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THE EFFECTS OF PHYSICAL EXERCISES ON C-REACTIVE PROTEIN IN PATIENTS WITH POST ISCHEMIC STROKE Hening Laswati; Meisy Andriana; Imam Subadi; Ida Yuanita
Folia Medica Indonesiana Vol. 52 No. 3 (2016): JULY - SEPTEMBER 2016
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.5 KB) | DOI: 10.20473/fmi.v52i3.5449

Abstract

Several studies have recently highlighted the important role of physical exercise in regulation inflammatory status, but there is relatively little known about markers of inflammation levels after physical exercise in post ischemic stroke patients. The aims of this study to provide the effects of physical exercise using Partial Body-Weight Supported Treadmill Training –Audio Cues (PBWSTT-AC) and Traditional method on the level of inflammatory markers C-Reactive Protein (CRP). This study using pretest-postest control group design, 14 post ischemic stroke patients were randomized and allocate to two groups: Group1 (control group) received traditional walking exercise and group 2 received PBWSTT-AC. The walking exercise study were conducted for 20 minute 3 times a week for 12 sessions (4 weeks). Before and after 12 session of exercises, the serum levels of CRP were determined using immunoserology. All statistical test were carried out using SPSS 17 and statistical significance was set at p<0.05 for all analysis. The CRP levels between group were compared using Student t test or Mann-Whitney test. From multiple comparisons statistic result, no significant difference between groups (p=0.898), that seem in this study the levels of CRP of poststroke patients is not influenced by the Traditional training and PBWSTT-AC.  The conclusion of this study that both traditional method and PBWTT-AC in 4 weeks exercise training seem have no effect on CRP levels.
Effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues and Traditional Overground Walking in Improving Gait Speed and Cardiorespiratory Fitness After Stroke Hening Laswati; Meisy Andriana; Ida Yuanita
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1300.523 KB) | DOI: 10.36803/ijpmr.v4i01.33

Abstract

Objective: To compare the effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues (PBWSTT-AC) and the traditional over ground walking in improving gait speed andcardiorespiratory fitness after stroke.Methods: pretest-posttest control group design of patients with sub-acute and chronic ischemicstroke who came to Physical Medicine and Rehabilitation (PMR) Department of Dr. Soetomo andAirlangga University Hospital Surabaya. Patients with onset 3 weeks until 10 years, age between 21until 70 years old, able to walk independently for 6 minutes, sufficient vision and hearing and canfollow simple instructions were included in this study. There were 18 patients at beginning and 16patients completed the study. Patients underwent walking exercise for 20 minute, 3 times a week for12 sessions. PBWSTT-AC group received metronome auditory rhythmic stimulation, while controlgroup received traditional walking exercise with customized speed according to patient’s preference.Gait speed were assessed by 10 meter Walk Test and cardiopulmonary endurance counted fromresting heart rate.Results: There were improvements in gait speed and cardiorespiratory fitness within each subjectgroup. Traditional group showed significantly larger increases in fast gait speed (p=0.023) but notin self-selected gait speed (p=0.002). PBWSTT-AC group showed significantly larger decreases(p=0.002) in resting heart rate (p=0.003).Conclusion: PBWSTT-AC was not shown to be superior to traditional walking in improving gaitspeed, but superior in improving cardiorespiratory fitness. Further study are needed to evaluate thelong-lasting effect of using PBWSTT-AC in improving cardiorespiratory fitness.Keywords: Partial Body-Weight Supported Treadmill Training-Audio Cues, gait speed, cardiorespiratory fitness
Effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues and Traditional Overground Walking in Improving Gait Speed and Cardiorespiratory Fitness After Stroke Hening Laswati; Meisy Andriana; Ida Yuanita
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1300.523 KB) | DOI: 10.36803/ijpmr.v4i01.33

Abstract

Objective: To compare the effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues (PBWSTT-AC) and the traditional over ground walking in improving gait speed andcardiorespiratory fitness after stroke.Methods: pretest-posttest control group design of patients with sub-acute and chronic ischemicstroke who came to Physical Medicine and Rehabilitation (PMR) Department of Dr. Soetomo andAirlangga University Hospital Surabaya. Patients with onset 3 weeks until 10 years, age between 21until 70 years old, able to walk independently for 6 minutes, sufficient vision and hearing and canfollow simple instructions were included in this study. There were 18 patients at beginning and 16patients completed the study. Patients underwent walking exercise for 20 minute, 3 times a week for12 sessions. PBWSTT-AC group received metronome auditory rhythmic stimulation, while controlgroup received traditional walking exercise with customized speed according to patient’s preference.Gait speed were assessed by 10 meter Walk Test and cardiopulmonary endurance counted fromresting heart rate.Results: There were improvements in gait speed and cardiorespiratory fitness within each subjectgroup. Traditional group showed significantly larger increases in fast gait speed (p=0.023) but notin self-selected gait speed (p=0.002). PBWSTT-AC group showed significantly larger decreases(p=0.002) in resting heart rate (p=0.003).Conclusion: PBWSTT-AC was not shown to be superior to traditional walking in improving gaitspeed, but superior in improving cardiorespiratory fitness. Further study are needed to evaluate thelong-lasting effect of using PBWSTT-AC in improving cardiorespiratory fitness.Keywords: Partial Body-Weight Supported Treadmill Training-Audio Cues, gait speed, cardiorespiratory fitness