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Comparative Effects of Cycle Ergometer And Stair Climbing Training On Energy Cost, Walking Speed And Muscular Endurance of Stroke Patients At Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

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Description

– Comparative Effects of Cycle Ergometer And Stair Climbing Training On Energy Cost, Walking Speed And Muscular Endurance of Stroke Patients At Ahmadu Bello University Teaching Hospital, Zaria, Nigeria –

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Abstract

This study was on the comparative effects of cycle ergometer and stair climbing training on energy cost, walking speed and muscular endurance of stroke patients.

To achieve this purpose, 24 volunteer stroke patients were randomly assigned to three groups of eight subjects each by balloting. Group A was cycle ergometer training group, Group B, stair climbing training group and Group C control group.

Groups A and B were given training in cycle ergometer and stair climbing respectively whereas the control group C was not given any structured training. Cycle ergometer training consists of cycling a bicycle ergometer while stairclimbing training consists of climbing up and down a staircase.

The control group received usual physiotherapy which groups A and B also received. Training took place three times in a week for twelve weeks with intensity of 55% of maximum heart rate at the beginning of the training which was progressed to 70% of maximum heart rate towards the end of the training.

Cycling and climbing stairs lasted for 30 minutes during a training session. All the subjects were tested for energy cost, walking speed and muscular endurance before starting the training, and 4, 8 and 12 weeks during the periods of training.

The data thus collected were statistically analyzed using t test statistics to compare the effects of the training in cycle ergometer and stairclimbing.

Introduction

1.1 Background of the Study

A stroke, brain attack, or a cerebrovascular accident (CVA), is a sudden death of brain cells caused by lack of oxygen supply to the brain.

Stroke is the first cause of acquired disability in the world (NeuroAids, 2011) and there are two main types of stroke; ischaemic strokes or cerebral infarcts, 80% of strokes, result from a blockage or reduction of blood flow in an artery that irrigates the brain.

They are caused either by a blood (thrombus) which blocks the blood vessel or by building up of plaque (often due to cholesterol) within the arteries which narrows vessels, resulting in a loss of blood flow.

The second type of stroke is called haemorrhagic strokes. They are due to the rupture of an artery within the brain triggering an intracerebral haemorrhage (15% of strokes) or to the rupture of an aneurysm (arteriovenous malformation) entailing subarachnoid haemorrhage (5% of strokes).

The effects of stroke vary depending on stroke location and severity. After a stroke, brain cells die in the affected areas resulting in damage or even loss of neurons.

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