Cardiovascular Regulation After Stroke: Evidence of Impairment, Trainability, and Implications for Rehabilitation

Overview

Journal Cardiopulm Phys Ther J

Specialty Cardiology & Vascular Diseases

Date 2010 May 15

PMID 20467516

Citations 5

Authors

Sandra Billinger

Affiliations

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Abstract

Purpose: To discuss the role of the vascular system and regulation of blood flow delivery in individuals with chronic stroke. This paper will discuss mechanisms of blood flow, vascular remodeling in chronic stroke, exercise as an intervention to improve blood flow delivery, and the role of physical therapy practice in promoting exercise.

Key Points: Evidence suggests that people with chronic stroke may experience reduced blood flow and decreased arterial diameter in the hemiparetic limb. These arterial changes may influence exercise performance and functional ambulation. However, exercise training can be an effective intervention for improving blood flow delivery in the hemiparetic limb. Statement of Recommendations: Physical therapists working with people post-stroke should routinely prescribe aerobic exercise training within the plan of care during stroke rehabilitation. This may minimize declines in the cardiorespiratory and vascular systems and provide greater functional capacity to perform functional activities during and after discharge from physical therapy services.

Citing Articles

Effect of using home-based dynamic intermittent pneumatic compression therapy during periods of physical activity on functional and vascular health outcomes in chronic stroke: A randomized controlled clinical trial.

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Enhancing Heart Rate-Based Estimation of Energy Expenditure and Exercise Intensity in Patients Post Stroke.

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Peripheral vascular function in stroke: systematic review and meta-analysis.

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Variables influencing wearable sensor outcome estimates in individuals with stroke and incomplete spinal cord injury: a pilot investigation validating two research grade sensors.

Jayaraman C, Mummidisetty C, Mannix-Slobig A, Koch L, Jayaraman A J Neuroeng Rehabil. 2018; 15(1):19.

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Why Should Physical Therapists Care about Their Patients' Diet?.

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