https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 The Oxford Cognitive Screen for use with Australian people after stroke (OCS-AU): The adaptation process and determining cut scores for cognitive impairment using a cross-sectional normative study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50323 Wed 28 Feb 2024 16:19:08 AEDT ]]> Independently ambulant, community-dwelling stroke survivors have reduced cardiorespiratory fitness, mobility and knee strength compared to an age- and gendermatched cohort https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33280 -1. An additional 17 healthy control participants were recruited. Cardiorespiratory fitness (CRF) was measured using oxygen consumption (VO2peak), and additional measures of walking speed (m s-1), leg strength and body composition were also assessed. Differences between groups were assessed by matched pairs t-tests. Effect sizes were calculated using Cohen's d. Results: There were no significant differences in age, BMI, muscle mass or body fat between groups (p > 0.05). Peak VO₂ was lower in the stroke group for the shuttle walk test (p = 0.037) and progressive cycle test (p = 0.019), as were all CRF test performance measures (p < 0.05). Stroke survivors walked significantly (p < 0.001) slower at both self-selected and fast speeds. Effect sizes of group differences for all leg strength variables were medium to large, with peak torque lower in the stroke group for all trials. Conclusions: Despite being independently ambulant and community dwelling, the CRF, walking speed and leg strength of this group were reduced compared to non-stroke comparison participants. These patients may benefit from undertaking targeted exercise programmes.]]> Wed 19 Jan 2022 15:16:39 AEDT ]]> Interval circuit training for cardiorespiratory fitness is feasible for people after stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31501 2 ) was recorded continuously using a portable metabolic system. The average VO2 during each 30-second epoch was determined. VO2 ≥10.5 mL/kg/min was categorised as ≥moderate intensity. Findings: Participants exercised at VO2 ≥10.5 mL/kg/min for the majority of the time on the workstations [functional: 369/472 epochs (78%), ergometer: 170/204 epochs (83%)]. Most (69%) participants exercised for ≥30 minutes. No serious adverse events occurred. Conclusions: Applying interval training principles to a circuit of functional and ergometer workstations enabled ambulant participants to exercise at an intensity and for a duration that can improve cardiorespiratory fitness. The training approach appears feasible, safe and a promising way to incorporate both cardiorespiratory fitness and functional training into post-stroke management.]]> Wed 19 Jan 2022 15:16:20 AEDT ]]> Cardiorespiratory fitness and walking endurance improvements after 12 months of an individualised home and community-based exercise programme for people after stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33277 2peak) was evaluated using a portable metabolic system during the 6-minute walk test (6MWT), the Shuttle Walk Test (SWT) and the cycle graded exercise test (cGXT). Walking speed, balance, body composition, fatigue, depression and HRQoL were also measured. Results: CRF improved significantly from pre-intervention to 12-month follow-up on the 6MWT (Effect Size, ES = 0.87; p = 0.002) and cGXT (ES = 0.60; p<0.001), with more modest improvements on the SWT (ES = 0.52; p = 0.251). From baseline to 12 months, significant within-participant improvements were found for self-selected walking speed, balance and HRQoL. Performances on the remaining tests were maintained over the post-intervention period. Conclusion: There may be health benefits of providing people with stroke an exercise intervention with long-term support that encourages increased regular physical activity.]]> Wed 10 Nov 2021 15:12:29 AEDT ]]> What is the dose-response relationship between exercise and cardiorespiratory fitness after stroke? A systematic review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47793 Tue 31 Jan 2023 15:05:01 AEDT ]]> Evaluation of three measures of cardiorespiratory fitness in independently ambulant stroke survivors https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42384 2peak) and heart rate (HRpeak) were recorded. There were no differences (p > 0.05) in mean VO2peak among the three tests (min-max: 17.08–18.09 mL kg−1 min−1,). For individuals, small discrepancies in VO2peak between the 6MWT and other tests were greater with higher fitness levels. HRpeak was significantly (p = 0.005) lower during the 6MWT. Correlations between VO2peak and performance measures within each test were high (6MWT VO2peak and distance: r = 0.78, SWT VO2peak and shuttles: r = 0.73, cycle GXT VO2peak and workload: r = 0.77) suggesting the performance measures may be clinically useful as proxy measures of CRF. Common comorbidities, such as lower-limb joint pain and poor balance, and participant’s fastest walking speed, should inform the choice of CRF test.]]> Tue 23 Aug 2022 11:15:21 AEST ]]> Trends in stroke attack rates and case fatality in the Hunter Region, Australia 1996-2008 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:9581 Sat 24 Mar 2018 08:39:12 AEDT ]]> The rural Prehospital Acute Stroke Triage (PAST) trial protocol: a controlled trial for rapid facilitated transport of rural acute stroke patients to a regional stroke centre https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:10667 Sat 24 Mar 2018 08:12:09 AEDT ]]> Characteristics of exercise training interventions to improve cardiorespiratory fitness after stroke: a systematic review with meta-analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:19897 2peak) assessed preintervention and postintervention via a progressive aerobic exercise test. Results: From 3209 citations identified, 28 studies were included, reporting results for 920 participants. Studies typically included chronic, ambulant participants with mild to moderate deficits; used an aerobic or mixed (with an aerobic component) intervention; and prescribed 3 sessions per week for 30 to 60 minutes per session at a given intensity. Baseline VO2peak values were low (8-23 mL/kg/min). Meta-analysis of the 12 randomized controlled trials demonstrated overall improvements in VO2peak of 2.27 (95% confidence interval = 1.58, 2.95) mL/kg/min postintervention. A similar 10% to 15% improvement occurred with both aerobic and mixed interventions and in shorter (≤3 months) and longer (>3 months) length programs. Only 1 study calculated total dose received and only 1 included long-term follow-up. Conclusions: The results demonstrate that interventions with an aerobic component can improve cardiorespiratory fitness poststroke. Further investigation is required to determine effectiveness in those with greater impairment and comorbidities, optimal timing and dose of intervention, whether improvements can be maintained in the longer term, and whether improved fitness results in better function and reduced risk of subsequent cardiovascular events.]]> Sat 24 Mar 2018 08:03:49 AEDT ]]> How little is enough? The feasibility of conducting a dose-escalation study for exercise training in people with stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52271 Mon 09 Oct 2023 10:04:07 AEDT ]]> The feasibility of a telehealth exercise program aimed at increasing cardiorespiratory fitness for people after stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38018 Fri 23 Jul 2021 15:47:31 AEST ]]> Evaluating the feasibility and acceptability of the Mood Assessment Post-Stroke (MAPS) mood screening training https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54843 Fri 15 Mar 2024 15:08:40 AEDT ]]> Look Before You Leap: Interventions Supervised via Telehealth Involving Activities in Weight-Bearing or Standing Positions for People After Stroke-A Scoping Review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49426 Fri 12 May 2023 15:16:21 AEST ]]>