Physical fitness in persons with hemiparetic stroke

Its structure and longitudinal changes during an inpatient rehabilitation programme

Tetsuya Tsuji, Meigen Liu, Kimitaka Hase, Yoshihisa Masakado, Hidetoshi Takahashi, Yukihiro Hara, Naoichi Chino

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To test the hypothesis that the structure of fitness in patients with hemiparetic stroke can be categorized into impairment/disability, cardiopulmonary, muscular and metabolic domains, and to study longitudinal changes in their fitness during an inpatient rehabilitation programme. Design: Structure analysis of multiple fitness parameters with principlal component analysis (PCA), and a before and after trial. Setting: Tertiary rehabilitation centre in Japan. Patients: One hundred and seven consecutive inpatients with hemiparetic stroke. Intervention: A conventional stroke rehabilitation programme consisting of 80 minutes of physical therapy and occupational therapy sessions five days a week, and daily rehabilitation nursing for a median duration of 105.5 days. Main outcome measures: Principal component scores extracted from measurement of paresis/daily living (the Stroke Impairment Assessment Set (SIAS) and the Functional Independence Measure (FIM)); muscular (grip strength (GS), knee extensor torque, and cross-sectional areas of thigh muscles); metabolic (body mass index (BMI) and fat accumulation on CT); cardiopulmonary (heart rate oxygen coefficient (HR-O2-Coeff) obtained with a graded bridging activity and a 12-minute propulsion distance). Results: PCA categorized the original 15 variables into four factors corresponding to paresis/activities of daily living, muscular, metabolic and cardiopulmonary domains, and explained 78.1 % of the total variance at admission and 69.6% at discharge. Except the metabolic domain, PCA scores for the other three domains improved significantly at discharge (paired t-test, p < 0.05). Conclusion: The hypothetical structure of fitness was confirmed, and the PCA scores were useful in following longitudinal changes of fitness during inpatient rehabilitation.

Original languageEnglish
Pages (from-to)450-460
Number of pages11
JournalClinical Rehabilitation
Volume18
Issue number4
DOIs
Publication statusPublished - 2004 Jun

Fingerprint

Physical Fitness
Inpatients
Rehabilitation
Stroke
Paresis
Rehabilitation Nursing
Rehabilitation Centers
Occupational Therapy
Torque
Hand Strength
Activities of Daily Living
Thigh
Longitudinal Studies
Knee
Japan
Body Mass Index
Heart Rate
Fats
Outcome Assessment (Health Care)
Oxygen

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)

Cite this

Physical fitness in persons with hemiparetic stroke : Its structure and longitudinal changes during an inpatient rehabilitation programme. / Tsuji, Tetsuya; Liu, Meigen; Hase, Kimitaka; Masakado, Yoshihisa; Takahashi, Hidetoshi; Hara, Yukihiro; Chino, Naoichi.

In: Clinical Rehabilitation, Vol. 18, No. 4, 06.2004, p. 450-460.

Research output: Contribution to journalArticle

Tsuji, Tetsuya ; Liu, Meigen ; Hase, Kimitaka ; Masakado, Yoshihisa ; Takahashi, Hidetoshi ; Hara, Yukihiro ; Chino, Naoichi. / Physical fitness in persons with hemiparetic stroke : Its structure and longitudinal changes during an inpatient rehabilitation programme. In: Clinical Rehabilitation. 2004 ; Vol. 18, No. 4. pp. 450-460.
@article{2b615d4d438a494f8d56c90753ced009,
title = "Physical fitness in persons with hemiparetic stroke: Its structure and longitudinal changes during an inpatient rehabilitation programme",
abstract = "Objective: To test the hypothesis that the structure of fitness in patients with hemiparetic stroke can be categorized into impairment/disability, cardiopulmonary, muscular and metabolic domains, and to study longitudinal changes in their fitness during an inpatient rehabilitation programme. Design: Structure analysis of multiple fitness parameters with principlal component analysis (PCA), and a before and after trial. Setting: Tertiary rehabilitation centre in Japan. Patients: One hundred and seven consecutive inpatients with hemiparetic stroke. Intervention: A conventional stroke rehabilitation programme consisting of 80 minutes of physical therapy and occupational therapy sessions five days a week, and daily rehabilitation nursing for a median duration of 105.5 days. Main outcome measures: Principal component scores extracted from measurement of paresis/daily living (the Stroke Impairment Assessment Set (SIAS) and the Functional Independence Measure (FIM)); muscular (grip strength (GS), knee extensor torque, and cross-sectional areas of thigh muscles); metabolic (body mass index (BMI) and fat accumulation on CT); cardiopulmonary (heart rate oxygen coefficient (HR-O2-Coeff) obtained with a graded bridging activity and a 12-minute propulsion distance). Results: PCA categorized the original 15 variables into four factors corresponding to paresis/activities of daily living, muscular, metabolic and cardiopulmonary domains, and explained 78.1 {\%} of the total variance at admission and 69.6{\%} at discharge. Except the metabolic domain, PCA scores for the other three domains improved significantly at discharge (paired t-test, p < 0.05). Conclusion: The hypothetical structure of fitness was confirmed, and the PCA scores were useful in following longitudinal changes of fitness during inpatient rehabilitation.",
author = "Tetsuya Tsuji and Meigen Liu and Kimitaka Hase and Yoshihisa Masakado and Hidetoshi Takahashi and Yukihiro Hara and Naoichi Chino",
year = "2004",
month = "6",
doi = "10.1191/0269215504cr717oa",
language = "English",
volume = "18",
pages = "450--460",
journal = "Clinical Rehabilitation",
issn = "0269-2155",
publisher = "SAGE Publications Ltd",
number = "4",

}

TY - JOUR

T1 - Physical fitness in persons with hemiparetic stroke

T2 - Its structure and longitudinal changes during an inpatient rehabilitation programme

AU - Tsuji, Tetsuya

AU - Liu, Meigen

AU - Hase, Kimitaka

AU - Masakado, Yoshihisa

AU - Takahashi, Hidetoshi

AU - Hara, Yukihiro

AU - Chino, Naoichi

PY - 2004/6

Y1 - 2004/6

N2 - Objective: To test the hypothesis that the structure of fitness in patients with hemiparetic stroke can be categorized into impairment/disability, cardiopulmonary, muscular and metabolic domains, and to study longitudinal changes in their fitness during an inpatient rehabilitation programme. Design: Structure analysis of multiple fitness parameters with principlal component analysis (PCA), and a before and after trial. Setting: Tertiary rehabilitation centre in Japan. Patients: One hundred and seven consecutive inpatients with hemiparetic stroke. Intervention: A conventional stroke rehabilitation programme consisting of 80 minutes of physical therapy and occupational therapy sessions five days a week, and daily rehabilitation nursing for a median duration of 105.5 days. Main outcome measures: Principal component scores extracted from measurement of paresis/daily living (the Stroke Impairment Assessment Set (SIAS) and the Functional Independence Measure (FIM)); muscular (grip strength (GS), knee extensor torque, and cross-sectional areas of thigh muscles); metabolic (body mass index (BMI) and fat accumulation on CT); cardiopulmonary (heart rate oxygen coefficient (HR-O2-Coeff) obtained with a graded bridging activity and a 12-minute propulsion distance). Results: PCA categorized the original 15 variables into four factors corresponding to paresis/activities of daily living, muscular, metabolic and cardiopulmonary domains, and explained 78.1 % of the total variance at admission and 69.6% at discharge. Except the metabolic domain, PCA scores for the other three domains improved significantly at discharge (paired t-test, p < 0.05). Conclusion: The hypothetical structure of fitness was confirmed, and the PCA scores were useful in following longitudinal changes of fitness during inpatient rehabilitation.

AB - Objective: To test the hypothesis that the structure of fitness in patients with hemiparetic stroke can be categorized into impairment/disability, cardiopulmonary, muscular and metabolic domains, and to study longitudinal changes in their fitness during an inpatient rehabilitation programme. Design: Structure analysis of multiple fitness parameters with principlal component analysis (PCA), and a before and after trial. Setting: Tertiary rehabilitation centre in Japan. Patients: One hundred and seven consecutive inpatients with hemiparetic stroke. Intervention: A conventional stroke rehabilitation programme consisting of 80 minutes of physical therapy and occupational therapy sessions five days a week, and daily rehabilitation nursing for a median duration of 105.5 days. Main outcome measures: Principal component scores extracted from measurement of paresis/daily living (the Stroke Impairment Assessment Set (SIAS) and the Functional Independence Measure (FIM)); muscular (grip strength (GS), knee extensor torque, and cross-sectional areas of thigh muscles); metabolic (body mass index (BMI) and fat accumulation on CT); cardiopulmonary (heart rate oxygen coefficient (HR-O2-Coeff) obtained with a graded bridging activity and a 12-minute propulsion distance). Results: PCA categorized the original 15 variables into four factors corresponding to paresis/activities of daily living, muscular, metabolic and cardiopulmonary domains, and explained 78.1 % of the total variance at admission and 69.6% at discharge. Except the metabolic domain, PCA scores for the other three domains improved significantly at discharge (paired t-test, p < 0.05). Conclusion: The hypothetical structure of fitness was confirmed, and the PCA scores were useful in following longitudinal changes of fitness during inpatient rehabilitation.

UR - http://www.scopus.com/inward/record.url?scp=2542561196&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2542561196&partnerID=8YFLogxK

U2 - 10.1191/0269215504cr717oa

DO - 10.1191/0269215504cr717oa

M3 - Article

VL - 18

SP - 450

EP - 460

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

IS - 4

ER -