PHTY302 Lecture Notes - Lecture 6: Coronary Artery Disease, Cardiorespiratory Fitness, Deconditioning
Document Summary
2. 3 describe common primary and secondary impairments following stroke including: contracture, cardiovascular de-conditioning. 2. 6 interpret findings from the assessment of sensori-motor impairments and determine their clinical relevance. 2. 7 discuss the evidence for interventions to address sensori-motor impairments following stroke. 2. 8 list the nsf recommendations for managing impairments following stroke. 2. 3 describe the common secondary impairment "cardiovascular de-conditioning" following stroke: up to 75% of people with stroke have coronary artery disease, paretic muscles, decreased oxidative metabolism, decreased endurance. Fatigue following stroke ++: low aerobic fitness, low muscle endurance. Insufficient active exercise even in rehab settings: fitness significantly reduced within 7 weeks of hospitalisation after stroke, vo2 peak 50% of age-matched controls, significant correlation between vo2 peak and walking endurance. 2. 8 list the nsf recommendations for managing cardiovascular de-conditioning following stroke. 2. 7 discuss the evidence for interventions to address cardiovascular de-conditioning following stroke. Cochrane systematic review: cardio-respiratory training, involving walking, is effective at improving, cardiorespiratory fitness, walking speed, walking endurance.
