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Influence of Cardiorespiratory Fitness on Walking Performance in Chronic Hemiplegic Patients with Myocardial Infarction
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| Author:
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, AHMED M ELSHINNAWY, KARIM A FATHY, AMIR N WADEE, ISLAM H.FAYED
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| Abstract:
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Background: Concurrence of chronic ischemic stroke with myocardial infarction is serious in clinical
scenarios.
The purpose: was to determine the influence of cardiorespiratory fitness (CRF) on walking performance in
chronic hemiplegic patients with myocardial infarction.
Methodology: Forty chronic hemiplegic patients (more than 6 months) with myocardial infarction, of both
genders, aged from 40 to 50 years. Patients were assigned into two groups: study group (A): received the CRF
(treadmill training for 5 minutes before and after calisthenic exercise which was performed for 25 minutes) in
addition to the traditional physical therapy program for 25 minutes (relaxation technique, facilitatory
technique, stretching exercise, proprioceptive neuromuscular facilitation and trunk control training; 5 minutes
for each exercise), and control group (B): received the traditional physical therapy program only for 60
minutes (12 minutes for each exercise). The treatment session for each group was 60 minutes, three times per
week for 12 weeks. Patients were assessed pre- and post-12 weeks treatment through the stress exercise test
(modified Bruce protocol) and the 10-meters walking tests. The exercise intensity ranged from 50% to 80%
Maximum heart rate.
Results: The in-between comparisons showed significant decrease in resting heart rate, maximum heart rate,
maximum systolic blood pressure, and maximum diastolic blood picture (P-value= 0.0001, 0.008, 0.002, and
0.006 respectively) and significant increase in metabolic equivalent, maximum oxygen consumption, and 10-
meters walking test (P-value= 0.001, 0.031, and 0.001 respectively) in favor of group (A).
Conclusion: The CRF improved walking performance in chronic hemiplegic patients with myocardial
infarction.
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| Keyword:
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cardiorespiratory fitness, walking performance, Hemiplegia, Myocardial Infarction
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.051
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| Download:
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