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High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study

Pierce Boyne, Kari Dunning, Daniel Carl, Myron Gerson, Jane Khoury, Bradley Rockwell, Gabriela Keeton, Jennifer Westover, Alesha Williams, Michael McCarthy, Brett Kissela
DOI: 10.2522/ptj.20150277 Published 1 October 2016
Pierce Boyne
P. Boyne, PT, DPT, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati, 3202 Eden Ave, Cincinnati OH 45220-0394 (USA), and Department of Environmental Health, College of Medicine, University of Cincinnati.
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Kari Dunning
K. Dunning, PT, PhD, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati, and Department of Environmental Health, College of Medicine, University of Cincinnati.
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Daniel Carl
D. Carl, PhD, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati.
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Myron Gerson
M. Gerson, MD, Departments of Internal Medicine and Cardiology, College of Medicine, University of Cincinnati.
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Jane Khoury
J. Khoury, PhD, Department of Environmental Health, College of Medicine, University of Cincinnati, and Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
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Bradley Rockwell
B. Rockwell, BS, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati.
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Gabriela Keeton
G. Keeton, BS, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati.
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Jennifer Westover
J. Westover, BS, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati.
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Alesha Williams
A. Williams, BS, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati.
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Michael McCarthy
M. McCarthy, PhD, School of Social Work, College of Allied Health Sciences, University of Cincinnati.
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Brett Kissela
B. Kissela, MD, Department of Neurology and Rehabilitation Medicine, College of Medicine, University of Cincinnati.
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Figures

Figure 2.
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Figure 2.

Training intensity by week. Error bars represent 95% confidence intervals. HIT=high-intensity interval training group (n=11), MCT=moderate-intensity continuous training group (n=5), HR=heart rate, HRR=heart rate reserve, 10MWT=10-Meter Walk Test.

Figure 1.
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Figure 1.

Study flow diagram. HIT=high-intensity interval training, MCT=moderate-intensity continuous training.

Tables

Table 2.
Table 2.

Adverse Events (AEs)a

  • ↵a Data reported as no. of participants with AEs (total number of AEs) [AE incidence rate per 100 sessions=number of AEs/number of sessions per group × 100]. AE odds ratios are from logistic regression modeling of number of AEs/number of sessions per participant. HIT=high-intensity interval training, MCT=moderate-intensity continuous training, CI=confidence interval, N/A=not applicable.

  • b Continuity corrected by adding 0.5 AEs to each group so that AE odds ratios could be calculated.

Table 1.
Table 1.

Participant Characteristicsa

  • ↵a Data are presented as mean (SD) [range] unless otherwise noted. HIT=high-intensity interval training, MCT=moderate-intensity continuous training, V̇o2peak=peak oxygen consumption.

Table 3.
Table 3.

Outcome Measure Changesa

  • ↵a Data are presented as mean (SD) or mean (95% confidence interval [CI]) and are from unadjusted mixed effects models. Ventilatory threshold was not identifiable for one participant. Metabolic cost of gait was not obtained for 2 participants due to air leaking during baseline testing. Within group change (Δ) scores are from time contrasts. Between-group differences in change are from group × time interaction contrasts. Standardized effect sizes were calculated by dividing the between-group difference in mean improvement by the standard deviation of change. HIT=high-intensity interval training, MCT=moderate-intensity continuous training, V̇o2peak=peak oxygen consumption.

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Vol 96 Issue 10 Table of Contents
Physical Therapy: 96 (10)

Issue highlights

  • Our Future Selves: Unprecedented Opportunities
  • Toward a Transformed Understanding: From Pain and Movement to Pain With Movement
  • Virtual Reality for Stroke Rehabilitation
  • Consensus on Exercise Reporting Template (CERT): Modified Delphi Study
  • Agreement of Mechanical Diagnosis and Therapy Classification in People With Extremity Conditions
  • High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study
  • Therapeutic Ultrasound and Treadmill Training Suppress Peripheral Nerve Injury–Induced Pain in Rats
  • A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke
  • Transitions in the Embodied Experience After Stroke: Grounded Theory Study
  • Neck Posture Clusters and Their Association With Biopsychosocial Factors and Neck Pain in Australian Adolescents
  • Physical Therapists' Role in Health Promotion as Perceived by the Patient: Descriptive Survey
  • Finding the “Right-Size” Physical Therapy Workforce: International Perspective Across 4 Countries
  • Does the Brief-BESTest Meet Classical Test Theory and Rasch Analysis Requirements for Balance Assessment in People With Neurological Disorders?
  • Roland-Morris Disability Questionnaire and Oswestry Disability Index: Which Has Better Measurement Properties for Measuring Physical Functioning in Nonspecific Low Back Pain? Systematic Review and Meta-Analysis
  • Responsiveness of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke
  • Use of Rasch Analysis to Evaluate and Refine the Community Balance and Mobility Scale for Use in Ambulatory Community-Dwelling Adults Following Stroke
  • de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness
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High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study
Pierce Boyne, Kari Dunning, Daniel Carl, Myron Gerson, Jane Khoury, Bradley Rockwell, Gabriela Keeton, Jennifer Westover, Alesha Williams, Michael McCarthy, Brett Kissela
Physical Therapy Oct 2016, 96 (10) 1533-1544; DOI: 10.2522/ptj.20150277

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High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study
Pierce Boyne, Kari Dunning, Daniel Carl, Myron Gerson, Jane Khoury, Bradley Rockwell, Gabriela Keeton, Jennifer Westover, Alesha Williams, Michael McCarthy, Brett Kissela
Physical Therapy Oct 2016, 96 (10) 1533-1544; DOI: 10.2522/ptj.20150277
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Subjects

  • Neurology/Neuromuscular System
    • Stroke (Neurology)
  • Intervention
    • Therapeutic Exercise
  • Geriatrics
    • Stroke (Geriatrics)

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