Acute cardiovascular exercise does not enhance locomotor learning in people with stroke

Roig, Marc; Heras, Bernat de Las

doi:10.1113/jp276172

Cited by 2 publications

(2 citation statements)

References 11 publications

(19 reference statements)

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“…One study that met our criteria employed movement priming for UE in individuals after chronic stroke. 3 Physical activity has a positive effect on brain function, health, 66 and cognition because of alterations in molecular signaling pathways that act directly on the central nervous system.CNS 10 Therefore, most previous studies have demonstrated that exercise can improve skill learning in young healthy individuals 67 and cognition and motor function in poststroke individuals. 68 High-intensity aerobic exercise performed immediately after motor training improves skill retention, 67 and the same exercise performed immediately before motor task practice is thought to facilitate learning.…”

Section: Discussionmentioning

confidence: 99%

“…3 Physical activity has a positive effect on brain function, health, 66 and cognition because of alterations in molecular signaling pathways that act directly on the central nervous system.CNS 10 Therefore, most previous studies have demonstrated that exercise can improve skill learning in young healthy individuals 67 and cognition and motor function in poststroke individuals. 68 High-intensity aerobic exercise performed immediately after motor training improves skill retention, 67 and the same exercise performed immediately before motor task practice is thought to facilitate learning. 10 In addition, the case study by Valkenborghs et al 69 showed an improvement in UE motor function in the subacute and chronic stages of stroke when aerobic exercise was combined with cycle ergometers with task - specific training compared with task-specific training alone.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Priming on Outcomes of Task-Oriented Training for the Upper Extremity in Chronic Stroke: A Systematic Review and Meta-analysis

Silva

Ocamoto

Santos-Maia

et al. 2020

Neurorehabil Neural Repair

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Background. Priming results in a type of implicit memory that prepares the brain for a more plastic response, thereby changing behavior. New evidence in neurorehabilitation points to the use of priming interventions to optimize functional gains of the upper extremity in poststroke individuals. Objective. To determine the effects of priming on task-oriented training on upper extremity outcomes (body function and activity) in chronic stroke. Methods. The PubMed, CINAHL, Web of Science, EMBASE, and PEDro databases were searched in October 2019. Outcome data were pooled into categories of measures considering the International Classification Functional (ICF) classifications of body function and activity. Means and standard deviations for each group were used to determine group effect sizes by calculating mean differences (MDs) and 95% confidence intervals via a fixed effects model. Heterogeneity among the included studies for each factor evaluated was measured using the I2 statistic. Results. Thirty-six studies with 814 patients undergoing various types of task-oriented training were included in the analysis. Of these studies, 17 were associated with stimulation priming, 12 with sensory priming, 4 with movement priming, and 3 with action observation priming. Stimulation priming showed moderate-quality evidence of body function. Only the Wolf Motor Function Test (time) in the activity domain showed low-quality evidence. However, gains in motor function and in use of extremity members were measured by the Fugl-Meyer Assessment (UE-FMA). Regarding sensory priming, we found moderate-quality evidence and effect size for UE-FMA, corresponding to the body function domain (MD 4.77, 95% CI 3.25-6.29, Z = 6.15, P < .0001), and for the Action Research Arm Test, corresponding to the activity domain (MD 7.47, 95% CI 4.52-10.42, Z = 4.96, P < .0001). Despite the low-quality evidence, we found an effect size (MD 8.64, 95% CI 10.85-16.43, Z = 2.17, P = .003) in movement priming. Evidence for action observation priming was inconclusive. Conclusion. Combining priming and task-oriented training for the upper extremities of chronic stroke patients can be a promising intervention strategy. Studies that identify which priming techniques combined with task-oriented training for upper extremity function in chronic stroke yield effective outcomes in each ICF domain are needed and may be beneficial for the recovery of upper extremities poststroke.

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