Download PDF
neuroreha 2012; 4(02): 88-92
DOI: 10.1055/s-0032-1315705
Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Ausdauertraining nach Schlaganfall

Eric Wieduwild
Further Information

Publication History

Publication Date:
04 June 2012 (online)

    Permissions and Reprints

Zusammenfassung

Ausdauertraining in der Neurorehabilitation ist zeitgemäß und bei den Therapeuten angesagt. Nur wie effektiv ist dieses Training wirklich? Und darf man Patienten nach Schlaganfall schon in der Akut- bzw. Subakutphase damit behandeln? Eric Wieduwild suchte nach Studien, die Ausdauertraining nach Schlaganfall mit konventioneller Therapie verglichen. Die Ergebnisse seiner Bachelorarbeit bezüglich Gangausdauer, Gehgeschwindigkeit, Schrittlänge, Gehfähigkeit und der kardiopulmonalen Ausdauer der Patienten sind motivierend und zukunftsweisend – und sollten künftig in der Neurorehabilitation berücksichtigt werden.

 

  • Literatur

  • 1 Ada L, Dean CM, Hall JM et al. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil 2003; 84: 1486-1491
    CrossrefGoogle Scholar
  • 2 Bateman A, Culpan FJ, Pickering AD et al. The effect of aerobic training on rehabilitation outcomes after recent severe brain injury: a randomized controlled evaluation. Arch Phys Med Rehabil 2001; 82: 174-182
    CrossrefGoogle Scholar
  • 3 Bernhardt J, Dewey H, Thrift A et al. A very early rehabilitation trial for stroke (AVERT): phase II safety and feasibility. Stroke 2008; 39: 390-396
    CrossrefGoogle Scholar
  • 4 Chu KS, Eng JJ, Dawson AS et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil 2004; 85: 870-874
    CrossrefGoogle Scholar
  • 5 da Cunha Jr. IT, Lim PA, Qureshy H et al. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Arch Phys Med Rehabil 2002; 83: 1258-1265
    CrossrefGoogle Scholar
  • 6 Dean CM, Ada L, Bampton J et al. Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial. J Physiother 2010; 56: 97-103
    CrossrefGoogle Scholar
  • 7 Eich HJ, Mach H, Werner C et al. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: a randomized controlled trial. Clin Rehabil 2004; 18: 640-651
    CrossrefGoogle Scholar
  • 8 Ferrante S, Pedrocchi A, Ferrigno G et al. Cycling induced by functional electrical stimulation improves the muscular strength and the motor control of individuals with post-acute stroke. Europa Medicophysica-SIMFER 2007 Award Winner. Eur J Phys Rehabil Med 2008; 44: 159-167
    Google Scholar
  • 9 Halle M Hrsg. Sporttherapie in der Medizin. Evidenzbasierte Prävention und Therapie. Stuttgart, New York: Schattauer; 2008
    Google Scholar
  • 10 Hidler J, Nichols D, Pelliccio M et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair 2009; 23: 5-13
    Google Scholar
  • 11 Hollmann W, Strüder H Hrsg. Sportmedizin. Grundlagen für körperliche Aktivität, Training und Präventivmedizin. 5.. Aufl. Stuttgart, New York: Schattauer; 2009
    Google Scholar
  • 12 Hornby TG, Campbell DD, Kahn JH et al. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke 2008; 39: 1786-1792
    CrossrefGoogle Scholar
  • 13 Katz-Leurer M, Carmeli E, Shochina M. The effect of early aerobic training on independence six months post stroke. Clin Rehabil 2003; 17: 735-741
    CrossrefGoogle Scholar
  • 14 Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci 2004; 22: 281-299
    Google Scholar
  • 15 Langhammer B, Stanghelle JK. Exercise on a treadmill or walking outdoors? A randomized controlled trial comparing effectiveness of two walking exercise programmes late after stroke. Clin Rehabil 2010; 24: 46-54
    CrossrefGoogle Scholar
  • 16 Macko RF, Ivey FM, Forrester LW et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke 2005; 36: 2206-2211
    CrossrefGoogle Scholar
  • 17 Mehrholz J, Pohl M. Aktuelle Konzepte zur Gangrehabilitation nach Schlaganfall. Zeitschrift für Physiotherapeuten 2005; 57: 6-13
    Google Scholar
  • 18 Meyer T, Kindermann W. Die maximale Sauerstoffaufnahme (VO2max). Deutsche Zeitschrift für Sportmedizin 1999; 50: 285-286
    Google Scholar
  • 19 Nudo RJ. Postinfarct cortical plasticity and behavioral recovery. Stroke 2007; 38: 840-845
    CrossrefGoogle Scholar
  • 20 Pang MY, Eng JJ, Dawson AS et al. A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatr Soc 2005; 53: 1667-1674
    CrossrefGoogle Scholar
  • 21 Pohl M, Mehrholz J, Ritschel C et al. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: a randomized controlled trial. Stroke 2002; 33: 553-558
    CrossrefPubMedGoogle Scholar
  • 22 Pohl M, Werner C, Holzgraefe M et al. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil 2007; 21: 17-27
    CrossrefGoogle Scholar
  • 23 Potempa K, Lopez M, Braun LT et al. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke 1995; 26: 101-105
    CrossrefGoogle Scholar
  • 24 Rimmer JH, Rauworth AE, Wang EC et al. A preliminary study to examine the effects of aerobic and therapeutic (nonaerobic) exercise on cardiorespiratory fitness and coronary risk reduction in stroke survivors. Arch Phys Med Rehabil 2009; 90: 407-412
    CrossrefGoogle Scholar
  • 25 Sullivan KJ, Brown DA, Klassen T et al. Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial. Phys Ther 2007; 87: 1580-1602
    CrossrefGoogle Scholar
  • 26 Westlake KP, Patten C. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil 2009; 6: 18-18
    CrossrefGoogle Scholar
  • 27 HYPERLINK. http://www.pedro.org.au/wp-content/uploads/PEDro_scale_german.pdf
    Google Scholar