Contribution of adapted physical activity on body composition and fitness related to the health of vascular hemiplegic patients
Keywords:
Adapted physical activity, Hemiplegia, FitnessAbstract
Aim: Stroke is a neurological deficit of vascular origin lasting more than 24 hours. We aimed to examine the impact of the functional rehabilitation associated with the practice of adapted physical activities on body composition and fitness related to the health of vascular hemiplegic patients.
Methods: We chose the case-control study method which is consisted to evaluate the body composition and health-related fitness of 90 male hemiplegic patients, after randomization, 40 of whom were in the experimental group undergoing a functional rehabilitation program associated with the practice of adapted physical activities and 50 of the control group submitted to a functional rehabilitation program.
Results: After the two intervention programs we found that subjects in the experimental group significantly changed total fat, visceral fat and muscle compared to the control group (P<0.001, P=0.004 and P=0.029, respectively). Their resting heart rate, respiratory rate, muscle strength, walking speed and rate were significantly reduced compared to the control group (P<0.001 for all mentioned comparisons). In addition, their resting systolic blood pressure, resting diastolic blood pressure, forced expiratory volume, muscle strength and Motor skills were significantly improved compared to the control group (P=0.048, P=0.027, P=0.003, P=0.015 and P=0.003, respectively).
Conclusion: This study shows that the functional rehabilitation program associated with the regular practice of adapted physical activities is more beneficial in improving the morphological state and fitness of hemiplegic patients than the isolated use of functional rehabilitation.
Downloads
References
Bourgeais AL, Guay V, Laroudie F, Marsal C, Thervenin- Lemoine. France AVC: Informations et Programmes d’exercices dans les suites d’un AVC. Available from: http://www.franceavc.com/rep avc_infos et rubguide_pratique
Laurent FKs. D’une kinésithérapie restauratrice à une kinésithérapie compensatoire des personnes hémiplégiques. Kinésithérapie Sci. 2015 ; 7(563):37-42.
Oujama L, Marquer A, Francony G, Davoine P, Chrispin A, Payen J-F, et al. Intérêt d’une rééducation précoce pour les patients neurologiques. Ann Fr Anesth Réanimation. 2012 ;31(10):253–63.
Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: a systematic review. Aust J Physiother. 2006;52(4):241-8.
Haute Autorité de Santé. Accident vasculaire cérébral : méthodes de rééducation de la fonction motrice chez l’adulte. 2012;21.
Ramas J, Courbon A, Roche F, Bethoux F, Calmels P. Effets du réentraînement à l’effort et de l’exercice chez l’hémiplégique vasculaire adulte. Ann Réadapt Médecine Phys. 2007;50(6):430-7.
Smith DL. Does type of disability and participation in rehabilitation affect satisfaction of stroke survivors? Results from the 2013 Behavioral Risk Surveillance System. Disabil Health J. 2015;8(4):557-63.
Dejardin P. Les bénéfices de l’activité physique. Kinésithérapie Sci. 2008;2(491):17-9.
Pak S, Patten C. Strengthening to promote functional recovery poststroke: an evidence-based review. Top Stroke Rehabil. 2008 Jun;15(3):177-99.
INSERM. Activité physique, contexte et effets sur la santé. Inst Natl Santé Rech Médicale. 2008;1-12.
Sagui E. Les accidents vasculaires cérébraux en Afrique subsaharienne. Med Trop. 2007;67(6):596-600.
Aboderin L, Venables G. For the pan European consensus meeting on stroke management. J intern Med. 1996;240(4):173-80.
Cowppli-bony P, Sonan-Douayoua T, Akani F, Ahogo C, N'guessan K, Beugre EK. Epidémiologie des accidents vasculaires cérébraux au service de neurologie de Bouake. Médecine d'Afrique Noire. 2007;54(4):199-202.
Coulibaly S, Diakité S, Diall IB, Menta I, Sacko AK, Diallo B. Accidents vasculaires cérébraux: facteurs de risque, évolution et pronostic dans le service de cardiologie "B" du CHU du point G, Bamako. Mali Med. 2010;25(1):32-6.
Keita AD, Toure M, Diawara A, et al. Aspects épidémiologiques des accidents vasculaires cérébraux dans le service de tomodensitométrie à l'hôpital du point G à Bamako, Mali. Med Trop. 2005;65(5):453-7.
Sene DF, Basse AM, Ndao AK, Ndiaye M, et al. Pronostic fonctionnel des accidents vasculaires cérébraux en pays en voie de développement: Sénégal. Ann Readapt Med Phys. 2006;49(3):100-4.
Diagana M, Traoré H, Bassima A, Druet-Cabanac M, Preux PM, Dumas M. Contribution of computerized tomography in the diagnosis of cerebra-vascular accidents in Nouakchott, Mauritania. Med Trop. 2002;62(2):145-9.
Williams CA, Sheppard T, Marrufo M, Galbis-Reig D, Gaskill A. A brief descriptive analysis of stroke features in a population of patients from a large urban hospital in Richmond, Virginia, a city within the stroke belt. Neuro-epidemiology. 2003;22(1):31-6.
Zenebe G, Alemayehu M, Asmera J. Characteristics and outcomes of stroke at Tikur Anbessa Teaching Hospital, Ethiopia. Ethiop Med J. 2005;43(4):251-9.
Garbusinski JM, van der Sande MA, Bartholome EJ, Dramaix M, Gaye A, Coleman R et al. Stroke presentation and outcome in developing countries: a prospective study in the Gambia. Stroke. 2005;36(7):1388-93.
Ogun SA, Ojini FI, Ogungbo B, Kolapo KO, Danesi MA. Stroke in South West Nigeria: a 10-year review. Stroke. 2005;36(6):1120-2.
Bofosa T, Kam E, Miagindula B, Muela D, Nkiama C, Njimbu F. Cardiorespiratory health and body composition of type 2 diabetics’ patients: Effect of a program of adapted physical activity. Turk J Kinesiol, 2018;4(4):118-24.
Diagana M, Traore H, Bassima A, Druet-Cabanac M, Preux PM, Dumas M. Apport de la tomodensitométrie dans le diagnostic des accidents vaculaires cérébraux à Nouakchott, Mauritanie. Med Trop. 2002;62(2):145-9.
Sagui E, M'Baye PS, Dubecq C, Ba Fall K, Niang A, Gning S, et al. Ischemic and hemorrhagic strokes in Dakar, Senegal: a hospital-based study. Stroke. 2005;36(9):1844-7.
Wolfe CD. Place du réentrainement à l’effort et de l’activité physique après accident vasculaire cérébral. Sauramps Med. 2010;183-8.
Bofosa T, Miangindula B, Kusuayi G, Kiana N, Nkiama C. Effect of an adapted physical activity program on the morphological and physiological profile of hypertensive patients of University Clinics of Kinshasa. The European Research Journal 2019;5(4):618-22. DOI: 10.18621/eurj.415593
Bleton JP. L’activité physique après un accident vasculaire cérébral. Kinésithérapie Sci. 2010;10(516):51-2.
Hajat C, Dundas R, Stewart JA, Lawrence E, Rudd AG, Howard R, et al. Cerebrovascular risk factors and stroke subtypes, differences between ethnic groups. Stroke. 2001;32(1):37-42.]
Cowppli-Bony P, Yapi-Yapo P, Douayoua-Sonan T, Kouamé B, Yapo FB, Kouassi EB. Mortalité par accident vasculaire cérébral. Médecine d'Afrique Noire. 2006;53(5):299-305.
Toure K, Kane M, Kane A, TalDia A, Ndiaye MM, Ndiaye IP. Apport de la tomodensitométrie dans l'épidémiologie des accidents vasculaires cérébraux à l'Hôpital Général de Grand Yoff. Médecine d'Afrique Noire. 2010;57(10):455-60.
Diagana M, Traore H, Bassima A, Druet-cabanac M, Preux PM, Dumas M. Apport de la tomodensitométrie dans le diagnostic des accidents vasculaires cérébraux à Nouakchott, Mauritanie. Med Trop. 2002;62(2):145-9.
Collins TC, Petersen NJ, Menke TJ, Souchek J, Foster W, Ashton C. Short term, immediate-term, and long-term mortality in patients hospitalized for stroke. J Clin Epidemiol. 2003;56(1):81-7.
Downloads
- 1265 1878
Published
Issue
Section
How to Cite
License
Copyright (c) 2019 Teddy Bofosa, Eric Kam, Betty Miangindula
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.