Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Poor cardiopulmonary endurance is observed in individuals with acute stroke, even in chronic. In addition, the poor fitness may obstacle activities of daily life, decrease activities of autonomic system, and increase risks of recurrent, therefore, the cardiopulmonary endurance training should be included into the early-stage rehabilitation program. The ergocycling training could improve cardiopulmonary endurance for individuals with stroke. Moreover, the low-intensity exercise training can increase the willingness, and it is safer than the moderate-intensity exercise training. However, it needs to be evaluated whether the low-intensity exercise training can bring sufficient benefits, compared to the moderate-intensity exercise training. Objectives of the study is to compare the exercise benefits between the low-intensity and moderate-intensity exercise training, and then these would offer optimal exercise prescription and considerations in clinical practice.
After giving their signed consent, subjects would be randomly assigned into the control group (traditional rehabilitation), the low-intensity exercise group (traditional rehabilitation plus low-intensity exercise training), or the moderate-intensity exercise group (traditional rehabilitation plus the moderate-intensity exercise training). Frequency of the exercise training is 2-6 times/week, totally 20 times. In the symptom-limit exercise tolerance tests, subjects wear a gas-collecting mask and electrocardiogram, and pre-set graduated loading was offered by the bike. One therapists and one doctor would monitor the test. For resistance and time setting within each exercise training, it is customized by results of exercise tolerance tests in baseline and the allocation. Moreover, a therapist would stay with subject ,monitor the training, and measure the blood pressure before and after the training.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | No Intervention | traditional rehabilitation merely, no ergocycling training | |
| the low-intensity exercise group | Experimental | traditional rehabilitation plus the low-intensity ergocycling exercise training |
|
| the moderate-intensity exercise group | Experimental | traditional rehabilitation plus the moderate-intensity ergocycling exercise training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| the low-intensity exercise group | Other | Totally 20-time training, frequency 2-6 time/week, total 20 times. |
|
| Measure | Description | Time Frame |
|---|---|---|
| changed value of symptom-limit exercise tolerance tests | One doctor and one therapist monitor the test. EKG and self-report are used. | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| changed activity of autonomic nervous system (ANS) | The frequency domain analysis (measure unit of activity of ANS) is used in two conditions (sit and calculate math; 5 minutes/each condition). | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| 10-meter walking test |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Miao-Ju Hsu, PHD | Contact | 886-7-3121101 | 2673 | mjhsu@kmu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Miao-Ju Hsu, PHD | Kaohsiung Medical University | Principal Investigator |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| the moderate-intensity exercise group | Other | Totally 20-time training, frequency 2-6 time/week,total 20 times. |
|
Time of performing the 10 meters is measured. |
| Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| changed score of the Barthel index | Using Barthel index questionnaire | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| changed score of the Stroke-Specific Quality of Life Scale (SSQOL) | Using SSQOL questionnaire | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| changed value of the Fugl-Meyer Assessment Lower Extremity (FMA-LE) | Measure items of FMA-LE | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| changed score of Multi-dimensional Fatigue Inventory | Using Multi-dimensional Fatigue Inventory questionnaire | Baseline, 4 weeks to 10 weeks for exercise completion, one-month follow-up |
| performance of cycling | the maximal power is recorded by a chip of the training bike continually during each training;2-6 times/week, total 20 times training. | 4 weeks to 10 weeks for exercise completion |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |