Using Exercises To Improve Health Outcomes And Quality

16 May 2019 15:57
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Cardiac rehabilitation is a program supervised by doctors to assist patients with heart problems to recover as quickly as possible, and to make improvements in their overall mental, physical, and social lives. Therefore, we hypothesized that Tai Chi Yunshou exercise may enhance the balance function of patients after stroke and ran a single-blind, cluster-randomized, parallel-controlled trial to confirm it. A cluster-randomized design was chosen over individual patient randomization in order to avoid intervention contamination and logistic complications within the CHCs.

Based on limited evidence from 9 trials, the SET treatment combined with conventional rehabilitation was superior to conventional rehabilitation treatments, with increased degrees of BBS, BI and FMA, So the SET treatment exercise program for stroke patients can improvement of balance function after stroke, but the interpretation of our findings is required to be made with caution due to limitations in included trials such as small sample sizes and the risk of bias.

Numerous studies have demonstrated the efficacy of aerobic exercise ( Saunders et al., 2016 ), but there are few data on the long term effects of multimodal programs that incorporate aerobic exercise, complemented by task-oriented training and balance exercises.

Once the patient is medically stable following their stroke, a variety of rehabilitation techniques are available to help the stroke survivor attain their optimal physical, emotional and social well-being 12. The general goals of rehabilitation for the hemiplegic stroke patient are to maintain and improve current function, delay the progression of disease and reduce the risk of another stroke occurring 13. Commonly, treatment is directed towards adapting function of the non-paretic side to compensate for the loss of function on the paretic side 14, however, little emphasis is placed upon simply promoting movement.

Neurophysiological observations suggest that changes in the process of sensorimotor integration do not occur at the peripheral level but depend on abnormal central processing of sensory input ( 29 ). These study results showed that proprioceptive sensory changes improved by 43% and 23% through multi-sensorimotor training and treadmill gait training, respectively.

Based on the beneficial adaptations induced by HIT in healthy people and in patients with cardiovascular disorders, we postulate that this training modality might be involved in endurance program as complement or alternate of the traditional low intensity training in stroke patient.

Gait training mainly affects the walking parameters, increasing velocity,19,21-23 stride frequency21 and stride length,23 with faster Timed-up-and-go test scores,20-22 better mobility;25 and stronger walk at home.24 Gait training improves balance control.

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