Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/24665
Title: The effects of treadmill exercise training on hip bone density and tibial bone geometry in stroke survivors : a pilot study
Authors: Pang, MYC 
Lau, RWK
Keywords: Bone health
Cerebrovascular accident
Muscle strength
Rehabilitation
Self-efficacy
Treadmill training
Issue Date: 2010
Publisher: SAGE Publications
Source: Neurorehabilitation and neural repair, 2010, v. 24, no. 4, p. 368-376 How to cite?
Journal: Neurorehabilitation and neural repair 
Abstract: Background. Individuals with stroke often sustain bone loss on the hemiparetic side and are prone to fragility fractures. Exercise training may be a viable way to promote bone mineral density (BMD) and geometry in this population. Objective. This was a pilot study to evaluate the effects of a 6-month treadmill exercise program on hip BMD and tibial bone geometry in chronic stroke survivors. Methods. Twenty-one individuals with chronic stroke, with a mean age of 64.5 years and mean poststroke duration of 8.3 years participated in the study. The treatment group underwent a treadmill gait exercise program (two 1-hour sessions per week for 6 months), whereas the control group participated in their usual self-selected activities in the community. The primary outcomes were hip BMD and bone geometry of the midshaft tibia on the paretic side, whereas the secondary outcomes were gait velocity, endurance, leg muscle strength, balance self-efficacy, and physical activity level. Mann-Whitney U tests were used to compare the change in all outcome variables between the 2 groups after treatment. Results. Significant between-group differences in change scores of tibial cortical thickness (P =.016), endurance ( P =.029), leg muscle strength on the paretic side (P <.001) and nonparetic side (P <.001), balance self-efficacy (P =.016), and physical activity level (P =.023) were found. Conclusion. The treadmill exercise program induced a modest improvement in tibial bone geometry in individuals with chronic stroke. Further studies are required to explore the optimal training protocol for promoting favorable changes in bone parameters following stroke.
URI: http://hdl.handle.net/10397/24665
ISSN: 1545-9683
EISSN: 1552-6844
DOI: 10.1177/1545968309353326
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

19
Last Week
1
Last month
0
Citations as of Apr 19, 2018

WEB OF SCIENCETM
Citations

17
Last Week
0
Last month
0
Citations as of Apr 25, 2018

Page view(s)

58
Last Week
1
Last month
Citations as of Apr 23, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.