Combined Aerobic and Resistance Training for Cardiorespiratory Fitness, Muscle Strength, and Walking Capacity after Stroke: A Systematic Review and Meta-Analysis

Lee, Junghoon; Stone, Audrey J.

doi:10.1016/j.jstrokecerebrovasdis.2019.104498

Cited by 46 publications

(38 citation statements)

References 42 publications

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“…These findings support standard CR model dosing for stroke survivors. Previous research and evidence-based recommendations also support CR dosing for survivors [48].…”

Section: Survivors Can Meet Cr Rpe Intensity Demandsmentioning

confidence: 92%

Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study

et al. 2021

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Background Survivors of stroke are often deconditioned and have limited opportunities for exercise post-rehabilitation. Cardiac Rehabilitation (CR), a structured exercise program offered post-cardiac event in the United States (U.S.), may provide an opportunity for continued exercise. The purpose of this study was to examine the feasibility of integrating survivors of stroke into an existing, hospital-based CR program through an assessment of (1) recruitment, uptake and retention, (2) adherence and fidelity, (3) acceptability and (4) safety. Methods A mixed methods design combined a single group, pre-post design, pilot feasibility study with an imbedded qualitative inquiry. Survivors of stroke were recruited into a standard 12-week, 36 visit CR program. Results Fifty-three survivors were referred, 29 started and 24 completed the program. Program uptake rate was 55% and completion rate was 83%. Eleven completers and one non-completer participated in the qualitative interviews. Program completers attended an average of 25.25 (SD 5.82) sessions with an average of 38.93 (SD 5.64) exercise minutes per session while reaching targeted rate of perceived exertion levels. Qualitative themes included perceived benefits of an individualized program in a group setting, positive interactions with qualified staff, opportunities for socialization, and regular monitoring and staff attentiveness promoting feelings of safety. Conclusions Survivors of stroke were able to meet Medicare standard dosage (frequency and session duration) and rate of perceived intensity goals, and perceived the program as needed regardless of their mobility limitations or previous exercise experience. Primary challenges included managing referrals and uptake. Results support feasibility and benefit for survivors to integrate into U.S. CR programs.

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“…These findings support standard CR model dosing for stroke survivors. Previous research and evidence-based recommendations also support CR dosing for survivors [48].…”

Section: Survivors Can Meet Cr Rpe Intensity Demandsmentioning

confidence: 92%

Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study

et al. 2021

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“…For example, it would be interesting to explore this hypothesis in patients with cerebrovascular pathologies. A recent meta-analysis showed that a program combining aerobic and resistance exercise (i.e., performed at moderate intensity, three times a week for 20 weeks) had a greater effect on cardiorespiratory fitness, muscle strength, and walking ability in stroke patients ( Lee and Stone, 2020 ) than aerobic or resistance training alone. However, this effect of exercise on cardiorespiratory fitness is not related to executive functions, which are dysfunctional in 75% of stroke patients ( Povroznik et al, 2018 ).…”

Section: Futures Perspectives Of Researchmentioning

confidence: 99%

“…From this perspective, several interventions can be suggested to participants according to their functional abilities. For example, fit participants may participate in a training program combining endurance and resistance ( Lee and Stone, 2020 ) or in a training program combining physical and cognitive exercises ( Ji et al, 2019 ). Moreover, the immersive virtual reality could be proposed to participants with low functional capacity preventing them from doing traditional physical exercise ( Burin et al, 2020 ).…”

Section: Futures Perspectives Of Researchmentioning

confidence: 99%

Mini-Review of Studies Testing the Cardiorespiratory Hypothesis With Near-Infrared Spectroscopy (NIRS): Overview and Perspectives

2021

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The cardiorespiratory hypothesis (CH) is one of the hypotheses used by researchers to explain the relationship between cardiorespiratory fitness and cognitive performance during executive functions. Despite the indubitable beneficial effect of training on brain blood flow and function that may explain the link between physical fitness and cognition and the recognition of the near-infrared spectroscopy (NIRS) as a reliable tool for measuring brain oxygenation, few studies investigated the CH with NIRS. It is still not well understood whether an increase in brain flow by training is translated into an increase in cerebral oxygenation. Thus, the objective of this mini-review was to summarize main results of studies that investigated the CH using the NIRS and to propose future research directions.

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“…It is now widely acknowledged that exercise benefits from the conceptualization of habits (Hagger, 2019(Hagger, , 2020Gardner et al, 2020;Phillips, 2020). Regarding performance, the type of exercise (e.g., aerobic, resistance, high-intensity interval training, stretching) should be considered according to the performance outputs expected (Wen et al, 2019;Lee and Stone, 2020;Martland et al, 2020;Wilke et al, 2020).…”

Section: Exercisementioning

confidence: 99%

Performance Habits: A Framework Proposal

et al. 2020

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Combined Aerobic and Resistance Training for Cardiorespiratory Fitness, Muscle Strength, and Walking Capacity after Stroke: A Systematic Review and Meta-Analysis

Cited by 46 publications

References 42 publications

Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study

Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study

Mini-Review of Studies Testing the Cardiorespiratory Hypothesis With Near-Infrared Spectroscopy (NIRS): Overview and Perspectives

Performance Habits: A Framework Proposal

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