DOI QR코드

DOI QR Code

Marked Corridor 20 Meters Brief Walking Aerobic Exercise Improves the Quality of Life and Functional Capability of Stroke Survivor Outpatients in Tertiary Hospitals in Osogbo, Nigeria

  • Ojo, Israel Arogundade (Physiotherapy Department, Faculty of Basic Medical Sciences, Redeemer's University, Physiotherapy Department, Osun State University Teaching Hospital) ;
  • Dominic, Olufunmilola Leah (Department of Human Kinetics Education, Faculty of Education, University of Ilorin) ;
  • Adeyemi, Wale Johnson (Physiology Department, Faculty of Basic Medical Sciences, Adeleke University)
  • Received : 2022.03.19
  • Accepted : 2022.05.03
  • Published : 2022.05.31

Abstract

PURPOSE: The functional limitations in stroke survivors promote sedentary lifestyles and quality of life inadequacies, but there is increasing evidence that this could be minimized by physical exercise. Therefore, this study examined the effects of physical exercise on the quality of life (QoL) and functional capacity (ability to stand up from a sitting position) among stroke survivors drafted from two tertiary hospitals in Osogbo, Nigeria. METHODS: A purposive sampling technique was used to select 21 registered right or left outpatient hemiplegic stroke survivors in a pre- and post-test experimental research design. The research questions were presented using descriptive statistics of frequency, percentage, mean and standard deviation, while an Analysis of Variance (ANOVA) was used to test the study hypothesis at the .05 alpha level for significance. RESULTS: Compared to the baseline (week 0), there were significant increases in the general quality of life, healthy well-being, physical exercise, pain perception, and environmental domains of QOL among the survivors in week four. Moreover, a significant increase was observed in these indices in week eight, compared to week four, except for the pain perception domain. Compared to the baseline, there was a significant decrease in the time it took the stroke survivors to stand up from a sitting position in week four. A significant decrease was observed in this index in week eight compared to week four. CONCLUSION: Marked corridor 20 meters brief walking exercise for eight weeks significantly improved the quality of life and ability to stand up from a sitting position in stroke survivors in Osogbo, Nigeria.

Keywords

References

  1. Ovbiagele B, Goldstein LB, Higashida RT, et al. Forecasting the future of stroke in the United States; A policy statement from the American Heart Association and American Stroke Association. Stroke. 2013;44(8):2361-75. https://doi.org/10.1161/STR.0b013e31829734f2
  2. Ammann BC, Knols RH, Baschung P, et al. Application of principles of exercise training in sub-acute and chronic stroke survivors: a systematic review. BMC Neurol. 2014;14:167. https://doi.org/10.1186/s12883-014-0167-2
  3. Fawcus R. Stroke rehabilitation: A collaborative approach. UK: Black-well Science Ltd; 2008.pp.226.
  4. Zygfryd J. Health-Related Quality Of life theory and measurement. Acuta Universitatis Lodziensis Folla Psychologica. 2006;23(10):4-13.
  5. Pietersma S, De Vries M, Van den Akker-van Marle ME. Domains of quality of life: results of a three-stage Delphi consensus procedure among patients, family of patients, clinicians, scientists and general public. Qual Life Res. 2014;23(5):1543-56. https://doi.org/10.1007/s11136-013-0578-3
  6. Hacker E. Exercise and Quality of Life: Strengthening the Connections. Clin J Oncol Nurs. 2009;13(1):31-9. https://doi.org/10.1188/09.CJON.31-39
  7. Hamzat TK, Ekechukwu EN. Aerobic Training in Stroke Rehabilitation: What is known and what needs to be addressed - A systematic review. Niger J Med Rehabil.2015;3(18):1-15.
  8. Nuttgen, HGK. Strength training and aerobic exercise: comparison and contrast. J. Strength Cond. Res. 2007;21(3):973-8 https://doi.org/10.1519/R-505011.1
  9. Yang YJ. An Overview of Current Physical Activity Recommendations in Primary Care. Korean J Fam Med. 2019;40(3):135-42. https://doi.org/10.4082/kjfm.19.0038
  10. Chen MD, Rimmer JH. Effect of exercise on quality of life in stroke survivors. Stroke. 2011;42:832-837 https://doi.org/10.1161/STROKEAHA.110.607747
  11. Ojo IA, Dominic OL, Adeyemi WJ. Eight weeks twenty meters walk aerobic exercise improve cardio-respiratory fitness and muscular strength of stroke survivor outpatients in tertiary hospitals in Osogbo, Nigeria. J Korean Soc Phys Med. 2021;16(2):9-21
  12. Veerbeek JM, Koolstra M, Ket JCF, et al. Effects of augmented exercise therapy on outcome of gait and gait-related activities in the first 6 months after stroke: a meta-analysis. Stroke. 2011;42(11):3311-5. https://doi.org/10.1161/STROKEAHA.111.623819
  13. Stoller O, de Bruin ED, Knols RH, et al. Effects of cardiovascular exercise early after stroke: systematic review and meta-analysis. BMC Neurol. 2012;12:45. https://doi.org/10.1186/1471-2377-12-45
  14. Gaire BP. Herbal Medicine in Ischemic Stroke: Challenges and Prospective. Chin J Integr Med. 2018;24(4):243-6. https://doi.org/10.1007/s11655-018-2828-2
  15. Adeyemi WJ, Lawal SI, Olatunji DB. et al. Omega 3 fatty acids favour lipid and bone metabolism in orchidectomised rats. Clin Nutr Open Sci. 2021;35:67-76. https://doi.org/10.1016/j.nutos.2021.01.002
  16. Adeyemi WJ, Ajayi OS, Okesina BK, et al. Orange peel extract corrected lipid dysmetabolism and proinflammation, but not deranged antioxidant and hormonal status in orchidectomised rats. J Afr Ass Physiol Sci. 2020;8(1):1103-10.
  17. Quadri KA, Adeyemi, WJ. Vernonia amygdalina (Del) as an antioxidant, aspirin toxicity, and oxidative stress. Toxicology. 2021;491-504. https://doi.org/10.1016/S0300-483X(02)00464-X
  18. Faselis C, Doumas M, Papademetriou V. Common secondary causes of resistant hypertension and rational for treatment. Int J Hypertens. 2011
  19. American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. Lippincott Williams & Wilkins; 2014. 1-456.
  20. Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recover. Stroke. 2016;47:e98-e169. https://doi.org/10.1161/STR.0000000000000098
  21. Motyl JM, Driban JB, McAdams E, et al. Test-retest reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis. BMC Musculoskelet Disord. 2013;14(166):1-8. https://doi.org/10.1186/1471-2474-14-1
  22. Mattlage AE, Ashenden AL, Lentz AA, et al. Submaximal and Peak Cardiorespiratory Response After Moderate-High Intensity Exercise Training in Subacute Stroke. Cardiopulm Phys Ther J. 2013;24(3):14-20. https://doi.org/10.1097/01823246-201324030-00003
  23. Skevington SM, Lotfy M, O'Connell KA. The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Qual Life Res. 2004;13:299-310. https://doi.org/10.1023/B:QURE.0000018486.91360.00
  24. Pollock A, Gray C, Culham E, Durward BR, et al. Interventions for improving sit-to-stand ability following stroke. Cochrane Database Syst Rev. 2014;5:CD007232.
  25. Reeves MJ, Bushnell CD, Howard G, et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. Lancet Neurol. 2008;7(10):915-26. https://doi.org/10.1016/S1474-4422(08)70193-5
  26. Ojo IA, Mohamed J. Anthropometry and cardiovascular disease risk factors among retirees and non-retirees in Ile-Ife, Nigeria: A comparative study. Niger J Med. 2003;54(3):160-4.
  27. Portegies MLP, Selwaness M, Hofman A. Left-sided strokes are more often recognized than right-sided strokes: the Rotterdam study. Stroke. 2015;46(1):252-4. https://doi.org/10.1161/STROKEAHA.114.007385
  28. Kurth T, Gaziano JM, Berger K, et al. Body mass index and the risk of stroke in men. Arch Intern Med. 2002;162(5):2557-62. https://doi.org/10.1001/archinte.162.22.2557
  29. Rost NS, Wolf PA, Kase CS, et al. Plasma concentration of C-reactive protein and risk of ischemic stroke and transient ischemic attack: the Framingham study. Stroke. 2001;32(11):2575-9. https://doi.org/10.1161/hs1101.098151
  30. Bottomley A. The Cancer Patient and Quality of Life. The Oncologist. 2002;7(2):120-5. https://doi.org/10.1634/theoncologist.7-2-12
  31. Kwakkel G, Veerbeek JM, van Wegen EEH, et al. Predictive value of the NIHSS for ADL outcome after ischemic hemispheric stroke: does timing of early assessment matter? J Neurol Sci. 2010;294(1-2):57-61. https://doi.org/10.1016/j.jns.2010.04.004
  32. Bocalini DS, Santos L, Serra AJ. Physical exercise improves the functional capacity and quality of life in patients with heart failure. Clinics (Sao Paulo). 2008;63(4):437-42. https://doi.org/10.1590/S1807-59322008000400005
  33. Kanai M, Izawa KP, Kubo H, et al. Association of Health Utility Score with Physical Activity out come in Stroke Survivors. Int J Environ Res Public Health. 2021;18(1):251. https://doi.org/10.3390/ijerph18010251
  34. Hoffman MD, Hoffman DR. Does aerobic exercise improve pain perception and mood? A review of the evidence related to healthy and chronic pain subjects, Curr Pain Headache Rep. 2007;11(2):93-97. https://doi.org/10.1007/s11916-007-0004-z
  35. Balasubramanian CK, Bowden MG, Neptune RR, et al. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil. 2007;88(1):43-9. https://doi.org/10.1016/j.apmr.2006.10.004