Brain Ischemia
Conditions
Keywords
Aerobic exercises, Ischemic stroke, Barthel index, Aquatic physiotherapy, Ten-Meter Walk Test, Six-Minute Walk Test, Thirty-Second Sit-to-Stand Test, Pittsburgh Sleep Quality Index
Brief summary
The aim of the study was to evaluate changes in functional outcomes in patients with cerebral infarction following aquatic physiotherapy and aerobic exercises during the second stage of rehabilitation.
Interventions
BEHAVIORALAquatic physiotherapy
Aquatic physiotherapy will consist of a structured exercise program performed in water under the supervision of a physiotherapist. Each session will last 30 minutes and will be performed 3 times per week.
BEHAVIORALAerobic exercises
Aerobic exercise will consist of a continuous 30-minute cyclical aerobic exercise session performed on a stationary bicycle under the supervision of a physiotherapist. The session will be performed 3 times per week.
Sponsors
Lithuanian University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 74 Years
Healthy volunteers
No
Inclusion criteria
* Muscle strength of 4-5 points, assessed using manual muscle testing. * Ability to walk independently or with the use of an assistive device. * Stable cardiovascular status, based on the results of a physician's examination and the participant's medical history. * First-ever cerebral infarction. * Participants aged 45-74 years. * Mini-Mental State Examination (MMSE) score of 11-30 points, based on the patient's medical records and the assessment performed by psychologists working at Kulautuva Rehabilitation Hospital.
Exclusion criteria
* Muscle strength of less than 4 points, assessed using manual muscle testing. * Inability to walk independently or with the use of an assistive device. * Unstable cardiovascular status (uncontrolled arterial hypertension, angina --pectoris, cardiac arrhythmias, and other contraindications). * Recurrent cerebral infarction. * Participants younger than 45 years or older than 74 years. * MMSE score below 11 points. * Comorbidities that limit the ability to safely perform aquatic physiotherapy or aerobic exercises. * Contraindications to aquatic physiotherapy (open wounds, skin diseases, etc.).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thirty-Second Sit-to-Stand Test | Before and after 3 weeks of rehabilitation | The Thirty-Second Sit-to-Stand Test will be used to assess lower-extremity muscle strength by measuring the number of complete sit-to-stand repetitions performed in thirty seconds. Minimum 0 repetitions, no fixed maximum; higher scores indicate better lower-extremity functional strength. |
| Six-Minute Walk Test | Before and after 3 weeks of rehabilitation | The Six-Minute Walk Test will be used to assess functional exercise capacity by measuring the distance walked during six minutes. Six-Minute Walk Test: minimum 0 meters, no fixed maximum; greater distances indicate better walking endurance. |
| Ten-Meter Walk Test | Before and after 3 weeks of rehabilitation | The Ten-Meter Walk Test will be used to assess walking speed by measuring the time required to walk ten meters. Minimum 0 seconds, no fixed maximum; lower completion times indicate better walking performance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Barthel Index | Before and after 3 weeks of rehabilitation | The Barthel Index will be used to assess the patient's independence in activities of daily living. Minimum 0, maximum 100; higher scores indicate greater independence in activities of daily living. |
| Pittsburgh Sleep Quality Index | Before and after 3 weeks of rehabilitation | The Pittsburgh Sleep Quality Index will be used to assess the patient's sleep quality and sleep disturbances. Minimum 0, maximum 21; higher scores indicate worse sleep quality. |
| Systolic Blood Pressure | Before and after 3 weeks of rehabilitation | Systolic blood pressure will be measured to assess the cardiovascular response to physical exercise. Measured in millimeters of mercury (mmHg); no fixed minimum or maximum values; higher or lower values are not inherently better or worse, as interpretation depends on the clinical context. |
| Diastolic Blood Pressure | Before and after 3 weeks of rehabilitation | Diastolic blood pressure will be measured to assess the cardiovascular response to physical exercise. Measured in millimeters of mercury (mmHg); no fixed minimum or maximum values; higher or lower values are not inherently better or worse, as interpretation depends on the clinical context. |
| Heart Rate Measurement | Before and after 3 weeks of rehabilitation | Heart rate will be measured to assess the cardiovascular response to physical exercise. Heart rate measured in beats per minute (bpm); no fixed minimum or maximum values; higher or lower values are not inherently better or worse, as interpretation depends on the clinical context. |
Countries
Lithuania
Contacts
CONTACTIeva Žemaitienė
CONTACTKotryna Burneikaitė
Outcome results
None listed