ,(2010) , 10.1016/J.JOCD.2010.01.008
Janine M. Gregson, Michael Leathley, A.Peter Moore, Anil K. Sharma, Tudor L. Smith, Caroline L. Watkins, Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Archives of Physical Medicine and Rehabilitation. ,vol. 80, pp. 1013- 1016 ,(1999) , 10.1016/S0003-9993(99)90053-9
Sang-I Lin, Chao-Chen Lo, Pei-Yi Lin, Jia-Jin J. Chen, Biomechanical assessments of the effect of visual feedback on cycling for patients with stroke. Journal of Electromyography and Kinesiology. ,vol. 22, pp. 582- 588 ,(2012) , 10.1016/J.JELEKIN.2012.03.009
Sheila Schindler-Ivens, David A. Brown, Gwyn N. Lewis, Jens Bo Nielsen, Kathy L. Ondishko, Jon Wieser, Soleus H-reflex excitability during pedaling post-stroke Experimental Brain Research. ,vol. 188, pp. 465- 474 ,(2008) , 10.1007/S00221-008-1373-1