Physical fitness training for stroke patients

Saunders, David H.; Greig, Carolyn; Young, Archie; Mead, Gillian

doi:10.1002/14651858.cd003316.pub2

Cited by 69 publications

(50 citation statements)

References 63 publications

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“…The improvements in overall mobility after hip fracture observed are broadly consistent with findings from other systematic reviews reporting favourable effects of physical fitness training on mobility and balance following stroke,45 and effects of physical rehabilitation on mobility in older people in long-term care 46…”

Section: Discussionsupporting

confidence: 86%

Structured exercise improves mobility after hip fracture: a meta-analysis with meta-regression

Diong¹,

Allen

Sherrington

2015

Br J Sports Med

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Section: Discussionsupporting

confidence: 86%

Structured exercise improves mobility after hip fracture: a meta-analysis with meta-regression

Diong¹,

Allen

Sherrington

2015

Br J Sports Med

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“…Similar to previous meta-analyses on this topic, 24–27,48,49 the overall pooled effect size estimates and 95% confidence intervals from this study confirmed that post-stroke AEX has a significant positive effect on aerobic capacity, walking speed and walking endurance. Clinically important difference (CID) thresholds for these outcomes have been estimated at 1.0–3.0 mL/kg/min for VO 2peak , 50–52 0.05–0.20 m/s for walking speed, 53–58 and 20–50 m for the 6-minute walk test.…”

Section: Discussionsupporting

confidence: 88%

Factors Influencing the Efficacy of Aerobic Exercise for Improving Fitness and Walking Capacity After Stroke

Boyne

Welge

Kissela

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Objective To assess the influence of dosing parameters and patient characteristics on the efficacy of aerobic exercise (AEX) post-stroke. Data Sources A systematic review was conducted using Pubmed, MEDLINE, CINAHL, PEDro and Academic Search Complete. Study Selection Studies were selected that compared AEX to a non-aerobic control group among ambulatory persons with stroke. Data Extraction Extracted outcome data included: peak oxygen consumption during exercise testing (VO2peak), walking speed and walking endurance (6-minute walk test). Independent variables of interest were: AEX mode (seated or walking), AEX intensity (moderate or vigorous), AEX volume (total hours), stroke chronicity and baseline outcome scores. Data Synthesis Significant between-study heterogeneity was confirmed for all outcomes. Pooled AEX effect size estimates (AEX change – control change) from random effects models were: VO2peak, 2.2 mL/kg/min [95% CI: 1.3, 3.1]; walking speed, 0.06 m/s [95% CI: 0.01, 0.11]; and 6-minute walk test distance, 29 m [95% CI: 15, 42]. From meta-regression, greater VO2peak effect sizes were significantly associated with higher AEX intensity and higher baseline VO2peak. Greater effect sizes for walking speed and the 6-minute walk test were significantly associated with a walking AEX mode. In contrast, seated AEX did not have a significant effect on walking outcomes. Conclusions AEX significantly improves aerobic capacity post-stroke, but may need to be task specific to impact walking speed and endurance. Higher AEX intensity is associated with better outcomes. Future randomized studies are needed to confirm these results.

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“…It is important to maintain access to rehabilitation services throughout this time, and the use of local leisure centres to facilitate ongoing exercise programmes should be encouraged. 15 Finally, despite the best medical care, around 20% of stroke patients die within the first 30 days. 16 The provision of high quality palliative care by stroke teams to these patients and their families is an area that requires further development.…”

Section: Overcoming Barriersmentioning

confidence: 99%