Journal of Education and Health Promotion

Implementation of home‑based health promotion program to improve flow‑mediated dilation among patients with subacute stroke

Document Type : Original Article

Authors

. Fariborz Khorvash
. Hossein Shahnazi
. Mohammad Saadatnia
. Fatemeh Esteki‑Ghashghaei

Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
INTRODUCTION: Stroke causes physiologic functional changes such as vascular resistance and
arterial remodeling. This study aimed to explore the effects of 3‑month regular home‑based exercise
rehabilitation on brachial flow‑mediated dilation (FMD), daily physical activity, and upper and lower
extremity sensorimotor of the acute ischemic stroke patients.
MATERIALS AND METHODS: This randomized control trial was done from August 2017 to September
2018. Patients with unilateral ischemic stroke were recruited from inpatient wards at an educational
hospital. Patients were randomly assigned to the home‑based rehabilitation program (intervention
group) or usual care (control group). Fugl‑Meyer upper and lower extremity sensorimotor score and
Barthel 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. The
control group did not receive home‑based rehabilitation program and incentive telephone call. All
data 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 control
group) were examined. Results showed that Barthel score and Fugl‑Meyer upper and lower extremity
score and FMD in the intervention group were significantly higher than the control group after 3‑month
home‑based exercise rehabilitation (P < 0/001).
CONCLUSION: Twelve‑week regular home‑based exercise training was well tolerated by the
intervention group. After this period, improvements were reported in brachial FMD as well as daily
physical activity and upper and lower extremity functional capacity.


Keywords

Flow‑mediated dilation
health promotion
stroke 
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Journal of Education and Health Promotion
Volume 10, Issue 2
February 2020
Pages 1-7

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