Stroke is the third leading cause of death in developed countries and the first cause of long-term disability in elderly people. The burden of stroke is high and likely to increase in future decades as population demographics change. Despite advances in medical care of stroke, prevention remains one of the best approach to reduce the burden. Even though substantial evidence exists that physical activity can improve cardiovascular health, no good quality data exist for stroke patients and some research questions remain. The purpose of this study is to determine whether a Group Adaptive Physical Exercise program (EFG), associated to Therapeutic Patient Education (ET), is efficacious in improving function and quality of life in patients with residual disability after post-stroke rehabilitation. Study design: nonrandomized controlled trial. Study participants: Patients with stroke who have completed individual rehabilitation, recruited 3 to 18 months from the index event;150 patients receive the EFG intervention (Bologna, Italy) and 150 comprise the control group (Reggio Emilia, Italy). Intervention: Sixteen 1-hour exercise sessions twice a week plus 4 education sessions (EFG-group). Controls receive only usual care. Outcome measures: 4-month change in gait velocity (6-Minute Timed Walk -6MTW), balance (Berg Balance Scale-BBS), function (Short Physical Performance Battery-SPPB and Motricity Index-MI);12-month change in Modified Barthel Index, quality of life (SF 12), Geriatric Depression Scale and Caregivers Strain Index. Preliminary results indicate that, at the 4 months follow-up, patients in the EFG-group exhibit a significantly higher improvement in gait velocity, balance and SPPB compared to the control group (p<0.01): 6MTW +53.9 metres (EFG-group) versus -11.1 (controls), BBS +5.5 (EFG-group) versus -1.9 (controls), SPPB +0.7 (EFG-group) versus -0.2 (controls). The EFG program appears to be efficacious in improving function in post-stroke patients and should be viewed as an important component of a comprehensive stroke rehabilitation program.

Efficacy of Group Adaptive Physical exercise program and Therapeutic Education sessions for patients with stroke: results from a nonrandomized controlled trial

TARICCO, MARIANGELA;DALLOLIO, LAURA;CALUGI, SIMONA;CARRETTA, ELISA;CONFORTI DONATI, MARCO;GAUDENZI, NOEMI;FANTINI, MARIA PIA
2011

Abstract

Stroke is the third leading cause of death in developed countries and the first cause of long-term disability in elderly people. The burden of stroke is high and likely to increase in future decades as population demographics change. Despite advances in medical care of stroke, prevention remains one of the best approach to reduce the burden. Even though substantial evidence exists that physical activity can improve cardiovascular health, no good quality data exist for stroke patients and some research questions remain. The purpose of this study is to determine whether a Group Adaptive Physical Exercise program (EFG), associated to Therapeutic Patient Education (ET), is efficacious in improving function and quality of life in patients with residual disability after post-stroke rehabilitation. Study design: nonrandomized controlled trial. Study participants: Patients with stroke who have completed individual rehabilitation, recruited 3 to 18 months from the index event;150 patients receive the EFG intervention (Bologna, Italy) and 150 comprise the control group (Reggio Emilia, Italy). Intervention: Sixteen 1-hour exercise sessions twice a week plus 4 education sessions (EFG-group). Controls receive only usual care. Outcome measures: 4-month change in gait velocity (6-Minute Timed Walk -6MTW), balance (Berg Balance Scale-BBS), function (Short Physical Performance Battery-SPPB and Motricity Index-MI);12-month change in Modified Barthel Index, quality of life (SF 12), Geriatric Depression Scale and Caregivers Strain Index. Preliminary results indicate that, at the 4 months follow-up, patients in the EFG-group exhibit a significantly higher improvement in gait velocity, balance and SPPB compared to the control group (p<0.01): 6MTW +53.9 metres (EFG-group) versus -11.1 (controls), BBS +5.5 (EFG-group) versus -1.9 (controls), SPPB +0.7 (EFG-group) versus -0.2 (controls). The EFG program appears to be efficacious in improving function in post-stroke patients and should be viewed as an important component of a comprehensive stroke rehabilitation program.
4TH EUROPEAN PUBLIC HEALTH CONFERENCE. Public Health and Welfare-Welfare Development and Health. Copenhagen, 9-12 November 2011
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Taricco M; Dallolio L; Marchiori E; Calugi S; E. Carretta; M. Conforti Donati; E. Bassi; S. Fugazzaro; S. Testoni; N. Gaudenzi; B. Kopliku; M. Morara; M.P Fantini
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/118987
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