American Journal of Occupational Therapy· 2026Q1
Feasibility and Outcomes of High Intensity Arm Training in Stroke
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- Q1SCImago
- 2026year
Short summary
Achieving ">=70% heart rate maximum during arm training is feasible and linked to greater self-care independence in stroke survivors (n=121).
AI-generated from the title and abstract; the full text is not read.
Key points
- High aerobic intensity (>=70% HR max) is achievable during arm training in stroke survivors.
- Achieving >=70% HR max was associated with greater self-care performance improvement (p=.04).
- Use of body weight support was also linked to greater self-care improvement (p=.02).
- The study included 121 individuals admitted to inpatient rehabilitation post-stroke.
AI-generated from the title and abstract; the full text is not read.
Abstract
Importance Aerobic intensity is well supported in poststroke gait rehabilitation, but its role in upper extremity rehabilitation is unclear. Objective Examine whether aerobic intensity is associated with upper extremity recovery and self-care performance. Design Retrospective observational cohort study. Participants 121 individuals admitted to an inpatient rehabilitation hospital after stroke. Intervention Arm therapy targeting increased cardiovascular demand using advanced arm rehabilitation technology and body weight support. Outcomes Arm recovery and self-care performance were assessed using the Fugl-Meyer Assessment for the Upper Extremity and Section GG Medicare Functional Assessment. Results More than half of participants reached ≥70% heart rate (HR) maximum in at least one session. Achieving ≥70% HR maximum ( p = .04) and use of body weight support ( p = .02) were each associated with greater improvement in self-care performance. Conclusions Achieving ≥70% HR maximum during arm training was feasible and associated with greater self-care independence. Strategies to increase cardiovascular demand such as a more challenging body position or the use of body weight support (BWS) may support functional performance in individuals poststroke.
The authors' abstract, as published at the source. American Journal of Occupational Therapy, 2026 · DOI ↗
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Field: Rehabilitation
RehabilitationMedicine