有氧锻炼有助改善慢性卒中患者康复
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西印度群岛学者的一项研究表明，在慢性卒中患者中，有氧锻炼可改善躯体健康生活质量及耐力。论文发表于《卒中》（Stroke）。
此项单盲、随机独照试验共纳入128例卒中存活者。干预组受试者（64例）接受为期12周的每周3次30分钟有氧锻炼（步行）。利用SF-36生活量表、巴氏量表、6分钟步行距离和肌力指数评估健康相关性生活质量、功能状态、耐力和下肢肌力。
结果显示，与对照组相比，有氧锻炼组受试者的SF-36躯体健康组分随时间推移呈逐渐改善趋势（P=0.077），6分钟步行距离则随时间推移出现显著改善（P<0.001）。
Background andPurpose—Littleis known about the effects of community-based walking programs in persons withchronic stroke. The purpose of this study was to determine the effects ofaerobic (walking) training on functional status and health-related quality oflife in stroke survivors.
Methods—A single-blindrandomized controlled trial was conducted. The intervention group (n=64) walkedoverground for 30 minutes, 3 times per week for 12 weeks. The control group(n=64) received massage to the affected side. Medical Outcomes Short Form,36-Item Short Form Health Survey (SF-36), was used to assess health-relatedquality of life; Barthel Index and Older Americans Resource and Services scalefor functional status; 6-minute walk test for endurance; and Motricity Indexfor lower extremity strength.
Results—There was a trendtoward greater improvement over time for the Physical Health Component of theSF-36 (P=0.077) and significantly greaterimprovement over time for distance walked in 6 minutes in favor of the walkinggroup (P<0.001).
Conclusions—Aerobic walkingimproves the physical health component of quality of life and endurance inpersons with chronic stroke. It should form part of a comprehensive healthpromotion strategy.
Clinical TrialRegistration—Trial was not registered as enrollment commenced before2005.
原始来源：http://www.cmt.com.cn/subjectDetail/1/89/165589.html
