Cardiovascular stress during in-patient neurorehabilitation

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Abstract

Objective: To investigate the cardiovascular stress during therapeutic activities in patients following acquired brain injury and evaluate the impact of choice of formula on age-predicted maximal heart rate on cardiovascular stress level. Design: A prospective observational study.Setting: A Danish district neurorehabilitation centre.Participants: 24 in-patients undergoing therapeutic rehabilitation within the first month of admission.Main outcome measures: Relative time distribution in relation to the target zones 40, 60 and 80 % of the heart rate reserve during therapeutic sessions in relation to the Functional Independent Measures motor score. Difference in therapeutic session time below 40 % heart rate reserve using the formula “220 - age” or “211- 0,64 x age” on maximal heart rate. Results: The formula “211- 0,64 x age” on maximal heart rate increased the relative session time below 40 % heart rate reserve significantly (p < 0,001). The cardiovascular stress during therapeutic activities exceeded 40 % heart rate reserve in all subgroups within the Functional Independent Measure motor domain; however, to a significantly less extent within the lowest functioning group (p < 0,05). Conclusion: More focus on patients’ cardiovascular stress during therapeutic activities are needed especially in patients with low motor function to maintain or improve patients’ cardiorespiratory fitness.
OriginalsprogEngelsk
TidsskriftEuropean Journal of Physiotherapy
ISSN2167-9169
DOI
StatusE-pub ahead of print - 2021

Emneord

  • Sundhed, ernæring og livskvalitet

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