Effects of aerobic exercise using cycle ergometry on balance and functional capacity in post-stroke patients: a systematic review and meta-analysis of randomised clinical trials

Campo, Luigi Da; Hauck, Melina; Marcolino, Miriam Allein Zago; Pinheiro, Douglas Rafael da Rosa; Plentz, Rodrigo Della Méa; Cechetti, Fernanda

doi:10.1080/09638288.2019.1670272

Cited by 11 publications

(6 citation statements)

References 22 publications

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“… 39 Aerobic exercise on a cycle ergometer has no positive effect on balance. 40 , However, the effects of treadmill gait training, with or without weight support, have been found to be positive. 41 Peripheral somatosensory stimulation was beneficial in controlling postural stability in individuals in the poststroke chronic phase as an adjuvant therapy.…”

Section: Postural Control and Balancementioning

confidence: 99%

Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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The Brazilian Practice Guidelines for Stroke Rehabilitation – Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

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Section: Postural Control and Balancementioning

confidence: 99%

Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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“…The Z-curves did not cross the monitoring boundaries before reaching the RIS for any of the studies. Additionally, six of the twelve results (five of gait speed and one of balance) were insignificant in the original meta-analyses as well as in the TSA, failing to cross the conventional boundaries (two studies [ 63 , 64 ] had calculated RISs several times the actual sample sizes and insignificant overall effects in the original meta-analyses). Considering a large proportion of insignificant results do not reach the RIS, a potential positive intervention effect of aerobic or resistance exercises on gait speed and balance function cannot be ignored.…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive Appraisal of Meta-Analyses of Exercise-Based Stroke Rehabilitation with Trial Sequential Analysis

Sun

et al. 2022

Healthcare

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Meta-analysis is a common technique used to synthesise the results of multiple studies through the combination of effect size estimates and testing statistics. Numerous meta-analyses have investigated the efficacy of exercise programmes for stroke rehabilitation. However, meta-analyses may also report false-positive results because of insufficient information or random errors. Trial sequential analysis (TSA) is an advanced technique for calculating the required information size (RIS) and more restrictive statistical significance levels for the precise assessment of any specific treatment. This study used TSA to examine whether published meta-analyses in the field of stroke rehabilitation reached the RIS and whether their overall effect sizes were sufficient. A comprehensive search of six electronic databases for articles published before May 2022 was conducted. The intervention methods were divided into four primary groups, namely aerobic or resistance exercise, machine-assisted exercise, task-oriented exercise, and theory-based exercise. The primary outcome measure was gait speed and the secondary outcome measure was balance function. The data were obtained either from the meta-analyses or as raw data from the original cited texts. All data analysis was performed in TSA software. In total, 38 articles with 46 analysable results were included in the TSA. Only 17 results (37.0%) reached the RIS. In conclusion, meta-analysis interpretation is challenging. Clinicians must consider the RIS of meta-analyses before applying the results in real-world situations. TSA can provide accurate evaluations of treatment effects, which is crucial to the development of evidence-based medicine.

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“…Another resource used is adapted cycloergometry (AC), which allows passive, active, and resisted exercises, improvement of lower limb functional capacity, trunk control, and gait speed (Campo et al, 2019). Considered a pre-deambulation rehabilitation method, cycling activity is tolerable in acute, subacute, or chronic post-stroke phases, where subjects perform by means of a simple activity, constant and cyclic lower limb movements that resemble walking (Ofori et al, 2019).…”

Section: Capítulo 98mentioning

confidence: 99%

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

Aquino¹,

Santos²,

Castilho³

et al. 2023

Collection of International Topics in Health Science- V1

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Cycloergometry associated with a Serious Game can contribute to the improvement of lower limb motor performance, aerobic capacity, balance, and in addition, increase motivation during therapy. This study is conducted to evaluate the feasibility of using adapted cycle ergometry associated with a serious game on hemiparetic patients due to stroke in the acute phase. It is a feasibility study with a cross-sectional design, with hospitalized patients aged 18 years or older and clinically stable. Pre-intervention: lower limb performance (Sit and Stand Test for five times) and functional mobility (Timed Up and Go Test) evaluated. A Likert scale was applied to verify the motivation, training ease performing, and the participants' perception of the resource's usefulness. The Serious Game was used on two consecutive days for 30 minutes each. Vital signs and perceived exertion (Borg Scale) were monitored during therapy. Sixty-five individuals, with a mean age of 62, 88 12, 23, participated in the research. Regarding motivation during the game, 98.5% of the participants reported feeling motivated during the activity. The resource was considered easy for 87.7% of the individuals, and 78.5% perceived its usefulness in therapy. There was no statistically significant difference in hemodynamic variables, demonstrating safety in the application of the game in the acute phase. The motivation, attention, engagement, and satisfaction with the use of the system during the sessions indicate a very interesting potential for use in this phase.

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Effects of aerobic exercise using cycle ergometry on balance and functional capacity in post-stroke patients: a systematic review and meta-analysis of randomised clinical trials

Cited by 11 publications

References 22 publications

Brazilian practice guidelines for stroke rehabilitation: Part II

Brazilian practice guidelines for stroke rehabilitation: Part II

A Comprehensive Appraisal of Meta-Analyses of Exercise-Based Stroke Rehabilitation with Trial Sequential Analysis

Serious Game With Cycloergomerics Adapted For The Training Of Post-Stroke Hemiparetic Patients In Acute Phase: A Feasibility Study

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