Physical fitness training for stroke patients
David Saunders,Mark Sanderson,Sara Hayes,Maeve Kilrane,Carolyn A. Greig,Maeve Brazzelli,Gillian Mead +6 more
TLDR
Cardiorespiratory training and, to a lesser extent, mixed training reduce disability during or after usual stroke care; this could be mediated by improved mobility and balance.Abstract:
Stroke patients have impaired physical fitness and this may exacerbate their disability. It is not known whether improving physical fitness after stroke reduces disability. Objectives The primary aims were to establish whether physical fitness training reduces death, dependence and disability after stroke. The secondary aims included an investigation of the effects of fitness training on secondary outcome measures (including, physical fitness, mobility, physical function, health and quality of life, mood and the incidence of adverse events). Randomised controlled trials were included when an intervention represented a clear attempt to improve either muscle strength and/or cardiorespiratory fitness, and whose control groups comprised either usual care or a non-exercise intervention. A total of 12 trials were included in the review. No trials reported death and dependence data. Two small trials reporting disability showed no evidence of benefit. The remaining available secondary outcome data suggest that cardiorespiratory training improves walking ability (mobility). Observed benefits appear to be associated with specific or 'task-related' training.read more
Citations
More filters
Journal ArticleDOI
Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases
TL;DR: This review provides the reader with the up‐to‐date evidence‐based basis for prescribing exercise as medicine in the treatment of 26 different diseases: psychiatric diseases (depression, anxiety, stress, schizophrenia).
Journal ArticleDOI
Motor recovery after stroke: a systematic review
TL;DR: Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.
Journal ArticleDOI
Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association
Carolee J. Winstein,Joel M. Stein,Ross Arena,Barbara E. Bates,Leora R. Cherney,Steven C. Cramer,Frank DeRuyter,Janice J. Eng,Beth E. Fisher,Richard L. Harvey,Catherine E. Lang,Marilyn MacKay-Lyons,Kenneth J. Ottenbacher,Sue Pugh,Mathew J. Reeves,Lorie Richards,William Stiers,Richard D. Zorowitz +17 more
TL;DR: This guideline provides a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence.
Journal ArticleDOI
Physical Activity and Exercise Recommendations for Stroke Survivors A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
Sandra A. Billinger,Ross Arena,Julie Bernhardt,Janice J. Eng,Barry A. Franklin,Cheryl Mortag Johnson,Marilyn MacKay-Lyons,Richard F. Macko,Gillian Mead,Elliot J. Roth,Marianne Shaughnessy,Ada Tang +11 more
TL;DR: The incidence of stroke is likely to continue to escalate because of an expanding population of elderly Americans; a growing epidemic of diabetes, obesity, and physical inactivity among the general population; and a greater prevalence of heart failure patients.
Journal ArticleDOI
What is the evidence for physical therapy poststroke? A systematic review and meta-analysis.
Janne M. Veerbeek,Erwin van Wegen,Roland P. S. Van Peppen,Philip J. van der Wees,Erik J.M. Hendriks,Marc B. Rietberg,Gert Kwakkel +6 more
TL;DR: There is strong evidence for PT interventions favoring intensive high repetitive task-oriented and task-specific training in all phases poststroke, and suggestions for prioritizing PT stroke research are given.
References
More filters
Journal ArticleDOI
Measuring inconsistency in meta-analyses
TL;DR: A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
Journal ArticleDOI
The Hospital Anxiety and Depression Scale.
A. S. Zigmond,R. P. Snaith +1 more
TL;DR: It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
Journal ArticleDOI
An inventory for measuring depression
TL;DR: The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed.
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal ArticleDOI
The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment
Ziad S. Nasreddine,Natalie A. Phillips,Valérie Bédirian,Simon Charbonneau,Victor Whitehead,Isabelle Collin,Jeffrey L. Cummings,Howard Chertkow +7 more
TL;DR: A 10‐minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first‐line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.