PMID- 22376194
OWN - NLM
STAT- MEDLINE
DCOM- 20120928
LR  - 20221207
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 34
IP  - 19
DP  - 2012
TI  - Intensive aerobic cycling training with lower limb weights in Chinese patients 
      with chronic stroke: discordance between improved cardiovascular fitness and 
      walking ability.
PG  - 1665-71
LID - 10.3109/09638288.2012.658952 [doi]
AB  - PURPOSE: To evaluate the effect of aerobic cycling training with lower limb 
      weights on cardiovascular fitness (peak VO(2)) and walking ability in chronic 
      stroke survivors, and to investigate the relationship between changes in these 
      parameters. METHODS: 133 Chinese patients with chronic hemiparetic stroke (mean 
      age 58 years) were randomized to either 8-week (5x/week) aerobic cycling training 
      with lower limb weights group (n = 68) or a low-intensity overground walking 
      group (n = 65). Peak VO(2), 6-minute walk distance (6MWD), knee muscle strength, 
      balance and spasticity were measured before and after intervention. RESULTS: 
      Cycling training increased peak VO(2) (24% vs. 3%, p < 0.001), 6MWD (2.7% vs. 
      0.5%, p < 0.001), paretic (11% vs. 1.6%, p < 0.001) and nonparetic knee strength 
      (16% vs. 1.0%, p < 0.001). In the cycling group, percent changes in peak VO(2) 
      were positively associated with those in paretic (r = 0.491, p < 0.001) and 
      nonparetic knee strength (r = 0.432, p < 0.001). Increased 6MWD correlated 
      significantly with improved balance, spasticity and paretic knee strength by the 
      stepwise regression analysis (r(2) = 0.342, p = 0.004), but not fitness gains. 
      CONCLUSIONS: The enhanced cardiovascular fitness after aerobic cycling training 
      in Chinese patients with chronic stroke is not associated with the increased 
      walking ability. Unparallel improvements in these parameters related different 
      determinants may have implications for intervention strategy.
FAU - Jin, Hong
AU  - Jin H
AD  - Department of Cardiology, Zhongda Hospital, Southeast University, Nanjing, China. 
      jinhong5985@163.com
FAU - Jiang, Yibo
AU  - Jiang Y
FAU - Wei, Qin
AU  - Wei Q
FAU - Wang, Bilei
AU  - Wang B
FAU - Ma, Genshan
AU  - Ma G
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20120301
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Asian People
MH  - *Bicycling
MH  - Cardiovascular System
MH  - Exercise Test
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Heart Rate/physiology
MH  - Humans
MH  - Leg/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Muscle Strength
MH  - Oxygen Consumption
MH  - Physical Fitness/*physiology
MH  - Prospective Studies
MH  - Single-Blind Method
MH  - Stroke/*therapy
MH  - *Stroke Rehabilitation
MH  - *Walking
EDAT- 2012/03/02 06:00
MHDA- 2012/09/29 06:00
CRDT- 2012/03/02 06:00
PHST- 2012/03/02 06:00 [entrez]
PHST- 2012/03/02 06:00 [pubmed]
PHST- 2012/09/29 06:00 [medline]
AID - 10.3109/09638288.2012.658952 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2012;34(19):1665-71. doi: 10.3109/09638288.2012.658952. Epub 
      2012 Mar 1.