Impacts Of Aerobic Training On Exercise Endurance And Quality Of Life In Stroke Patients With Hemiparalysis Under Supervision

Objective:To observe the impacts of short-term aerobic training on exercise endurance and quality of life in stroke patients with hemiparalysis.On the basis of general clinical therapy,the feasibility,safety and effectiveness of aerobic training in patients with hemiparalysis after stroke were studied,in order to supply scientific basis for the promotion and application of aerobic training in patients with stroke.Methods:40 stroke patients with hemiparalysis who fit the bill and were hospitalized to the Department of Rehabilitation Medicine of the First Affiliated Hospital of Anhui Medical University from October 2020 to July 2021 were selected and divided into aerobic training group（n = 20）and control group（n = 20）according to random number table method.Rehabilitation evaluation was implemented on all patients before therapy and after 3 weeks of therapy.The assessment includes: peak oxygen uptake and anaerobic threshold of patients in the two groups were measured by cardiopulmonary motor function tester,and lower limb motor function of patients in the two groups was assessed by Fugl-Meyer assessment scale,and ambulation of patients in the two groups was assessed by functional ambulation category,equilibrium of patients in the two groups was assessed by Berg balance scale and the short form-36 health survey assessed quality of life in both groups.The data collected after the rehabilitation assessment of the above evaluation indicators were statistically analyzed using the SPSS 26.0 comprehensive statistical software to study whether there were differences between the observation indicators of the two groups of patients.Results:All patients completed rehabilitation treatment,and no adverse events occurred during aerobic training.Before therapy,there were no significant differences in peak oxygen uptake,anaerobic threshold,Fugl-Meyer assessment scale score,functional ambulation category score,Berg balance scale score and the short form-36 health survey score between 2 groups（P > 0.05）.After 3 weeks of therapy,the peak oxygen uptake,anaerobic threshold,Fugl-Meyer assessment scale score,functional ambulation category score,Berg balance scale score and the short form-36 health survey score in 2 groups were higher than those before therapy,with differences（P < 0.05）,the peak oxygen uptake,anaerobic threshold,Fugl-Meyer assessment scale score,functional ambulation category score,Berg balance scale score and the short form-36 health survey score in aerobic training group were better than those in control group,with statistical significance（P < 0.05）.Conclusion:Aerobic exercise training combined with general clinical rehabilitation therapy under 3-week monitoring can effectively improve the peak oxygen uptake,anaerobic threshold,motor performance,equilibrium function,ambulation capacity,quality of life,and without adverse events,indicating that aerobic training is safe,feasible and effective.