title: The influence of early cycling training on balance in stroke patients at the subacute stage. Results of a preliminary trial.
abstract: OBJECTIVE
  To investigate the effect of early cycling training on balance and motor abilities of stroke patients in their subacute stage.
  
  
  METHODS
  Randomized clinical trial.
  
  
  METHODS
  Inpatient rehabilitation.
  
  
  METHODS
  Twenty-four patients who had had a first stroke were randomly assigned to a cycling training group (N=10) or to a control (N=14) group.
  
  
  METHODS
  All subjects received their usual rehabilitation programme; the cycling training group received in addition a daily session of leg cycle ergometer, lasting three weeks. Both groups were followed for six weeks.
  
  
  METHODS
  Balance was assessed using the Postural Assessment Scale for Stroke Patients (PASS) and the standing balance test. The motor function of the lower extremity was also assessed by the Fugl-Meyer Assessment (FMA).
  
  
  RESULTS
  In the within-group comparison, both the exercise group and the control group had improved significantly (P < 0.01) with time with respect to PASS total (exercise group 18.7 +/- 2.8 to 31.1 +/- 2.2, control group 18.1 +/- 3.2 to 26.4 +/- 3.8) and PASS subscores, as well as the FMA score (exercise group 17.2 +/- 7.5 to 29.1 +/- 5.9, control group 16.6 +/- 6.4 to 22.1 +/- 6.8). In addition there was a significant group-time interaction effect, with exercise group patients demonstrating better performance in both the total PASS score and PASS subscores and FMA score relative to the control patients (P < 0.01).
  
  
  CONCLUSIONS
  These preliminary findings suggest that stroke patients in the subacute stage can improve their motor and balance abilities after an early short duration of cycling training.
authors.affiliation: Sackler Faculty of Medicine, School of Health Professions, Physical Therapy Department, Tel-Aviv University, Ramat-Aviv, Israel. michalkz@post.tau.ac.il
authors.forename: Michal
authors.initials: M
authors.lastname: Katz-Leurer
authors.forename: Iris
authors.initials: I
authors.lastname: Sender
authors.forename: Ofer
authors.initials: O
authors.lastname: Keren
authors.forename: Zeevi
authors.initials: Z
authors.lastname: Dvir
mesh_terms: D000368:Aged; D001642:Bicycling; D002545:Brain Ischemia / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D010865:Pilot Projects; D004856:Postural Balance / Q000502:physiology*; D020127:Recovery of Function / Q000502:physiology; D020521:Stroke / Q000209:etiology / Q000503:physiopathology*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome