Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study

Simon D. Holzapfel, Pamela R. Bosch, Chong D. Lee, Patricia S. Pohl, Monica Szeto, Brittany Heyer, Shannon D. Ringenbach

Research output: Contribution to journalArticle

Abstract

Background. Stroke is the most common cause of long-term disability in the United States (US). Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations. The acute effects of ACT on motor function of persons with stroke have not been investigated. Objectives. The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 ± 16 years; months since stroke: 96 ± 85). The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session. Methods. Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion). Results. Main effects of intervention did not differ between ACT and VC. Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC. Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05). A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05). Conclusion. ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited. Faster cycling cadences seem to be associated with greater acute effects.

Original languageEnglish (US)
Article number9028714
JournalRehabilitation Research and Practice
Volume2019
DOIs
StatePublished - Jan 1 2019

Fingerprint

Stroke
Lower Extremity
Therapeutics
Upper Extremity
Cross-Over Studies
Outcome Assessment (Health Care)
Population

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function : A Pilot Study. / Holzapfel, Simon D.; Bosch, Pamela R.; Lee, Chong D.; Pohl, Patricia S.; Szeto, Monica; Heyer, Brittany; Ringenbach, Shannon D.

In: Rehabilitation Research and Practice, Vol. 2019, 9028714, 01.01.2019.

Research output: Contribution to journalArticle

Holzapfel, Simon D. ; Bosch, Pamela R. ; Lee, Chong D. ; Pohl, Patricia S. ; Szeto, Monica ; Heyer, Brittany ; Ringenbach, Shannon D. / Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function : A Pilot Study. In: Rehabilitation Research and Practice. 2019 ; Vol. 2019.
@article{f9fee242b44c475fa5f8a3ab46997dd3,
title = "Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function: A Pilot Study",
abstract = "Background. Stroke is the most common cause of long-term disability in the United States (US). Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations. The acute effects of ACT on motor function of persons with stroke have not been investigated. Objectives. The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 ± 16 years; months since stroke: 96 ± 85). The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session. Methods. Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion). Results. Main effects of intervention did not differ between ACT and VC. Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC. Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05). A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05). Conclusion. ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited. Faster cycling cadences seem to be associated with greater acute effects.",
author = "Holzapfel, {Simon D.} and Bosch, {Pamela R.} and Lee, {Chong D.} and Pohl, {Patricia S.} and Monica Szeto and Brittany Heyer and Ringenbach, {Shannon D.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1155/2019/9028714",
language = "English (US)",
volume = "2019",
journal = "Rehabilitation Research and Practice",
issn = "2090-2867",
publisher = "Hindawi Limited",

}

TY - JOUR

T1 - Acute Effects of Assisted Cycling Therapy on Post-Stroke Motor Function

T2 - A Pilot Study

AU - Holzapfel, Simon D.

AU - Bosch, Pamela R.

AU - Lee, Chong D.

AU - Pohl, Patricia S.

AU - Szeto, Monica

AU - Heyer, Brittany

AU - Ringenbach, Shannon D.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background. Stroke is the most common cause of long-term disability in the United States (US). Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations. The acute effects of ACT on motor function of persons with stroke have not been investigated. Objectives. The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 ± 16 years; months since stroke: 96 ± 85). The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session. Methods. Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion). Results. Main effects of intervention did not differ between ACT and VC. Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC. Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05). A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05). Conclusion. ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited. Faster cycling cadences seem to be associated with greater acute effects.

AB - Background. Stroke is the most common cause of long-term disability in the United States (US). Assisted Cycling Therapy (ACT) at cadences of about 80 rpm has been associated with improvements in motor and clinical function in other clinical populations. The acute effects of ACT on motor function of persons with stroke have not been investigated. Objectives. The primary purpose of this cross-over trial was to compare the effects of ACT, voluntary cycling (VC), and no cycling (NC) on upper (Box and Blocks Test) and lower extremity motor function (Lower Extremity Motor Coordination Test) in adults with chronic stroke (age: 60 ± 16 years; months since stroke: 96 ± 85). The secondary purpose was to examine average cycling cadence and ratings of perceived exertion as predictors of change in motor function following the exercise session. Methods. Twenty-two participants (female = 6, male = 16) completed one 20-min session each of ACT (mean cadence = 79.5 rpm, VC (mean cadence = 51.5 rpm), and NC on separate days in quasi-counterbalanced fashion). Results. Main effects of intervention did not differ between ACT and VC. Within-intervention analyses revealed significant (p < 0.05) pre- to posttest changes in all outcome measures for ACT but only in the Lower Extremity Motor Coordination Test on the non-paretic side for VC. Trend analyses revealed a positive relationship between average ACT cadences and improvements in upper and lower extremity motor function (p < 0.05). A positive relationship between average VC cadences and lower extremity function was also revealed (p < 0.05). Conclusion. ACT and VC produced similar acute improvements in paretic and non-paretic lower extremity motor function whereas changes in upper extremity motor function were more limited. Faster cycling cadences seem to be associated with greater acute effects.

UR - http://www.scopus.com/inward/record.url?scp=85077295468&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077295468&partnerID=8YFLogxK

U2 - 10.1155/2019/9028714

DO - 10.1155/2019/9028714

M3 - Article

AN - SCOPUS:85077295468

VL - 2019

JO - Rehabilitation Research and Practice

JF - Rehabilitation Research and Practice

SN - 2090-2867

M1 - 9028714

ER -