Stroke
Conditions
Keywords
Stroke, Rehabilitation, Exercise, Bedcycling
Brief summary
Purpose: to investigate the efficacy of early exercise in patients with moderate to severe stroke regarding functional outcome and walking ability. Methods: Patients with medium to severe stroke (NHISS \>7) were recruited 24 - 48 hours after stroke onset from two stroke units in Sweden. Both groups received usual care. The intervention group received even 20 minutes bed-cycling 5 days per week with a maximum of 15 sessions. Functional outcome was measured with modified Rankin Scale (mRS) and Barthel index and walking with the 6-minute walking test (6MWT). Measurements were performed pre- and post-intervention (3 weeks), and at 3-months follow-up.
Interventions
Bedcycling
Sponsors
Study design
Intervention model description
RCT
Eligibility
Inclusion criteria
* Age over 18 years. * Diagnose stroke with The National Institutes of Health Stroke Scale (NIHSS) 7-42 points. * Ability to understand the Swedish language. * Approval of medical responsible physician to participate in the study.
Exclusion criteria
• Medical or neurological diseases that can affect the performance of the exercise and severe cognitive impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Modified Rankin Scale (mRS) | Baseline 24-48 hours after onset, postintervention 3 weeks after baseline and follow up 3-months after baseline. | Functional Outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Barthel ADL-Index | Baseline 24-48 hours after stroke onset, postintervention 3-weeks after baseline and follow up 3-months after baseline. | ADL |
| Change in 6-Minutes Walking test (6MWT) | Baseline 24-48 hours after stroke onset, postintervention 3-weeks after baseline and follow up 3-months after baseline. | Walking Ability |