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Comparison of the effectiveness of anti-gravity treadmill exercises and underwater walking exercises on cardiorespiratory fitness, functional capacity and balance in stroke patients.

Acta neurologica Belgica
April 1, 2023
Ümmügülsüm Doğan Duran et al. (7 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effectiveness of anti-gravity treadmill gait training and underwater walking therapy on cardiorespiratory fitness, gait, and balance in stroke survivors.

Results Summary

Anti-gravity treadmill training significantly improved cardiorespiratory fitness, including maximum heart rate, walking distance, and metabolic equivalents, but no significant changes in balance were observed across groups. Underwater walking therapy results were not highlighted in the abstract.

Population

39 stroke survivors admitted to a center between July 2017 and January 2018.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
anti-gravity treadmill training
increase
maximum heart rate during 6-min walk test
patients with a history of stroke
-
statistically significant increase
#1
anti-gravity treadmill training
increase
length of walking distance during 6-min walk test
patients with a history of stroke
-
statistically significant increase
#2
anti-gravity treadmill training
increase
maximum heart rate attained during exercise stress testing
patients with a history of stroke
-
significant improvements
#3
anti-gravity treadmill training
decrease
time to complete the test
patients with a history of stroke
-
significant improvements
#4
anti-gravity treadmill training
increase
rates of metabolic equivalents of task scores
patients with a history of stroke
-
significant improvements
#5
anti-gravity treadmill training
increase
peak oxygen consumption
patients with a history of stroke
-
significant improvements
#6
anti-gravity treadmill training
decrease
corrected QT intervals (QTc)
patients with a history of stroke
-
improvements were observed
#7
anti-gravity treadmill training
decrease
Tp-e interval
patients with a history of stroke
-
improvements were observed
#8
anti-gravity treadmill training
decrease
Tp-e/QT ratio
patients with a history of stroke
-
improvements were observed
#9
anti-gravity treadmill training
decrease
Tp-e/QTc ratio
patients with a history of stroke
-
improvements were observed
#10
anti-gravity treadmill training
no change
Berg Balance Scale (BBS) results
patients with a history of stroke
-
no statistically significant difference
#11
underwater walking therapy
no change
Berg Balance Scale (BBS) results
patients with a history of stroke
-
no statistically significant difference
#12
control group
no change
Berg Balance Scale (BBS) results
patients with a history of stroke
-
no statistically significant difference
#13
anti-gravity treadmill training
increase
cardiorespiratory fitness
stroke survivors
-
has favorable effects
#14
Abstract

INTRODUCTION: Aerobic exercise training after stroke has positive effects on quality of life, motor recovery, and aerobic endurance. The aim of this study was to investigate the effectiveness of anti-gravity treadmill gait training and underwater walking therapy on cardiorespiratory fitness, gait and balance in stroke survivors. METHODS: The study included 39 patients with a history of stroke who were admitted to our center between July 2017 and January 2018. The patients were randomly assigned to anti-gravity treadmill training, underwater walking therapy, or a control group. The aerobic capacity of the participants was evaluated with the 6-min walk test and cycle ergometer testing before and after the treatment. Balance was examined using the Berg Balance Scale (BBS). RESULTS: There was a statistically significant increase from pre- to post-treatment with regard to maximum heart rate and length of walking distance during 6-min walk test parameters in patients who underwent anti-gravity treadmill training (p < 0.05). The cycle ergometer training results showed significant improvements compared to baseline after treatment in patients who underwent anti-gravity training in terms of maximum heart rate attained during exercise stress testing, time to complete the test, rates of metabolic equivalents of task scores and peak oxygen consumption (p < 0.05). Improvements were also observed in ventricular repolarization indices including corrected QT intervals (QTc), Tp-e interval and Tp-e/QT, Tp-e/QTc ratio in the anti-gravity group (p < 0.05). BBS results showed no statistically significant difference in all groups (p > 0.05). CONCLUSION: The data of this study showed that anti-gravity treadmill training has favorable effects on cardiorespiratory fitness in stroke survivors.

Medical Subject Headings (MeSH)
HumansCardiorespiratory FitnessQuality of LifeStroke RehabilitationStrokeExercise TherapyWalkingExerciseTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year4.0
Relative Citation Ratio3.72
NIH Percentile89%
Research Impact Scores
APT Score0.75
Weight Score2.67
Normalized Score0.69
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