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Effectiveness of aerobic exercise and balanced diet for motor and functional recovery of stroke survivors with and without diabetics and post stroke diabetics

Rajalaxmi V, Selvam A P, Padmini Priyadarshini M, Senthil Nathan C V, Mohan Kumar G, Veena Kirthika S.

Abstract
Background: Diabetes is a strong risk factor for stroke, it is unsettled stroke is different in patients with and without diabetes. Hyperglycemia has been observed after an acute stroke and is associated with poor prognosis. Stroke patients with diabetes mellitus appear to have a worse prognosis in term of both mortality and residual disability.

Aims and Objective: The study aims to prospectively characterize stroke in the diabetic patients in stroke population. To determine the time course of recovery and prognosis in stroke patients with diabetes and the relation between non-diabetes, pre diabetes, and post diabetes.

Materials and Methods: A total of 65 subjects were enrolled for the study from the Outpatient Department of ACS Medical College and Hospital. 30 patients after exclusion were subjected for the therapeutic session under 3 groups of 10 each, such as non-diabetic, diabetic before stroke and diabetic after the stroke, and each group comprising males and females. The treatment session of 3 months comprised aerobic exercises, neurological rehabilitation, and prescribed diet. Pre- and post-test using, Scandinavian stroke scale (SSS), Barthel’s Index (BI), and random blood glucose level. Data were analyzed using twotailed t-tests, delineated as a mean ±standard deviation and the level of significance was set at P < 0.01 for SSS, P < 0.005 for BI, and P < 0.005 for random glucose level (RGL).

Results: Pre- and post-intervention data of SSS and BI of all the three groups of subjects recorded significant increase at P < 0.01 and P < 0.05, respectively, indicating the positive impact of the treatment session on mitigation of disabilities. The RGL data of both diabetic groups recorded a significant reduction in the post-treatment estimation, confirming the effectiveness of the treatment regimen in regulating the blood glucose level as well.

Conclusion: This study has demonstrated the positive impact of physical activity; particularly the aerobic exercise and nutritional alterations in successful intervention of the disabilities of stroke survivors with and without diabetes.

Key words: Aerobic Exercise; Barthel’s Index; Diabetes; Prognosis; Scandinavian Stroke Scale; Stroke



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