vivifrail program on the degree of debilitation in hospitalized patients after venous hemolysis in acute ischemic stroke

Conditions: Ischemic Stroke; Exercise Therapy; Frailty

Summary: physical exercise is an effective strategy to maintain functional ability and improve debilitating symptoms in the elderly.in addition to functional enhancement, exercise is considered a cornerstone for enhancing cognitive function in debilitated older adults with cognitive impairment and dementia.the investigators evaluated the effect of the vivifrail exercise intervention on the degree of debilitation in elderly hospitalized patients after venous hemolysis in acute ischemic stroke

elderly patients who are acutely hospitalized, including those who are able to walk independently, spend most of their stay in bed.in addition to worsening their functional status leading to significant muscle wasting and the development of other symptoms, it also increases the risk of cognitive decline and dementia in older adults, which is more pronounced in patients with acute ischemic stroke after venous hemolysis, and increases awareness of the need to replace prolonged bed rest with physical activity or exercise.because there is evidence that this therapy during hospitalization is effective;a large number of studies have shown that rehabilitation training for ais patients within 24 hours of onset is beneficial food. in addition, exercise can reduce the damage caused by acute illness and hospitalization.even so, it has not been established whether exercise therapy affects the degree of weakness or whether weakness affects response to treatment. while frailty is not a disease, it can affect the presentation of many age-related diseases and the response to treatment.for example, after a short period of strength exercise in frail elderly people, autophagy in muscle cells is activated, affecting the overall health of the muscles and thus the ability to move.similarly, the inflammatory response increases after vigorous aerobic exercise.it was also less clear whether individuals with higher frailty had any response to the intervention. multi-component exercise（vivifrail） is an innovative multi-component exercise program that includes strength training, endurance training, balance training, and flexibility training to improve the exerciser's gait, balance, and cardiorespiratory function by increasing muscle mass, strength, and endurance.recent studies have shown that it is one of the best ways to improve patients' gait, balance, cardiopulmonary function and cognitive executive function, as well as the best way to treat frailty, and can reduce the risk of falls and delay cognitive decline in elderly hospitalized patients with neurocognitive disorders. the objective of this study was to examine the effect of exercise intervention on the level of frailty in older adults admitted for venous hemolysis for acute ischemic stroke.the effects of baseline frailty levels on the intervention, effectiveness of frailty, changes in physical function (modified barthel index (mbi), short physical performance battery (sppb), and other health outcomes were determined.

Eligibility criteria:
inclusion criteria: 1. over 65 years of age; 2. hospitalized patients diagnosed with ischemic stroke; 3. barthel index ≥60; 4. muscle strength of both upper and lower limbs is above grade 3; 5. the pre-frailty and frailty state of the modified 5 frailty index (mfi-5) standard; 6. patients willing to cooperate and sign informed consent exclusion criteria: 1. fracture (within three months), 2. severe cognitive impairment, or severe dementia; 3. unable or unwilling to cooperate, any other unstable medical condition, or conditions that would prevent physical activity