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The purpose of this study was to investigate the effects of exercise through an in-hospital rehabilitation program on the enhanced immunity of immune cells and on the reduction of serum Cortisol, an indicator of physiological stress responses, among stroke patients. The 25 subjects were put to the program for two years from March 2, 2013 to February 28, 2015. The experimental group included 13 stroke patients from S and C Hospital in Gwangju, and the control group was composed of 12 common people. The findings were as follows: there were no significant differences in T cells between the experimental group with 69.18±11.78% and the control group with 70.75±6.33%; there were significant differences in B cells between the experimental group (12.95±3.74%) and the control group (16.27±3.49%). Furthermore, there were no statistically significant increases of NK cells between the experimental group (21.98±8.98%) and the control group (15.72±5.07%) with p<0.05, though the values for the experimental group did rise. While there was elevated Cortisol before exercise in the experimental group (p<0.05), which recorded 13.65±6.85% before and 9.90±4.66% after, there were no differences in the control group, which recorded 11.635±4.02% before and 12.64±2.30% after exercise. The present study also found continued exercise through an in-hospital rehabilitation exercise program increased differences in NK and T cells before and after exercise in the experimental group and thus had effects on enhanced immunity. Meanwhile, differences in Cortisol before and after exercise in the experimental group decreased, which indicates that the continued exercise was effective in reducing stress.

The Effects of Rehabilitation Treatment on the Immune Cells and Cortisol Levels of Stroke Patients