Comparison of Effect of Aerobic Cycle Training and Progressive Resistance Training on Walking Ability After Stroke: A Randomized Sham Exercise–Controlled Study

Lee, Mi Joung; Kilbreath, Sharon L.; Singh, Maria A. Fiatarone; Zeman, Brian; Lord, Stephen R.; Raymond, Jacquelene; Davis, Glen M.

doi:10.1111/j.1532-5415.2008.01707.x

Cited by 111 publications

(144 citation statements)

References 35 publications

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“…As to the instruments used for aerobic training, we observed that 60% of studies used cycle ergometer, 33.3% used a treadmill and 6.7% a combination of the two. With regard to control group, 73.3% of studies used the conventional physiotherapy as a therapeutic option, 6.7% used functional training, and 20% had chosen alternative protocols, [10][11][12] which are shown in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Aerobic Program in Persons with Stroke: A Systematic Review

et al. 2014

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Introduction: The aim of this study was to perform a systematic review on the exercise trials post stroke. Material and Methods: Therefore, we conducted a systematic review of randomized controlled clinical trials published in PubMed and PEDro. The inclusion criteria were: Studies -randomized or controlled clinical trials; Participants -Adults of any age with a clinical diagnosis of stroke; Interventions -any aerobic physical training aimed at improving cardiovascular capacity and/or function. Two independent reviewers categorized the selected trials, assessed methodological quality and extracted the relevant data. Various protocols were analyzed and used for both the assessment and physical training of post-stroke subjects. results:According to clinical trials analyze, a wide range of instruments were used to measure functional capacity. Ergospirometry and ergometry were found to be main devices in the assessment of cardiovascular capacity. Cycle ergometer training was the most commonly used training strategy, and conventional physiotherapy (based on stretching, strengthening, balance, coordination and gait training) was the most frequent control therapy. Discussion: Training duration ranged from 4 weeks to 6 months; the mean weekly frequency was 3 sessions per week while training intensity ranged from 40 to 80% of maximal heart rate or VO2 peak. Duration of training sessions ranged from 25 minutes to 1 hour. conclusion: Exercise training is a promising tool for the management of post-stroke patients, both in terms of improved cardiovascular and functional capacity. Further studies are needed to widen the scope of therapeutic management of this population. Treino\exercício na bicicleta ergométrica foi a estratégia de treino mais comumente usada, e fisioterapia convencional (baseada em alongamentos, fortalecimentos, treino de equilíbrio, coordenação e marcha) foi a terapia de controle mais frequente. Discussão: A duração do programa variou de 4 semanas a 6 meses, a frequência semanal média foi de três sessões por semana, enquanto que a intensidade do treinamento variou de 40 a 80% da frequência cardíaca máxima ou VO2 máximo. A duração de sessões de treino variou entre 25 minutos a 1 hora. conclusão: O treino físico é uma ferramenta promissora para o tratamento de pacientes pós-AVC, tanto em termos de melhoria da capacidade funcional e da capacidade cardiovascular. No entanto, mais estudos são necessários para ampliar a área de atuação terapêutica nesta população.

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Section: Resultsmentioning

confidence: 99%

Aerobic Program in Persons with Stroke: A Systematic Review

et al. 2014

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“…21 35 Stroke-Adapted Sickness Impact Profile, 30 and Recovery Locus of Control Scale. 22 Six studies 20,22,30,[32][33][34] examined intervention effects at follow-up, which ranged from 12 to 24 weeks postintervention.…”

Section: Resultsmentioning

confidence: 99%

Effects of Exercise on Quality of Life in Stroke Survivors

Chen

Rimmer

2011

Stroke

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Background and Purpose-One of the major consequences after stroke is the deterioration in health-related quality of life (HRQOL). Three previous systematic reviews indicated that exercise has limited to no effect in improving HRQOL in stroke survivors. The objective of this meta-analysis was to update the evidence on exercise and HRQOL in stroke survivors with additional new information on randomized controlled trials that have been published since these 3 previous reviews. Methods-MEDLINE, Cumulated Index to Nursing and Allied Health Literature, EMBASE, and SportsDiscus databases were searched for randomized controlled trials reporting the effects of exercise on HRQOL in stroke survivors from 1950 to March 2010. The methodological quality of each study was appraised using the Physiotherapy Evidence Database scale. Standardized mean difference was used to compute effect size and subgroup analysis was conducted to test the consistency of results across the subgroups with different characteristics. Results-A total of 1101 citations was identified and 9 studies met all criteria for a total sample of 426 stroke survivors.Eight studies were rated as good quality (ie, Physiotherapy Evidence Database scale Ն5). This meta-analysis provided evidence that exercise can have a small to medium effect on HRQOL outcomes (standardized mean difference, 0.32, PϽ0.01) at postintervention but not at follow-up after exercise was terminated (standardized mean difference, 0.17, Pϭ0.12). No adverse events related to exercise were reported. Conclusions-The results provide moderate support for the use of exercise to improve HRQOL in stroke survivors. However, the challenge for researchers is identifying effective strategies for sustaining these effects postintervention. (Stroke. 2011;42:832-837.)Key Words: exercise Ⅲ meta-analysis Ⅲ quality of life Ⅲ stroke Ⅲ systematic review S troke survivors report a poorer health-related quality of life (HRQOL) compared with the general population. 1-3 Although HRQOL is a multidimensional concept, it is usually measured by physical or mental attributes associated with overall health status. 4,5 For stroke survivors, the physical attributes of HRQOL include the interference they perceive in performing physical activities such as the ability to walk 1 block or by responses to pain levels associated with performing activities (eg, work outside the home and housework), 4,5 and mental attributes are often measured by the perception of subjective feelings of interference in participating in social activities. 4,5 Exercise may offset some of the decline in HRQOL in stroke survivors by (1) reducing secondary conditions such depression and pain; and/or (2) improving overall physical fitness, which leads to higher levels of physical function (eg, greater self-efficacy in performing activities of daily living). 6 The dozen or so systematic reviews that have been published on the effects of exercise in stroke survivors [7][8][9][10][11][12][13][14][15][16][17][18][19] have focused almost entirely on phys...

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“…Cycling did not produce any differences in Physical Health Component (SF-36 measure) compared with strength and combined strength and aerobic training in a previous study. 7 The walking program did not show a superior benefit on Mental Health quality of life. This may be because of improvement in the control group attributable to the attention paid to the subjects.…”

Section: Discussionmentioning

confidence: 99%

Effect of Aerobic Exercise (Walking) Training on Functional Status and Health-related Quality of Life in Chronic Stroke Survivors

Gordon

Wilks

McCaw-Binns

2013

Stroke

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A erobic exercise training in stroke has been shown to increase lower extremity strength, 1 improve aerobic capacity, 2 and functional abilities.3 Although these outcomes may impact health-related quality of life (HRQL), 4 the effect of aerobic exercise on HRQL has been much less investigated. Improvement in HRQL after combined aerobic and strengthening exercise has been reported, 5 whereas others have shown no effect. 6 Aerobic training alone was investigated in only 1 study with no effect. 7Previous studies used mainly treadmill and cycle ergometers, with none examining more accessible and less expensive modes of aerobic training such as overground walking. The purpose of this study was to determine the effect of a community-based, 12-week aerobic (walking) exercise program on functional status and HRQL in community-dwelling stroke survivors. Methods Design and SubjectsA single-blind randomized controlled trial was done. The study received ethics approval, and subjects gave written informed consent. Subjects were recruited from among those treated at 3 hospitals in the parishes of Kingston and St. Andrew. Persons included were: ≥40 years of age, community dwelling, 6 to 24 months after stroke, able to walk with or without an assistive device, not currently in a rehabilitation or regular exercise program, not having any disorder that would compromise exercise training, such as unstable cardiovascular diseases, and not having any cognitive deficits. ProceduresPotential candidates were screened for eligibility by a medical practitioner before baseline assessment, then block randomized to intervention and control groups. Reassessment was done at 6 weeks and 3 months (end of training). Participants were assessed by a physical therapist blinded to group assignment. InterventionSubjects were supervised by trained instructors to walk briskly along a prescribed course for 15 minutes, 3 times per week, for 12 weeks, initially, progressing by 5 minutes per week up to 30 minutes in their home or community. Target heart rate was 60% to 85% of agepredicted maximum heart rate (220-age). Training progression was also carried out by increasing speed.Background and Purpose-Little is known about the effects of community-based walking programs in persons with chronic stroke. The purpose of this study was to determine the effects of aerobic (walking) training on functional status and health-related quality of life in stroke survivors. Methods-A single-blind randomized controlled trial was conducted. The intervention group (n=64)

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Comparison of Effect of Aerobic Cycle Training and Progressive Resistance Training on Walking Ability After Stroke: A Randomized Sham Exercise–Controlled Study

Cited by 111 publications

References 35 publications

Aerobic Program in Persons with Stroke: A Systematic Review

Aerobic Program in Persons with Stroke: A Systematic Review

Effects of Exercise on Quality of Life in Stroke Survivors

Effect of Aerobic Exercise (Walking) Training on Functional Status and Health-related Quality of Life in Chronic Stroke Survivors

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