Abstract：【Objective】 To investigate the effect of aerobic exercise combined with electrical stimulation on cardiopulmonary fitness in patients with stroke in a short duration. 【Methods】 Sixty patients with stroke were divided into aerobic exercise combined with electrical stimulation group (A), aerobic exercise group (B) and electrical stimulation group (C) according to the random number table method, with 20 cases in each group. Among three groups, all patients received conventional exercise training including gait, balance, strength, and range of motion activities. Additionally, patients in group A, group B and group C received aerobic exercise combined with electrical stimulation, aerobic exercise and electrical stimulation, respectively, the duration of the therapy was 4 weeks. The variables of cardiopulmonary exercise test before and after treatment including maximal oxygen consumption (VO2max), respiratory exchange ratio (RER), maximal heart rate, systolic blood pressure, diastolic blood pressure and exercise duration were compared among three groups. 【Results】 There were no obvious differences of VO2max, RER, maximal heart rate, systolic blood pressure, diastolic blood pressure and exercise duration among patient of the three groups before treatment. VO2max and exercise duration after treatment in patients of group A were higher than those before treatment (P<0.05), and VO2max and exercise duration after treatment were higher in group A than in group B and C (P<0.05). There were no significant differences of RER, maximal heart rate, systolic blood pressure and diastolic blood pressure after treatment in patients of group A compared to those before treatment (P>0.05). Compared with that before treatment, each variable after treatment in patients of group B and C had no obvious change (P>0.05), and the variable after treatment in patients of group B had no significant difference compared to corresponding variable after treatment in patients of group C (P>0.05). 【Conclusion】 Aerobic exercise combined with electrical stimulation can improve VO2max in patients with stroke in a short duration, which is an effective rehabilitation method for improving cardiopulmonary fitness in patients with stroke in a short duration.
盛富强, 周仁娣, 朱云霞, 郭进. 有氧运动联合电刺激短期内对脑卒中患者心肺适应性的影响[J]. 医学临床研究, 2020, 37(10): 1461-1464.
SHENG Fu-qiang, ZHOU Ren-di, ZHU Yun-xia, et al. Effect of Aerobic Exercise Combined with Electrical Stimulation on Cardiopulmonary Fitness in Patients with Stroke in a short Duration. JOURNAL OF CLINICAL RESEARCH, 2020, 37(10): 1461-1464.
[1] Tiozzo E, Youbi M, Dave K, et al. Aerobic, resistance, and cognitive exercise training poststroke[J].Stroke,2015, 46(7):2012-2016. [2] MacKay-Lyons MJ, Makrides L. Longitudinal changes in exercise capacity after stroke[J].Arch Phys Med Rehabil,2004,85(10): 1608-1612. [3] Pang MY, Eng JJ, Dawson AS. Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments[J].Chest,2005,127(2):495-501. [4] Broga。U,rdh C, Lexell J. Effects of cardiorespiratory fitness and muscle-resistance training after stroke[J].PMR,2012,4(11):901-907. [5] 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[J].Clin Rehabil,2006,20(2):97-111. [6] Dobsák P,Nováková M,Fiser B, et al. Electrical stimulation of skeletal muscles. An alternative to aerobic exercise training in patients with chronic heart failure [J] .Int Heart J,2006,47(3):441-453. [7] Janssen TW, Beltman JM, Elich P, et al. Effects of electric stimulation-assisted cycling training in people with chronic stroke[J].Arch Phys Med Rehabil,2008,89(3):463-469. [8] Lee SY, Kang SY, Im SH, et al. The effects of assisted ergometer training with a functional electrical stimulation on exercise capacity and functional ability in subacute stroke patients[J].Ann Rehabil Med,2013,37(5):619-627. [9] Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients[J].Arch Phys Med Rehabil,2003,84(12):1780-1785. [10] Thompson PD, Arena R, Riebe D, et al. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition[J].Curr Sports Med Rep,2013,12(4):215-217. [11] Saltychev M, Sjogren T, Barlund E, et al. Do aerobic exercises really improve aerobic capacity of stroke survivors: A systematic review and meta-analysis[J].Eur J Phys Rehabil Med,2016,52(2):233-243. [12] Kanno S, Oda N, Abe M, et al. Establishment of a simple and practical procedure applicable to therapeutic angiogenesis[J].Circulation,1999,99(20): 2682-2687.
2020, Vol. 37 
