I engage in physical activity while operating a wheelchair.: a systematic review of stroke patients
DOI:
https://doi.org/10.47197/retos.v56.103755Keywords:
Sitting Position, Stroke, Wheelchairs, Delivery of Health CareAbstract
Introduction: Stroke is a major contributor to mortality rates in numerous nations, resulting in enduring challenges for individuals who have survived the condition in doing routine tasks. The chair-stand exercise was implemented as a distinct intervention, clearly differentiated from a convalescent rehabilitation program. The objective of this study is to gather empirical data on the movement of stroke patients in wheelchairs used by healthcare professionals, given the current lack of clarity in clinical practices. Method: Studies were obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate exercises suitable for wheelchair-using stroke patients, and with no restrictions on data or study language. Result: Specifically, six studies utilized interventions such as Trunk Stability, Sit And Stand Independently, Sitting Posture and Trunk Control, Monkey Chair And Band System, Beach Chair Position, and Chair-Stand Exercise. Conclusion: The study's positive outcomes illustrate that engaging in wheelchair exercise can have a beneficial effect and improve the capacities of individuals who have experienced a stroke. Wheelchair users employ many strategies to improve their functioning abilities.
Keyword: Sitting Position, Stroke, Wheelchairs, Delivery of Health Care
References
Duncan, P. W., Goldstein, L. B., Horner, R. D., Landsman, P. B., Samsa, G. P., & Matchar, D. B. (1994). Similar motor recovery of upper and lower extremities after stroke. Stroke, 25(6), 1181–1188. https://doi.org/10.1161/01.STR.25.6.1181
Eng, J. J., & Reime, B. (2014). Exercise for depressive symptoms in stroke patients: A systematic review and meta-analysis. Clinical Rehabilitation, 28(8), 731–739. https://doi.org/10.1177/0269215514523631
Gangwani, R., Cain, A., Collins, A., & Cassidy, J. M. (2022). Leveraging Factors of Self-Efficacy and Motivation to Optimize Stroke Recovery. Frontiers in Neurology, 13(February). https://doi.org/10.3389/fneur.2022.823202
Hodson, T., Aplin, T., & Gustafsson, L. (2016). Understanding the dimensions of home for people returning home post stroke rehabilitation. British Journal of Occupational Therapy, 79(7), 427–433. https://doi.org/10.1177/0308022615619420
Jeon, H. J., An, S., Yoo, J., Park, N. H., & Lee, K. H. (2016). The effect of monkey chair and band exercise system on shoulder range of motion and pain in post-stroke patients with hemiplegia. Journal of Physical Therapy Science, 28(8), 2232–2237. https://doi.org/10.1589/jpts.28.2232
Jordan, H. T., Che, J., Byblow, W. D., & Stinear, C. M. (2022). Fast Outcome Categorization of the Upper Limb after Stroke. Stroke, 53(2), 578–585. https://doi.org/10.1161/STROKEAHA.121.035170
Kerr, A., Dawson, J., Robertson, C., Rowe, P., & Quinn, T. (2017). Sit to stand activity during stroke rehabilitation. Topics in Stroke Rehabilitation, 24, 562–566. https://doi.org/10.1080/10749357.2017.1374687
Kim, N., & Choi, Y.-A. (2023). Obesity Impairs Functional Recovery of Older Stroke Patients with Possible Sarcopenia: A Retrospective Cohort Study. Journal of Clinical Medicine, 12. https://doi.org/10.3390/jcm12113676
Kim, S.-Y., Cho, W.-S., Park, C., & Kim, B.-G. (2024). Effect of Sarcopenia on Functional Recovery in Acute Stroke Patients Admitted for Standard Rehabilitation Program. Medicina, 60. https://doi.org/10.3390/medicina60101716
Kızılarslanoğlu, M. (2020). Comment on: Geriatric Nutritional Risk Index can predict postoperative delirium. Geriatrics & Gerontology International, 20, 1097. https://doi.org/10.1111/ggi.14038
Kwakkel, G., Kollen, B. J., & Wagenaar, R. C. (2002). Long term effects of intensity of upper and lower limb training after stroke: A randomised trial. Journal of Neurology Neurosurgery and Psychiatry, 72(4), 473–479. https://doi.org/10.1136/jnnp.72.4.473
Lam, S. K. Y., Chau, J. P. C., Lo, S. H. S., Siow, E. K. C., Lee, V. W. Y., Shum, E. W. C., & Lau, A. Y. L. (2022). User engagement in the development of a home-based virtual multidisciplinary stroke care clinic for stroke survivors and caregivers: a qualitative descriptive study. Disability and Rehabilitation, 44(20), 5983–5989. https://doi.org/10.1080/09638288.2021.1955305
Lee, H. H., Sohn, M. K., Kim, D. Y., Shin, Y. Il, Oh, G. J., Lee, Y. S., Joo, M. C., Lee, S. Y., Song, M. K., Han, J., Ahn, J., Lee, Y. H., Chang, W. H., Choi, S. M., Lee, S. K., Lee, J., & Kim, Y. H. (2022). Understanding of the Lower Extremity Motor Recovery After First-Ever Ischemic Stroke. Stroke, 53(10), 3164–3172. https://doi.org/10.1161/STROKEAHA.121.038196
Maier, M., Ballester, B. R., & Verschure, P. F. M. J. (2019). Principles of Neurorehabilitation After Stroke Based on Motor Learning and Brain Plasticity Mechanisms. Frontiers in Systems Neuroscience, 13(December), 1–18. https://doi.org/10.3389/fnsys.2019.00074
Matsushita, T., Nishioka, S., Taguchi, S., & Yamanouchi, A. (2019). Sarcopenia as a predictor of activities of daily living capability in stroke patients undergoing rehabilitation. Geriatrics & Gerontology International, 19, 1124–1128. https://doi.org/10.1111/ggi.13780
Mewo, V. Y., & Chayati, N. (2021). Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review. Bali Medical Journal, 10(3 Special Issue ICONURS), 1333–1341. https://doi.org/10.15562/bmj.v10i3.2915
Misra, S., Kolappa, K., Prasad, M., Radhakrishnan, D., Thakur, K. T., Solomon, T., Michael, B. D., Winkler, A. S., Beghi, E., Guekht, A., Pardo, C. A., Wood, G. K., Chou, S. H. Y., Fink, E. L., Schmutzhard, E., Kheradmand, A., Hoo, F. K., Kumar, A., Das, A., … Prasad, K. (2021). Frequency of neurologic manifestations in COVID-19. Neurology, 97(23), E2269–E2281. https://doi.org/10.1212/WNL.0000000000012930
Nagano, F., Yoshimura, Y., Bise, T., Shimazu, S., & Shiraishi, A. (2020). Muscle mass gain is positively associated with functional recovery in patients with sarcopenia after stroke. Journal of Stroke and Cerebrovascular Diseases : The Official Journal of National Stroke Association, 29 9, 105017. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105017
Park, M., Lee, S. J., Choi, E., Lee, S., & Lee, J. (2022). The Effect of Branched Chain Amino Acid Supplementation on Stroke-Related Sarcopenia. Frontiers in Neurology, 13. https://doi.org/10.3389/fneur.2022.744945
Park, S. E., & Moon, S. H. (2016). Effects of trunk stability exercise using proprioceptive neuromuscular facilitation with changes in chair height on the gait of patients who had a stroke. Journal of Physical Therapy Science, 28(7), 2014–2018. https://doi.org/10.1589/jpts.28.2014
Park, S. J., & Oh, S. (2020). Effect of diagonal pattern training on trunk function, balance, and gait in stroke patients. Applied Sciences (Switzerland), 10(13). https://doi.org/10.3390/app10134635
Ryan, A., Ivey, F., Serra, M., Hartstein, J., & Hafer-Macko, C. (2017). Sarcopenia and Physical Function in Middle-Aged and Older Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 98 3, 495–499. https://doi.org/10.1016/j.apmr.2016.07.015
Sato, Y., Yoshimura, Y., Abe, T., Nagano, F., Matsumoto, A., Kokura, Y., & Momosaki, R. (2022). Combination of High Energy Intake and Intensive Rehabilitation Is Associated with the Most Favorable Functional Recovery in Acute Stroke Patients with Sarcopenia. Nutrients, 14. https://doi.org/10.3390/nu14224740
Smith, M. C., Byblow, W. D., Barber, P. A., & Stinear, C. M. (2017). Proportional Recovery from Lower Limb Motor Impairment after Stroke. Stroke, 48(5), 1400–1403. https://doi.org/10.1161/STROKEAHA.116.016478
Su, Y. C., Guo, Y. H., Hsieh, P. C., & Lin, Y. C. (2021). A meta-analysis and meta-regression of frequency and risk factors for poststroke complex regional pain syndrome. Medicina (Lithuania), 57(11). https://doi.org/10.3390/medicina57111232
Yoshimura, Y., Wakabayashi, H., Bise, T., & Tanoue, M. (2017). Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients. Clinical Nutrition, 37 6 Pt A, 2022–2028. https://doi.org/10.1016/j.clnu.2017.09.009
Yoshimura, Y., Wakabayashi, H., Nagano, F., Bise, T., Shimazu, S., & Shiraishi, A. (2020). Reply to the comments on “Chair-stand exercise improves post-stroke dysphagia.” In Geriatrics and Gerontology International (Vol. 20, Issue 11, pp. 1099–1100). https://doi.org/10.1111/ggi.14046
Yoshimura, Y., Yamaga, M., & Koga, H. (2018). Systemic inflammation and sarcopenia in recovery stage of stroke: The negative impact on functional rehabilitation outcomes. Annals of Physical and Rehabilitation Medicine, 61. https://doi.org/10.1016/J.REHAB.2018.05.13
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