University Hospital Roi-Khaled
Centre National de Référence en Kinésithérapie et Réadaptation (CNRKR)
Felix NINDORERA holds a Master's degree in physical therapy since 2019 and is currently a teaching assistant in rehabilitation (Burundi ) as well as a PhD student (UCLouvain, Belgium). He has worked as a clinical physical therapist since 2014 in Burundi. He is part of the Burundi government strategic initiative to build capacity in rehabilitation which has been supported through the Belgian government. Member of the World stroke Organization (WSO) and the African Society of Neurorehabilitation (SAFNeR), Felix has undertaken research in Stroke rehabilitation, especially community settings based physical activity.

Presenter of 1 Presentation

COLLECTIVE AND MULTIMODAL PHYSICAL ACTIVITY IMPROVED ACTIVITY LIMITATIONS FOR STROKE SURVIVORS IN LOW INCOME SETTINGS: FEASIBILITY AND EFFICACY OF A RANDOMIZED CONTROLLED TRIAL WITH CROSS-OVER

Session Type
Oral Presentations
Date
27.10.2021, Wednesday
Session Time
12:00 - 13:00
Room
ORAL PRESENTATIONS 1
Lecture Time
12:00 - 12:10

Abstract

Background and Aims

Post-stroke disability leads victims to physical inactivity and activity limitation. Although several protocols of physical activity have been shown to be effective for poststroke people, their modalities were trial dependent, sometimes expensive and less accessible in low income settings. To investigate the feasibility and efficacy of a Circuit walking, Balance, Cycling and strengthening trainings (CBCS) trial on activity limitation in people with chronic stroke.

Methods

Forty-six community-dwelling chronic stroke individuals, no longer undergoing rehabilitation, were randomly assigned to either experimental group (n = 23, CBCS trainings; 2 hours sessions, 3/weeks for 12 weeks) or the control group (n = 23, passive socio-cultural activities; same duration and intensity as experimental group). Afterwards, both groups were crossed over and trained for the same duration and intensity. Feasibility was assessed by retention, adherence rate and safety while efficacy was assessed by the ACTIVLIM-Stroke scale (activity limitation) and 6MWT (walking endurance). Outcomes were measured at baseline, after intervention (12 weeks), at 6 months (after cross-over) and at follow up (3 months).

Results

The retention rate was 100% while the adherence was 93%. Minor adverse events occurred in 10% of cases during the first week. A two (groups) × four (test sessions) analysis of variance indicated significant improvements of activity limitations (ACTIVLIM-stroke, p < .001) and walking endurance (6MWT, p<.001) in the experimental group compared to control. The effects obtained remained improved at follow-up.

Conclusions

Collective and combined physical activity was feasible and safe. It improved functional independence (activity limitation) and walking endurance in chronic stroke survivors.

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