Effects of aerobic training on physical activity in people with stroke: A randomized controlled trial

Aguiar, Larissa Tavares; Nadeau, Sylvie; Britto, Raquel Rodrigues; Teixeira-Salmela, Luci Fuscaldi; Martins, Júlia Caetano; Ribeiro-Samora, Giane Amorim; Júnior, João Antônio da Silva; Faria, Christina Danielli Coelho de Morais

doi:10.3233/nre-193013

Cited by 30 publications

(38 citation statements)

References 40 publications

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“…Aerobic exercises (i.e., stride walking, treadmills, cycling, cross trainers) for people with other conditions (schizophrenia, dementia, chronic stroke, at high risk of depression, etc.) (18,66,72,107,(110)(111)(112)(113)(114)(115)(116)(117)(118)(119)(120)(121)(122)(123)(124) and mind-body exercises (i.e., yoga, tai chi, Qigong, Ba-Duan-Jin, Pilates) for people with other conditions (healthy state, menopause, aging, scleroderma, Parkinson's disease, fibromyalgia, HIV, etc.) (37, 39-41, 120, 125-136) were proven to improve depression, anxiety, cognitive function, and overall functions such as sleep quality, psychological well-being, sexual function, and cardiorespiratory fitness as well.…”

Section: The Therapeutic Effect Of Exercise On Depressionmentioning

confidence: 99%

The Effects and Mechanisms of Exercise on the Treatment of Depression

Xie

Sun

et al. 2021

Front. Psychiatry

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Background: It is necessary to seek alternative therapies for depression, because side effects of medications lead to poor adherence and some patients do not achieve a clinical treatment effect. Recently the role of exercise as a low-cost and easy-to-use treatment for depression has gained attention with a number of studies showing that exercise is effective at reducing depressive symptoms and improving body functions such as cardiorespiratory system and cognitive function. Because of the heterogeneity of exercise therapy programs, there is no standardized and unified program. Few studies have summarized the specific properties of exercise programs (type, intensity, duration, and frequency) and clinical prescriptions for exercise are not mentioned in most articles.Aims: This study aimed to investigate the feasibility and efficacy of exercise therapy for patients with depression, in order to appraise the evidence and outline accepted guidelines to direct individualized treatment plans for patients with depression based on their individual situations.Methods: A systematic review of English language literature including papers published from 2010 to present in PubMed was performed. Given the feasibility of prescribing exercise therapy for patients with depression, nearly 3 years of clinical studies on the treatments of depressive symptoms with exercise were first reviewed, comparing the exercise programs utilized.Conclusions: Exercise has therapeutic effects on depression in all age groups (mostly 18–65 years old), as a single therapy, an adjuvant therapy, or a combination therapy, and the benefits of exercise therapy are comparable to traditional treatments for depression. Moderate intensity exercise is enough to reduce depressive symptoms, but higher-dose exercise is better for overall functioning. Exercise therapy has become more widely used because of its benefits to the cardiovascular system, emotional state, and systemic functions.Recommendations: Aerobic exercise/mind-body exercise (3–5 sessions per week with moderate intensity lasting for 4–16 weeks) is recommended. Individualized protocols in the form of group exercise with supervision are effective at increasing adherence to treatment.

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Section: The Therapeutic Effect Of Exercise On Depressionmentioning

confidence: 99%

The Effects and Mechanisms of Exercise on the Treatment of Depression

Xie

Sun

et al. 2021

Front. Psychiatry

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“…The literature search identified 19 eligible studies (Supplemental Figure S1), with a combined sample size of 1,096 randomized participants (Table 1). 7,8,12,[34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] Among these studies, 14 were in chronic stroke (N=839) and 5 were in subacute stroke (N=257). For two studies, additional data for outcomes of interest were found in other reports.…”

Section: Literature Search Resultsmentioning

confidence: 99%

Moderate to Vigorous Intensity Locomotor Training After Stroke: A Systematic Review and Meta-Analysis of Mean Effects and Individual Response Variability

Boyne

Miller

Kubalak

et al. 2022

Preprint

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Background and Purpose: This meta-analysis quantified mean effects of moderate-to-vigorous intensity locomotor training (LTmv) on walking outcomes in subacute and chronic stroke, and the magnitude of individual variability in LTmv response. Methods: Databases were searched for randomized trials comparing LTmv with no intervention, non-gait intervention or low-intensity gait training. Comfortable gait speed (CGS), fastest gait speed (FGS), 6-minute walk distance (6MWT), walking activity (steps/day) and adverse effect/event (AE) data were extracted. Pooled estimates were calculated for mean changes within and between groups, the relative risk of different AEs, and the standard deviation of individual response (SDIR) to LTmv versus control groups, stratified by study chronicity where possible. Results: There were 19 eligible studies (total N=1,096); 14 in chronic stroke (N=839) and 5 in subacute stroke (N=257). Compared with control interventions, LTmv yielded significantly greater increases in CGS, FGS and 6MWT in both subacute and chronic stroke, with subacute studies showing significantly greater effect sizes for CGS, FGS and nearly 6MWT (p=0.054). In 4 studies reporting steps/day data, LTmv was not significantly different from control interventions. In 14 studies reporting on AEs, there were no treatment-related serious AEs among 398 LTmv participants. SDIR estimates indicated significant individual response variability for CGS, nearly FGS (p=0.0501) and 6MWT. Discussion and Conclusions: LTmv improves mean walking capacity outcomes in subacute and chronic stroke and does not appear to have high risk of serious harm, but response magnitude varies between chronicity subgroups and individuals, and few studies have tested effects on daily walking activity or non-serious AEs.

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“…Of the 28 included trials for qualitative synthesis, 25 (89.3%) were of good methodological quality (Ada et al 2003;Aguiar et al 2020;Bonnyaud et al 2014;Clark & Patten 2013;Combs-Miller et al 2014;Danks, Pohlig & Reisman 2016;Drużbicki et al 2016;Elsner et al 2020;Gama et al 2017;Globas et al 2012;Gordon, Wilks & McCaw-Binns 2013;Ivey et al 2015Ivey et al , 2017Janssen et al 2008;Jin et al 2013;Lamberti et al 2017;Lee et al 2008Lee et al , 2015Lund et al 2018;Marzolini et al 2018;Mead et al 2007;Olney et al 2006;Ouellette et al 2004;Quaney et al 2009;Severinsen et al 2014), and the remaining trials were of fair quality (Dean, Richards & Malouin 2000;Lo et al 2012;Macko et al 2005).…”

Section: Methodological Quality and Risk Of Bias Assessmentmentioning

confidence: 99%

“…The majority of the included studies (78.6%) were carried out with a low risk (Cochrane risk of bias score > 3) of bias (Ada et al 2003;Aguiar et al 2020;Bonnyaud et al 2014;Clark & Patten 2013;Combs-Miller et al 2014;Danks et al 2016;Drużbicki et al 2016;Elsner et al 2020;Gama et al 2017;Globas et al 2012;Gordon et al 2013;Ivey et al 2015Ivey et al , 2017Jin et al 2013;Lamberti et al 2017;Lee et al 2008Lee et al , 2015Marzolini et al 2018;Mead et al 2007;Olney et al 2006;Quaney et al 2009;Severinsen et al 2014), and the remaining trials presented a risk of bias score less than three (Dean et al 2000;Janssen et al 2008;Lo et al 2012;Lund et al 2018;Macko et al 2005;Ouellette et al 2004).…”

Section: Methodological Quality and Risk Of Bias Assessmentmentioning

confidence: 99%

Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke

Amanzonwe

Triccas

Codjo

et al. 2023

S. Afr. j. physiother.

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Background: Although aerobic training (AT) and resistance training (RT) are recommended after stroke, the optimal dosage of these interventions and their effectiveness on balance, walking capacity, and quality of life (QoL) remain conflicting.Objective: Our study aimed to quantify the effects of different modes, dosages and settings of exercise therapy on balance, walking capacity, and QoL in stroke survivors.Methods: PubMed, CINHAL, and Hinari databases were searched for randomised controlled trials (RCTs) evaluating the effects of AT and RT on balance, walking, and QoL in stroke survivors. The treatment effect was computed by the standard mean differences (SMDs).Results: Twenty-eight trials (n = 1571 participants) were included. Aerobic training and RT interventions were ineffective on balance. Aerobic training interventions were the most effective in improving walking capacity (SMD = 0.37 [0.02, 0.71], p = 0.04). For walking, capacity, a higher dosage (duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve) of AT interventions demonstrated a significantly greater effect (SMD = 0.58 [0.12, 1.04], p = 0.01). Combined AT and RT improved QoL (SMD = 0.56 [0.12, 0.98], p = 0.01). Hospital located rehabilitation setting was effective for improving walking capacity (SMD = 0.57 [0.06, 1.09], p = 0.03) compared with home and/or community and laboratory settings.Conclusions: Our findings showed that neither AT nor RT have a significant effect on balance. However, AT executed in hospital-located settings with a higher dose is a more effective strategy to facilitate walking capacity in chronic stroke. In contrast, combined AT and RT is beneficial for improving QoL.Clinical implications: A high dosage of aerobic exercise, duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve is beneficial for improving walking capacity.

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Effects of aerobic training on physical activity in people with stroke: A randomized controlled trial

Cited by 30 publications

References 40 publications

The Effects and Mechanisms of Exercise on the Treatment of Depression

The Effects and Mechanisms of Exercise on the Treatment of Depression

Moderate to Vigorous Intensity Locomotor Training After Stroke: A Systematic Review and Meta-Analysis of Mean Effects and Individual Response Variability

Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke

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