Comparison of the Effect of Exercise Type on the Prognosis Scores in Patients with Acute Ischemic Stroke

Background and Objective: Cerebrovascular accidents (CVA) are of the main causes of mortality and morbidity in the world. This study aimed to investigate the two training protocols in patients with acute ischemic stroke (AIS), and their relationship with the patients’ prognosis. Materials and Methods: This experimental study included ۴۵ patients whose ages ranged from ۴۵ to ۶۵ years. Patients were recruited by convenience sampling and purposive method. The participants were categorized into two intervention groups high-intensity anaerobic training (HIT) and continuous aerobic exercise). The control group individuals had no history of exercise. All three scores were assessed at the beginning of the study and after ۲۸ days. SPSS ۲۲ was used to analyze the collected data and the following statistical tests were performed: independent samples t-test, ANOVA and Tukey post hoc test. The level was considered to be ۰.۰۵. Results: The National Institutes of Health Stroke Scale (NIHSS) score reduced in both exercise groups compared to the controls, in the post-intervention period (frame ۹ to ۷). The Mini- Mental State Examination (MMSE) score also increased in the continuous exercise group (from ۲۱.۹۳ to ۲۳.۴ in the HIT group and from ۲۲.۴ to ۲۴.۱۴ in the continuous group), while the Modified Rankin Scale (MRS) score reduced (frame ۳ to ۲) (P=۰.۰۰۱). Conclusion: Performing intermittent exercise over four weeks can improve the overall prognosis quality of CVA patients by reducing the MRS score.

Keywords:

Acute ischemic stroke , Neurological scores , Outcome measure , Type of exercise