title: Therapeutic efficacy of intensified walk training under the electrocardiogram telemetry in stroke induced lower limb dysfunction patients with heart failure.
abstract: OBJECTIVE
  This study aimed to explore the therapeutic efficacy of intensified walk training under the electrocardiogram (ECG) telemetry in stroke induced lower limb dysfunction patients with heart failure.
  
  
  METHODS
  A total of 40 patients with stroke induced lower limb dysfunction and heart failure were randomized into control group and walk training group (n=20 per group). Besides comprehensive rehabilitation, patients in walk training group received intensified walk training under the ECG telemetry and patients in control group received traditional training. After 5-week treatment, the FMA score of lower limbs, ADL score, 6-min walking distance and left ventricular ejection fraction (EF) by heart ultrasonography were determined.
  
  
  RESULTS
  There were no marked differences in the demographics between two groups at baseline, and no severe complications were observed during training in the walk training group. In control group, 6 patients developed lung edema which required further therapy. After 5-week training, the FMA score of lower limbs, ADL score and 6-min walk distance were improved to different extents, but the improvement was more obvious in walk training group (P<0.05). The left ventricular EF remained unchanged in both groups.
  
  
  CONCLUSIONS
  In patients with stroke induced lower limb dysfunction and heart failure, routine rehabilitation in combination with additional walk training under the ECG telemetry is helpful to increase the training efficiency and training intensity and improve the low limb function and walk distance when the safety is assured.
authors.affiliation: The Second Department of Neurological Rehabilitation, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Dantong
authors.initials: D
authors.lastname: Shen
authors.affiliation: The Second Department of Neurological Rehabilitation, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Huai
authors.initials: H
authors.lastname: Huang
authors.affiliation: The Forth Department of Geriatrics, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Yuan
authors.affiliation: The Second Department of Neurological Rehabilitation, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Shuilin
authors.initials: S
authors.lastname: Ye
authors.affiliation: The Forth Department of Geriatrics, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Min
authors.initials: M
authors.lastname: Li
authors.affiliation: The Second Department of Neurological Rehabilitation, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Gu
authors.affiliation: The Second Department of Neurological Rehabilitation, Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010, Guangdong Province, China.
authors.forename: Zhiwei
authors.initials: Z
authors.lastname: Wang
keywords: Stroke; electrocardiogram telemetry; exercise; heart failure