title: Blood pressure and heart rate adjustment following acute Frenkel's ambulatory exercise in chronic hemiparetics stroke survivors: a comparative study.
abstract: BACKGROUND
  Frenkel's ambulatory activity has been routinely employed by physiotherapists for rehabilitation of gait coordination, however, its immediate influence on blood pressure and heart rate has not been investigated.
  
  
  OBJECTIVE
  To investigate the acute effect of Frenkel's ambulatory activity on blood pressure and heart rate of chronic hemiparetic stroke survivors.
  
  
  METHODS
  Using a comparative study design, 60 chronic hemiparetic stroke survivors of varying onset of stroke, ≤6, >6-11 and ≥12 months were subjected to a 2-minute Frenkel's ambulatory activity on marked footsteps (from standard adult described footsteps). Participants were assessed for both blood pressure and heart rate before and after the Frenkel's ambulatory activity.
  
  
  RESULTS
  Blood pressure and heart rate significantly increased (p<0.05) following Frenkel's ambulatory activity in all the 3 categories of stroke onset above baseline. However, there was no significant difference (p>0.05) across the onsets in both blood pressure and heart rate responses.
  
  
  CONCLUSIONS
  The outcome of this study indicated that Frenkel's ambulatory activity has the propensity to increase blood pressure and heart rate of hemiparetic stroke survivors irrespective of the onset of stroke. We recommend a pre, within and post-activity monitoring of stroke survivors while subjecting them to Frenkel's ambulatory activity.
authors.affiliation: Department of Physiotherapy, Faculty of Medicine, Bayero University, Kano ; Department of Physiotherapy, Aminu Kano Teaching Hospital, Kano.
authors.forename: Lawal
authors.initials: L
authors.lastname: Isa
authors.affiliation: Department of Physiotherapy, Federal Medical Center Gombe, Gombe State.
authors.forename: Aliyu
authors.initials: A
authors.lastname: Abubakar
authors.affiliation: Department of Physiotherapy, Faculty of Medicine, Bayero University, Kano ; Department of Physiotherapy, Aminu Kano Teaching Hospital, Kano.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Rufa'i
authors.affiliation: Department of Physiotherapy, Faculty of Medicine, Bayero University, Kano ; Department of Physiotherapy, Aminu Kano Teaching Hospital, Kano.
authors.forename: Akindele
authors.initials: A
authors.lastname: Mukadas
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory; D015444:Exercise; D005260:Female; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D017741:Survivors; D016896:Treatment Outcome
keywords: ambulatory activity; cardiovascular; stroke
references.citation: Clin Rehabil. 2004 Mar;18(2):149-55
references.pmid: 15053123
references.citation: Arch Phys Med Rehabil. 2002 Dec;83(12):1697-702
references.pmid: 12474172
references.citation: Gait Posture. 1999 Jul;9(3):207-31
references.pmid: 10575082
references.citation: J Sports Sci Med. 2004 Jun 01;3(2):76-82
references.pmid: 24482582
references.citation: Arch Phys Med Rehabil. 2001 Jul;82(7):879-84
references.pmid: 11441372
references.citation: J Bone Joint Surg Am. 1996 Oct;78(10):1506-14
references.pmid: 8876578
references.citation: Stroke. 2008 Dec;39(12):3341-50
references.pmid: 18757284
references.citation: Arch Phys Med Rehabil. 1997 Jan;78(1):13-8
references.pmid: 9014951
references.citation: Phys Ther. 2003 Jan;83(1):49-57
references.pmid: 12495412
references.citation: Gait Posture. 2003 Aug;18(1):114-25
references.pmid: 12855307
references.citation: Scand J Med Sci Sports. 1995 Dec;5(6):348-52
references.pmid: 8775719
references.citation: Rehabil Nurs. 2006 Sep-Oct;31(5):210-7
references.pmid: 16948443
references.citation: Nat Rev Neurosci. 2002 May;3(5):348-59
references.pmid: 11988774
references.citation: Arch Phys Med Rehabil. 1999 Feb;80(2):173-8
references.pmid: 10025492
references.citation: Circulation. 2004 Apr 27;109(16):2031-41
references.pmid: 15117863
references.citation: Phys Ther. 2007 Dec;87(12):1580-602
references.pmid: 17895349
references.citation: Neurol Res Int. 2011;2011:515938
references.pmid: 21766024