Linder, S., Rosenfeldt, A., Rasanow, M., & Alberts, J. (2015). Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report. American Journal Of Occupational Therapy , 69 (4), 6904210010p1. doi: 10.5014/ajot.2015.015636
Problem /population description
There is a perfect reason for more improvement in some ways of dealing with stroke rehabilitation and community reintegration. This is because of more than have of the number of the patients getting back to the initial conditions. Aerobic exercise has not been able to deal with stroke conditions as its capability to facilitate neuroplasticity and motor recovery after a stroke has been assessed. The motor recovery following stroke is attained through cortical reorganization in which the central nervous system (CNS) adapts as a response to the environment. The neurotrophins is believed to play a significant part or role in enabling neuronal survival and differentiation or delineation; improving the growth of dendrite growth and remodeling (2015).
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Participant description
The participant was a middle-aged African-American man of 46 years. He had a medical record of being diabetic, obesity, hypertension; hyperlipidemia. The victim was selected due to his ability for continued motor recovery. Exhibition of motor control and that would allow him in another programme.
Reason for choosing the type of population
The population was used because there are a large number of individuals going back to their stroke even after treatment and motor stroke exercise. The participant was doing small house chores and community activities in which he admitted having problems while handling those tasks.
Rationale
The rationale or justification behind addressing the identified problem was to increase the intensity as well as the dosage of task practice in order to enhance motor learning. The study was carried out to respond to the large number of people living with stroke in the United States; almost 50 percent of these people are perceived to undergo limitations regarding daily living activities, functional activities, and community reintegration following a stroke. This was the reason for a continued innovation in some strategies or activities that can help these people effective recover from this condition.
Purpose of the study
The purpose of the study was to describe or create some strategies that can help individuals with chronic stroke improve their motor and non-motor activities or functions. It was suggested that some aerobic exercises could offer a framework for maximizing the possible neurophysiologic impacts of these exercises as a way to enhance motor recovery following a stroke. The study, therefore, aimed to assess whether the forced aerobic exercises, when coupled with recurring task practice, can improve motor recovery after a stroke.
The intervention
The participant completed 24 interventions sessions without fail. During the cycling session, he was at or above the target, arrange of 83 percent (Bateman et al., 2001). This was from the original 35 minutes time that was set. The cardiovascular during this session 8-24, the hour was continually recorded. The participant showed improvement in the entire motor results and all but one non-motor outcome at EOT and maintained or enhanced EOT+. He added three cycling at three times a week, each session of 45 minutes. The FE was 30 percent higher than his self-rate before this process. UE was conducted under the supervision of neurologically trained occupationally therapist. This task was conducted under the participant’s inability not to grasp objects. The participant showed improvement in motor outcomes. On average, the session involved three to four distinctive roles with an aim of maximizing the quality of movement as well as repetitions during the 45 minutes. Each work was repeated roughly 75-100 times; frequently divided split sets (10 sets of 10 repetitions’). Both overt and inherent methods were utilized to create a balance between outward control by the therapist along with the participant’s inherent observation of task conclusion and his movement quality following the entire practice (2015).
Comparison of this study and others
The number of repeated doings in the or the interventions was more excellent and applicable, the rate of doing it suited the participant as it resulted to more improvement of the participant to grasp objects compared from the first time during his time while handling domestic jobs at his brothers home. The forced aerobics exercise (FE) increases the patterns of neural activation in Parkinson disease. This method could produce motor recovery post stroke. The 46 year-old man was able to complete 24 training session of 45 minutes of FE, which was an improvement of 30 percent. This great intervention was able to be effective for four weeks after the exercise, proving to be better (2015).
The outcome and its application
An individual with stroke was to complete 24 sessions or periods of forced, high rate intensity cycling joined with the RTP without an unpleasant experience. It was observed that the man showed improvement in the entire motor outcomes which met the MCID and MCD values and he either maintained or improved on most results of measures at EOT+4. This shows that the aerobic exercise has an essential component for rehabilitating stroke individuals even though the effect of brain health has been explained. The forced aerobic exercise interventions surmounted the physical distracters within the study of a participant with stroke.
Adopting a developed rehabilitated intervention for individuals with stroke can facilitate motor recovery while concurrently lessening cardiovascular risk factors would be more effective to the original method. An appropriate way that has been innovated has to be incorporated to improve the healing of individuals who have experienced a stroke.
