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Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study
Joint Authors
Holzapfel, Simon D.
Bosch, Pamela R.
Lee, Chong D.
Pohl, Patricia S.
Szeto, Monica
Heyer, Brittany
Ringenbach, Shannon D.
Source
Rehabilitation Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-13
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Stroke is the most common cause of long-term disability in the United States (US).
Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations.
The acute effects of ACT on motor function of persons with stroke have not been investigated.
Objectives.
The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 ± 16 years; months since stroke: 96 ± 85).
The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session.
Methods.
Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion).
Results.
Main effects of intervention did not differ between ACT and VC.
Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC.
Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05).
A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05).
Conclusion.
ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited.
Faster cycling cadences seem to be associated with greater acute effects.
American Psychological Association (APA)
Holzapfel, Simon D.& Bosch, Pamela R.& Lee, Chong D.& Pohl, Patricia S.& Szeto, Monica& Heyer, Brittany…[et al.]. 2019. Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study. Rehabilitation Research and Practice،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1207542
Modern Language Association (MLA)
Holzapfel, Simon D.…[et al.]. Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study. Rehabilitation Research and Practice No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1207542
American Medical Association (AMA)
Holzapfel, Simon D.& Bosch, Pamela R.& Lee, Chong D.& Pohl, Patricia S.& Szeto, Monica& Heyer, Brittany…[et al.]. Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study. Rehabilitation Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1207542
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1207542