فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Stroke causes physiologic functional changes such as vascular resistance andarterial remodeling. This study aimed to explore the effects of 3‑month regular home‑based exerciserehabilitation on brachial flow‑mediated dilation (FMD), daily physical activity, and upper and lowerextremity sensorimotor of the acute ischemic stroke patients.MATERIALS AND METHODS: This randomized control trial was done from August 2017 to September2018. Patients with unilateral ischemic stroke were recruited from inpatient wards at an educationalhospital. Patients were randomly assigned to the home‑based rehabilitation program (interventiongroup) or usual care (control group). Fugl‑Meyer upper and lower extremity sensorimotor score andBarthel score were evaluated in both the groups before and 3 months after baseline assessment.Furthermore, brachial artery vasomotor reactivity (FMD) hemiparetic arm assessed vascular health.The intervention group received home‑based rehabilitation exercise program for 3 months. Thecontrol group did not receive home‑based rehabilitation program and incentive telephone call. Alldata were collected and analyzed by SPSS software (version 20) and appropriate statistical tests.RESULTS: Forty ischemic stroke patients (twenty in the intervention group and twenty in the controlgroup) were examined. Results showed that Barthel score and Fugl‑Meyer upper and lower extremityscore and FMD in the intervention group were significantly higher than the control group after 3‑monthhome‑based exercise rehabilitation (P < 0/001).CONCLUSION: Twelve‑week regular home‑based exercise training was well tolerated by theintervention group. After this period, improvements were reported in brachial FMD as well as dailyphysical activity and upper and lower extremity functional capacity.