全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Assessment of Cardiorespiratory Fitness in Post-Stroke Patients in Cotonou: A Case-Control Study

DOI: 10.4236/jbm.2024.1212010, PP. 124-136

Keywords: Post-Stroke Patients, Cardiorespiratory Fitness, Benin

Full-Text   Cite this paper   Add to My Lib

Abstract:

Objective: This study compares the cardiorespiratory fitness of stroke patients with that of healthy control subjects matched by age and gender. It was a descriptive, analytical and comparative case-control study that aims to assess the aerobic capacity of stroke survivors in Cotonou. Methods: Data were collected during the Six-Minute Walk Test from 91 patients affected by stroke at least (03) three months ago and from 91 healthy subjects, who are at least 18 years old. Results: The average age was 53.16 ± 10.13 years with a sex ratio equal to 2.5. 45.05% of patients had ischemic strokes and 31.87% had strokes of unspecified origin. 59.34% of patients were right side affected, and almost all had a low level of physical activity. The average distance covered in relation to VO2 max was 276.39 ± 175.27 meters with an estimated VO2 max of 11.3 ± 4.03 ml/min/kg in patients and 464.14 ± 128.4 meters for an estimated VO2 max of 15.62 ± 8.72 ml/min/kg. These values were highly significantly influenced by age, post-stroke duration and level of exercise. Conclusion: The study revealed a low cardiorespiratory fitness in the study population, and suggests that post-stroke patients should be monitored by improving their aerobic endurance through an adapted physical activity program aimed at preventing recurrence.

References

[1]  Haute Autorité de Santé (2018) Accident vasculaire cérébral: Prescription d’activité physique et sportive. HAS.
[2]  Cossi, M., Gobron, C., Preux, P., Niama, D., Chabriat, H. and Houinato, D. (2012) Stroke: Prevalence and Disability in Cotonou, Benin. Cerebrovascular Diseases, 33, 166-172.
https://doi.org/10.1159/000334195
[3]  Williams, P.T. (2001) Physical Fitness and Activity as Separate Heart Disease Risk Factors: A Meta-Analysis. Medicine and Science in Sports and Exercise, 33, 754-761.
https://doi.org/10.1097/00005768-200105000-00012
[4]  Bèliveau, L. and Léger, L. (2004) L’évaluation de la condition physique: Où, quand, comment, pourquoi? Le Médecin du Quebec, 39, 11 p.
https://lemedecinduquebec.org
[5]  Saunders, D.H., Sanderson, M., Hayes, S., Kilrane, M., Greig, C.A., Brazzelli, M., et al. (2016) Physical Fitness Training for Stroke Patients. Cochrane Database of Systematic Reviews, 3, CD003316.
https://doi.org/10.1002/14651858.cd003316.pub6
[6]  Gordon, N.F., Gulanick, M., Costa, F., Fletcher, G., Franklin, B.A., Roth, E.J., et al. (2004) Physical Activity and Exercise Recommendations for Stroke Survivors: An American Heart Association Scientific Statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation, 109, 2031-2041.
https://doi.org/10.1161/01.cir.0000126280.65777.a4
[7]  Zwiren, LD., Freedson, PS., Ward, A., Wilke, S. and Rippe, J.M. (1991) Estimation of VO2max: A Comparative Analysis of Five Exercise Tests. Research Quarterly for Exercise and Sport, 62, 73-78.
https://doi.org/10.1080/02701367.1991.10607521
[8]  Haller, R.G., Wyrick, P., Taivassalo, T. and Vissing, J. (2006) Aerobic Conditionning: An Effective Therapy. In: McArdle Disease. Annals of Neurology, 59, 922-928.
[9]  Armstrong, N. and Welsman, J.R. (1996) Assessment and Interpretation of Aerobic Fitness in Children and Adolescents. International Journal of Sports Medicine, 17, 356-359.
https://doi.org/10.1055/s-2007-972860
[10]  Societe canadienne de physiologie de l’exercice (2003) Guide canadien pour l’evaluation de la condition physique et des habitudes de vie: Approche de la SCPE pour une vie active et en santé.
[11]  Laboratories ACoPSfCPF (2002) ATS Statement: Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine, 166, 111-117.
[12]  Ross, R.M., Murthy, J.N., Wollak, I.D. and Jackson, A.S. (2010) The Six Minute Walk Test Accurately Estimates Mean Peak Oxygen Uptake. BMC Pulmonary Medicine, 10, Article No. 31.
https://doi.org/10.1186/1471-2466-10-31
[13]  Flansbjer, U.B., Holmbäck, A.M., Downham, D., Patten, C. and Lexell, J. (2005) Reliability of Gait Performance Tests in Men and Women with Hemiparesis after Stroke. Journal of Rehabilitation Medicine, 37, 75-82.
https://doi.org/10.1080/16501970410017215
[14]  Eng, J.J., Dawson, A.S. and Chu, K.S. (2004) Submaximal Exercise in Persons with Stroke: Test-Retest Reliability and Concurrent Validity with Maximal Oxygen Consumption. Archives of Physical Medicine and Rehabilitation, 85, 113-118.
https://doi.org/10.1016/s0003-9993(03)00436-2
[15]  Ainsworth, B.E. (2008) How Do I Measure Physical Activity in My Patients? Questionnaires and Objective Methods. British Journal of Sports Medicine, 43, 6-9.
https://doi.org/10.1136/bjsm.2008.052449
[16]  Ndayishimiye, P. (2015) Evolution de la récupération fonctionnelle au membre pelvien chez l’hémiplégique en phase subaiguë à Cotonou [Mémoire: Kiné]. Université d’Abomey Calavi.
[17]  Gnonlonfoun, D., Adjien, K.C., Adoukonou, T., Goudjinou, G., Houeze, R. and Houinato, D. (2017) Relation entre les troubles de l’équilibre et l’indépendance fonctionnelle chez des patients atteints d’accident vasculaire cérébral (AVC) à Cotonou, Bénin. Revue Neurologique, 173, S108.
https://doi.org/10.1016/j.neurol.2017.01.180
[18]  Ossou-Nguiet, P.M., Ampion, M.O., Ellenga-Mbolla, B., et al. (2013) Facteurs de mortalité des Accidents Vasculaires Cérébraux au CHU de Brazzaville. Revue Neurologique, 18, 15-19.
[19]  Owolabi, M.O., Ugoya, S. and Platz, T. (2009) Racial Disparity in Stroke Risk Factors: The Berlin-Ibadan Experience; a Retrospective Study. Acta Neurologica Scandinavica, 119, 81-87.
https://doi.org/10.1111/j.1600-0404.2008.01077.x
[20]  Appelros, P., Stegmayr, B. and Terént, A. (2009) Sex Differences in Stroke Epidemiology. Stroke, 40, 1082-1090.
https://doi.org/10.1161/strokeaha.108.540781
[21]  Barker-Collo, S., Bennett, D.A., Krishnamurthi, R.V., Parmar, P., Feigin, V.L., Naghavi, M., et al. (2015) Sex Differences in Stroke Incidence, Prevalence, Mortality and Disability-Adjusted Life Years: Results from the Global Burden of Disease Study 2013. Neuroepidemiology, 45, 203-214.
https://doi.org/10.1159/000441103
[22]  Reeves, M.J., Bushnell, C.D., Howard, G., Gargano, J.W., Duncan, P.W., Lynch, G., et al. (2008) Sex Differences in Stroke: Epidemiology, Clinical Presentation, Medical Care, and Outcomes. The Lancet Neurology, 7, 915-926.
https://doi.org/10.1016/s1474-4422(08)70193-5
[23]  Khoury, S., Yavows, S.A., O’Brien, T.K. and Sowers, J.R. (1992) Ambulatory Blood Pressure Monitoring in a Nonacademic Setting: Effects of Age and Sex. American Journal of Hypertension, 5, 616-623.
https://doi.org/10.1093/ajh/5.9.616
[24]  Wiinberg, N., Høegholm, A., Christensen, H.R., Bang, L.E., Mikkelsen, K.L., Nielsen, P.E., et al. (1995) 24-h Ambulatory Blood Pressure in 352 Normal Danish Subjects, Related to Age and Gender. American Journal of Hypertension, 8, 978-986.
https://doi.org/10.1016/0895-7061(95)00216-2
[25]  Adoukonou, et al. (2014) Incidence de l’épilepsie après un Accident vasculaire cérébrale à Parakou.
[26]  Gnonlonfoun, et al. (2016) Etude des AVC ischémique en Afrique subsaharienne, cas du Bénin.
[27]  Benjamin, E.J., Blaha, M.J., Chiuve, S.E., Cushman, M., Das, S.R., Deo, R., et al. (2017) Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation, 135, 146-603.
[28]  Razafindrasata, et al. (2015) Profil évolutif des déficits moteurs chez des patients atteints d’accident vasculaire cérébral à Madagascar.
[29]  Gallien, P., Adrien, S., Petrilli, S., Durufle, A., Robineau, S., Kerdoncuff, V., et al. (2005) Standing at Home and Quality of Life Three Years after Stroke. Annales de Réadaptation et de Médecine Physique, 48, 225-230.
https://doi.org/10.1016/j.annrmp.2005.02.001
[30]  Bouffioulx, Arnould, C. and Thonnard, J. (2008) Satis-Stroke: A Satisfaction Measure of Activities and Participation in the Actual Environment Experienced by Patients with Chronic Stroke. Journal of Rehabilitation Medicine, 40, 836-843.
https://doi.org/10.2340/16501977-0272
[31]  Lemesle-Martin, M., Benatru, I., Rouaud, O., Contegal, F., Maugras, C., Fromont, A., et al. (2006) Épidémiologie des accidents vasculaires cérébraux: Son impact dans la pratique médicale. EMCNeurologie, 3, 1-16.
https://doi.org/10.1016/s0246-0378(06)28757-8
[32]  Hankey, G.J. (2006) Potential New Risk Factors for Ischemic Stroke: What Is Their Potential? Stroke, 37, 2181-2188.
https://doi.org/10.1161/01.str.0000229883.72010.e4
[33]  Niclot, P., Cohen, A., Crassard, I. and Bousser, M. (2004) Prévention des accidents vasculaires cérébraux. EMC-Neurologie, 17-046-A-60, 20 p.
https://doi.org/10.1016/s0246-0378(03)00133-7
[34]  Béjot, Y., Bailly, H., Durier, J. and Giroud, M. (2016) Epidemiology of Stroke in Europe and Trends for the 21st Century. La Presse Médicale, 45, e391-e398.
https://doi.org/10.1016/j.lpm.2016.10.003
[35]  Maïga, Y., Albakaye, M., Hassane, S., Diallo, M., Baby, M., Traore, H., Guillon, B. (2010) Etude des filières de prise en charge des AVC au Mali. Revue Neurologique, 166, 50-92.
[36]  Aguilar, M.I. and Brott, T.G. (2011) Update in Intracerebral Hemorrhage. The Neurohospitalist, 1, 148-159.
https://doi.org/10.1177/1941875211409050
[37]  Andrews, A.W. and Bohannon, R.W. (2000) Distribution of Muscle Strength Impair-ments Following Stroke. Clinical Rehabilitation, 14, 79-87.
https://doi.org/10.1191/026921500673950113
[38]  Chow, J.W. and Stokic, D.S. (2011) Force Control of Quadriceps Muscle Is Bilaterally Impaired in Subacute Stroke. Journal of Applied Physiology, 111, 1290-1295.
https://doi.org/10.1152/japplphysiol.00462.2011
[39]  MacIntyre, N.J., Rombough, R. and Brouwer, B. (2010) Relationships between Calf Muscle Density and Muscle Strength, Mobility and Bone Status in the Stroke Survivors with Subacute and Chronic Lower Limb Hemiparesis. Journal of Musculoskeletal and Neuronal Interactions, 10, 249-255.
[40]  Dunn, A., Marsden, D.L., Nugent, E., Van Vliet, P., Spratt, N.J., Attia, J., et al. (2015) Protocol Variations and Six-Minute Walk Test Performance in Stroke Survivors: A Systematic Review with Meta-Analysis. Stroke Research and Treatment, 2015, Article ID: 484813.
https://doi.org/10.1155/2015/484813
[41]  Fabiana, D. (2006) Quantification des modifications du patron de marche et des paramètres cardiorespiratoires au cours du test de marche de six minutes chez le sujet hémiparétique [Mémoire: Science biomédicale option réadaptation]. Université de Montréal.
[42]  Almkvist Muren, M., Hütler, M. and Hooper, J. (2008) Functional Capacity and Health-Related Quality of Life in Individuals Post Stroke. Topics in Stroke Rehabilitation, 15, 51-58.
https://doi.org/10.1310/tsr1501-51
[43]  Kervio, G., Ville, N. and Carré, F. (2003) Le test de marche de 6 minutes chez le sujet sain: reproductibilité et intensité relative. Science & Sports, 18, 40-42.
https://doi.org/10.1016/s0765-1597(02)00069-2
[44]  Bar-Or, O. (1983) Pediatric Sports Medicine for the Practitioner. Springer-Verlag, 376 p.
[45]  Krahenbuhl, G.S., Skinner, J.S. and Kohrt, W.M. (1985) Developmental Aspects of Maximal Aerobic Power in Children. Exercise and Sport Sciences Reviews, 13, 503-538.
https://doi.org/10.1249/00003677-198500130-00015

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133