Effects Of Aerobic Associated Resistance Exercise On The Ability Of Exercise And Quality Of Life In Patients With Stroke

Objective:To investigate the patients with Stroke-related about the awareness of rehabilitation, the disease knowledge and analyze reasons.Methods:The questionnaire survey of370Stroke patients in Neurology, Xiangya Hospital Central South University during hospitalization. Including①basic situation;②awareness of disease symptoms, pathogenic factors and treatment methods;③rehabilitation awareness and the main reasons which influence the rehabilitation;④3months after rehabilitation treatment, survey the satisfaction degrees, recognition and rehabilitation of stroke recurrence cases.Results:1、the awareness of the disease symptoms, risk factors and pathogenic treatment methods:1) cognitive symp-toms situation:most common symptoms in patients with known stroke, hemiplegia takes up79.2%, facial paralysis takes up37.8%, babble takes up31.9%, on a rare low awareness of symptoms, blurred vision or loss takes up2.2%, severe headache and vomiting awareness rate takes up0.5%;2) cognition of the risk factors:hypertension awareness takes up67.3%, smoking awareness takes up45.1%, migraine and oral contraceptive awareness of only1.4%and0.3%;3) cognition of the treatment:fully misunderstand the treatment of stroke (48.4%), cognition of drag treatment and surgical treatment takes up65.1%and19.2%, respectively.2、awareness situation of the rehabilitation:awareness of stroke rehabilitation takes up38.1%, the survey in rehabilitation treatment programs, physical therapy takes35.7%, traditional rehabilitation takes31.4%; while health education takes2.4%, prevention of recurrence takes5.7%.3、visiting the patient who accept the education of rehabilitation and the health after3months, awareness of rehabilitation rose from38.1%to65.7%, and72.2%of patients continued accept rehabilitation treatment, rehabilitation treat-ment satisfaction rates80%; the main factors that affect the patient continues to the treatment:cost issues takes23.6%, do not understand the rehabilitation takes23%and the distance journey takes22.8%.Conclusions:(1) From the small sample survey at the best three-level hospitals in our country of neurology ward:Stroke patients knows a little about the symptoms of the disease, risk factors and treatment, rehabilitation and rehabilitation knowledge;(2) early health and rehabilitation education can help to raise awareness of rehabilitation and participation rate. Objective:To investigate the effects on the quality of life and heart function and exercise capacity in patients with Stroke who did aerobic associated resistance exercise.Methods:Choose45Stroke patients, who willing to participate in the treatment of neurological rehabilitation hospital investigated in the first part. They were randomly divided into a control group (n=15), aerobic exercise group (n=15) and combined exercise group (n=15). The control group in the maintenance of essential drugs on the basis of conventional rehabilitation therapy, including:①physical factor therapy;②exercise therapy (treatment of neurological facilitation, sitting and standing balance training, initiative strength training);③traditional rehabilitation therapy (acupuncture, and massage);④hyperbaric oxygen therapy;⑤speech and swallowing therapy;⑥occupational therapy;⑦Stroke disease knowledge education, awareness of rehabilitation and care. Aerobic exercise group plus eight weeks of aerobic exercise on the basis of the control-group, including①limbs linkage training;②treadmill training;③upper limbs fluid training. The associated movement group plus eight weeks elastic band resistance exercise on the basis of aerobic exercise group, including:1) upper limb elastic band resistance training;2) lower limb elastic band resistance training;3) trunk muscle training. Three groups were evaluated before and after the intervention of exercise (Fugl-Meyer motor function, Rivermead movement index, MMT of target muscle, modified Ashworth index, Berg balance score); the assessment about the quality of life (Modified Barthel Index); intelligence and mental state assessment (MMSE); cardiac function and exercise capacity assessment test (Electrocardiography exercise test,6minutes and20minutes limbs linkage test); mental status assessment (Zung’s Self-Rating Anxiety Scale, Zung’s Self-Rating Depression Scale).Results:1、After8weeks of aerobic exercise or combined exercise impedance simplified Fugl-Meyer upper extremity motor function score was significantly higher:the aerobic exercise group was significantly higher than the control group (23.6±6.49points vs21.8±1.47points, P<0.05), associated movement group was significantly higher than the aerobic exercise group (28.6±3.66points vs23.6±6.49points, P <0.05); simplified Fugl-Meyer lower extremity motor function score was significantly increased:the aerobic exercise group increased significantly compared with the control group (20.7±2.71points vs18.1±1.36points,P＜0.05), associated movement group increased significantly compared with aerobic exercise group (28.5±3.96points vs20.7±2.71points, P<0.05); Berg balance score was significantly increased:the aerobic exercise group increased significantly compared with the control group (10.1±2.75. points vs7.73±0.7points, P<0.05), the associated movement group increased significantly compared with aerobic exercise group (16.5±2.17points vs10.1±2.75points, P<0.05). 2、After8week aerobic exercise or aerobic associated movement modified Barthel Index increased significantly:aerobic exercise group was significantly higher than the control group (59±9.61points vs55.53±3.31points, P<0.05), aerobic associated exercise group compared exercise group increased significantly (76.13±2.97points vs59±9.61points, P＜0.05).3、After8week aerobic exercise or aerobic associated resistance exercise metabolic equivalents METs increases:aerobic exercise group was significantly higher than the control group (5.51±0.73points vs4.37±0.65points, P<0.05), associated exercise group than aerobic exercise group increased significantly (5.95±0.49points vs5.51±0.73points, P <0.05).Conclusion:8weeks of aerobic exercise or aerobic associated exercise can improve motor function and quality of life of stroke patients, improving cardiac function and exercise capacity, associated exercise group was significantly better than aerobic exercise group.