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    Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study

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    Author
    Holzapfel, Simon D.
    Bosch, Pamela R.
    Lee, Chong D.
    Pohl, Patricia S.
    Szeto, Monica
    Heyer, Brittany
    Ringenbach, Shannon D.
    Affiliation
    Univ Arizona, Coll Med Phoenix
    Issue Date
    2019
    
    Metadata
    Show full item record
    Publisher
    HINDAWI LTD
    Citation
    Simon D. Holzapfel, Pamela R. Bosch, Chong D. Lee, et al., “Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study,” Rehabilitation Research and Practice, vol. 2019, Article ID 9028714, 10 pages, 2019. https://doi.org/10.1155/2019/9028714.
    Journal
    REHABILITATION RESEARCH AND PRACTICE
    Rights
    © 2019 Simon D. Holzapfel et al. This is an open access article distributed under the Creative Commons Attribution License.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background. Stroke is the most common cause of long-term disability in the United States (US). Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations. The acute effects of ACT on motor function of persons with stroke have not been investigated. Objectives. The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 +/- 16 years; months since stroke: 96 +/- 85). The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session. Methods. Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion). Results. Main effects of intervention did not differ between ACT and VC. Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC. Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05). A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05). Conclusion. ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited. Faster cycling cadences seem to be associated with greater acute effects.
    Note
    Open access journal
    ISSN
    2090-2867
    2090-2875
    DOI
    10.1155/2019/9028714
    Version
    Final published version
    Sponsors
    Athletics Research Grant Program of the Graduate and Professional Student Organization at Arizona State University [asu 0010E 16736]
    Additional Links
    https://www.hindawi.com/journals/rerp/2019/9028714/
    ae974a485f413a2113503eed53cd6c53
    10.1155/2019/9028714
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    UA Faculty Publications

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