Susan M. Linder, Anson B. Rosenfeldt, Matthew Rasanow, Jay L. Alberts; Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report. Am J Occup Ther 2015;69(4):6904210010. https://doi.org/10.5014/ajot.2015.015636
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© 2020 American Occupational Therapy Association
OBJECTIVE. Previously, we demonstrated that forced aerobic exercise (FE) increases the pattern of neural activation in Parkinson’s disease. We sought to evaluate whether FE, when coupled with repetitive task practice, could promote motor recovery poststroke.
METHOD. A 46-yr-old man with ischemic stroke exhibited chronic residual upper-extremity deficits, scoring 35/66 on the Fugl-Meyer Assessment (FMA) at baseline. He completed 24 training sessions comprising 45 min of FE on a motorized stationary bicycle followed by 45 min of upper-extremity repetitive task practice.
RESULTS. From baseline to end of treatment, the FMA score improved by 20 points, perceived level of recovery on the Stroke Impact Scale increased by 20 percentage points, and cardiovascular function measured by peak oxygen uptake improved 30%. These improvements persisted 4 wk after the intervention ceased.
CONCLUSION. FE may be a safe and feasible rehabilitation approach to augment recovery of motor and nonmotor function while improving aerobic fitness in people with chronic stroke.
Aerobic exercise is an important component of rehabilitation after stroke for cardiorespiratory fitness; however, its effect on brain health after stroke has not been established.
A FE cycling intervention was able to overcome physical barriers to achieve sustained, high-intensity aerobic exercise in the study participant after stroke.
Forty-five minutes of FE cycling followed by 45 min of RTP was sufficient to produce clinically meaningful results on motor and nonmotor outcomes in the study participant.
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