Aerobic Training on Cardio-respiratory Fitness and Health Related Quality of Life

Impact of Aerobic Training on Cardio-respiratory Fitness and Health Related Quality of Life in Stroke Survivors

Stroke is a major health problem among Egyptian population; an obvious raise in stroke prevalence in all Egyptian governorates. Most stroke survivors commonly develop disabilities those were correlated with restricted physical activity levels. Stroke survivors' cardio-respiratory fitness has several negative impacts such as elevated risk of being affected by other cardiovascular diseases. So, the current study will be conducted to cover the lack in literature concerning the effect of aerobic training on cardiovascular endurance in stroke survivors aiming to faster recovery and reduce the risk of cardiac dysfunction and recurrent strokes.

Stroke as a cerebrovascular accident has a significant prevalence, as well it was addressed a one of major etiologies for other comorbidities, even mortality. Where, cardiac rehabilitation is a structured exercise program that almost designed to offer an opportunity to break the inactivity cycle, reduce associated cardiovascular risks, also improve perceived confidence and quality of life in stroke survivors . Therefore, aerobic training could be defined as a core component that focuses on cardio-respiratory fitness, walking speed and endurance for stroke survivors. Up on that, this clinical trial will be conducted to investigate the effect of aerobic training on cardiorespiratory fitness and health related quality of life in stroke survivors. It will be conducted on eighty post stroke patient (hemiplegic; 55-65 years old with functional ambulatory category more than 3) from Outpatient clinic of neurological department of El-Kasr El-Aini Hospital. They will be allocated into 2 groups; Group A will involves 40 patients will receive aerobic training program, plus traditional physical therapy program. While, Group B will involves 40 patients will receive traditional physical therapy program only. 6-Menutes walk test, Stroke impact scale are the outcome measures.

Inclusion Criteria:

• Both genders,
• Age range is 55-65 years old,
• Within one year post ischemic stroke,
• Right or left sided stroke,
• hemiplegic and hemiparetic patients,
• Medications include anti-spastics, Beta blockers, ACE inhibitors, and diuretics.
• Functional ambulatory category of three or more,
• Hemodynamic stable,
• Did not participate in any other research study within at least 3 months.

Exclusion Criteria:

• Sever anemia,
• Uncontrolled hypertension, or diabetes mellitus,
• Recent cardiothoracic surgeries,
• Cognitive disorders 'mini mental state exam less than 24'
• Auditory and visual problems,
• Dementia,
• Modified Rankin score 3 or more,
• Seizure,
• Musculoskeletal disorders,
• Stroke or serious head trauma within last 3 months,
• Vertrobrobasilar stroke,