Cardiovascular Responses Associated with Daily Walking in Subacute Stroke
Despite the importance of regaining independent ambulation after stroke, the amount of daily walking completed during in-patient rehabilitation is low. The purpose of this study is to determine if (1) walking-related heart rate responses reached the minimum intensity necessary for therapeutic aerobi...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2013/612458 |
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| _version_ | 1832567403115970560 |
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| author | Sanjay K. Prajapati Avril Mansfield William H. Gage Dina Brooks William E. McIlroy |
| author_facet | Sanjay K. Prajapati Avril Mansfield William H. Gage Dina Brooks William E. McIlroy |
| author_sort | Sanjay K. Prajapati |
| collection | DOAJ |
| description | Despite the importance of regaining independent ambulation after stroke, the amount of daily walking completed during in-patient rehabilitation is low. The purpose of this study is to determine if (1) walking-related heart rate responses reached the minimum intensity necessary for therapeutic aerobic exercise (40%–60% heart rate reserve) or (2) heart rate responses during bouts of walking revealed excessive workload that may limit walking (>80% heart rate reserve). Eight individuals with subacute stroke attending in-patient rehabilitation were recruited. Participants wore heart rate monitors and accelerometers during a typical rehabilitation day. Walking-related changes in heart rate and walking bout duration were determined. Patients did not meet the minimum cumulative requirements of walking intensity (>40% heart rate reserve) and duration (>10 minutes continuously) necessary for cardiorespiratory benefit. Only one patient exceeded 80% heart rate reserve. The absence of significant increases in heart rate associated with walking reveals that patients chose to walk at speeds well below a level that has meaningful cardiorespiratory health benefits. Additionally, cardiorespiratory workload is unlikely to limit participation in walking. Measurement of heart rate and walking during in-patient rehabilitation may be a useful approach to encourage patients to increase the overall physical activity and to help facilitate recovery. |
| format | Article |
| id | doaj-art-c6852c7bad4d4886a9615ab4d1c4b772 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-c6852c7bad4d4886a9615ab4d1c4b7722025-02-03T01:01:40ZengWileyStroke Research and Treatment2090-81052042-00562013-01-01201310.1155/2013/612458612458Cardiovascular Responses Associated with Daily Walking in Subacute StrokeSanjay K. Prajapati0Avril Mansfield1William H. Gage2Dina Brooks3William E. McIlroy4Graduate Department of Rehabilitation Science, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, CanadaGraduate Department of Rehabilitation Science, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, CanadaHeart & Stroke Foundation Centre for Stroke Recovery, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, CanadaGraduate Department of Rehabilitation Science, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, CanadaGraduate Department of Rehabilitation Science, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, CanadaDespite the importance of regaining independent ambulation after stroke, the amount of daily walking completed during in-patient rehabilitation is low. The purpose of this study is to determine if (1) walking-related heart rate responses reached the minimum intensity necessary for therapeutic aerobic exercise (40%–60% heart rate reserve) or (2) heart rate responses during bouts of walking revealed excessive workload that may limit walking (>80% heart rate reserve). Eight individuals with subacute stroke attending in-patient rehabilitation were recruited. Participants wore heart rate monitors and accelerometers during a typical rehabilitation day. Walking-related changes in heart rate and walking bout duration were determined. Patients did not meet the minimum cumulative requirements of walking intensity (>40% heart rate reserve) and duration (>10 minutes continuously) necessary for cardiorespiratory benefit. Only one patient exceeded 80% heart rate reserve. The absence of significant increases in heart rate associated with walking reveals that patients chose to walk at speeds well below a level that has meaningful cardiorespiratory health benefits. Additionally, cardiorespiratory workload is unlikely to limit participation in walking. Measurement of heart rate and walking during in-patient rehabilitation may be a useful approach to encourage patients to increase the overall physical activity and to help facilitate recovery.http://dx.doi.org/10.1155/2013/612458 |
| spellingShingle | Sanjay K. Prajapati Avril Mansfield William H. Gage Dina Brooks William E. McIlroy Cardiovascular Responses Associated with Daily Walking in Subacute Stroke Stroke Research and Treatment |
| title | Cardiovascular Responses Associated with Daily Walking in Subacute Stroke |
| title_full | Cardiovascular Responses Associated with Daily Walking in Subacute Stroke |
| title_fullStr | Cardiovascular Responses Associated with Daily Walking in Subacute Stroke |
| title_full_unstemmed | Cardiovascular Responses Associated with Daily Walking in Subacute Stroke |
| title_short | Cardiovascular Responses Associated with Daily Walking in Subacute Stroke |
| title_sort | cardiovascular responses associated with daily walking in subacute stroke |
| url | http://dx.doi.org/10.1155/2013/612458 |
| work_keys_str_mv | AT sanjaykprajapati cardiovascularresponsesassociatedwithdailywalkinginsubacutestroke AT avrilmansfield cardiovascularresponsesassociatedwithdailywalkinginsubacutestroke AT williamhgage cardiovascularresponsesassociatedwithdailywalkinginsubacutestroke AT dinabrooks cardiovascularresponsesassociatedwithdailywalkinginsubacutestroke AT williamemcilroy cardiovascularresponsesassociatedwithdailywalkinginsubacutestroke |