The effect of aerobic exercise on stroke rehabilitation

Gezer, Halise Hande; Karaahmet, Özgür Zeliha; Gürçay, Eda; Dülgeroğlu, Deniz; Çakçı, Aytül

doi:10.1007/s11845-018-1848-4

Cited by 20 publications

(23 citation statements)

References 18 publications

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“…The AEX + TST also improved their cardiorespiratory fitness more than the TST group, which is an important risk factor in the prevention of stroke (Hussain et al, ; Pandey et al, ). These findings support the merit of including aerobic exercise as part of a comprehensive stroke rehabilitation intervention (Collins, Clifton, Wijck, & Mead, ; Gezer, Karaahmet, Gurcay, Dulgeroglu, & Cakci, ).…”

Section: Discussionsupporting

confidence: 71%

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

Valkenborghs

Vliet

Nilsson

et al. 2019

Physiotherapy Res Intl

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Objective This study examined the feasibility of a parallel‐group assessor‐blinded randomized controlled trial investigating whether task‐specific training preceded by aerobic exercise (AEX + TST) improves upper limb function more than task‐specific training (TST) alone. Methods People with upper limb motor dysfunction after stroke were allocated to TST or AEX + TST. Both groups were prescribed 60 hr of TST over 10 weeks (3 × 1‐hr sessions with a therapist per week and 3 × 1 hr of home‐based self‐practice per week). The AEX + TST group performed 30 minutes of aerobic exercise immediately prior to the 1 hr of TST with the therapist. Recruitment, adherence, retention, participant acceptability, and adverse events were recorded. Clinical measures were performed prerandomization at baseline, on completion of the intervention, and at 1‐ and 6‐month follow‐up. Results Fifty‐nine persons after stroke were screened, 42 met the eligibility criteria, and 20 (11 male; mean [SD] age: 55.4 [16.0] years; time since stroke: 71.7 [91.2] months) were recruited over 17 months. The mean Wolf Motor Function Test Functional Ability Score at baseline was 27.4 (max = 75) and the mean Action Research Arm Test score was 11.2 (max = 57). Nine were randomized to AEX + TST and 11 to TST. There were no adverse events, but there was one drop out. Retention at 1‐ and 6‐month follow‐up was 80% and 85%, respectively. Attendance was 93% (6) for the AEX + TST group, and 89% (9) for the TST group. AEX + TST was perceived as acceptable (100%) and beneficial (87.5%). Exertional fatigue (visual analogue scale) prior to TST was worse in the AEX + TST group (3.5 [0.7] out of 10) than the TST group (1.7 [1.4] out of 10). The TST group performed 31% more repetitions per session than the AEX + TST group. Conclusion A subsequent Phase III study is feasible, but modifications to eligibility criteria, outcome measures, and intervention delivery are recommended.

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Section: Discussionsupporting

confidence: 71%

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

Valkenborghs

Vliet

Nilsson

et al. 2019

Physiotherapy Res Intl

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“…Of the 30 studies included, nine were considered low risk [34][35][36]40,45,46,48,51,55 fourteen were considered to exhibit some risk [29][30][31]33,37,39,42,43,48,49,50,52,54,56 and seven were considered high risk of bias 27,28,32,38,41,44,53, (supplementary material). The GRADE assessment for the outcome of overall HRQoL determined moderate quality (supplementary material).…”

Section: Quality Assessmentmentioning

confidence: 99%

“…The most common duration and frequency of exercise was 45-60 minutes, 3 times weekly for 12 weeks, although the weekly exercise minutes ranged from 90 to 270 minutes, and the overall intervention duration ranged from 4 to 40 weeks. Nineteen exercise interventions prescribed exercise intensity according to targets (heart rate reserve, 1 repetition max, Borg's perceived exertion) 28,[33][34][35][36][37][40][41][42][44][45][46]48,[50][51][52][53]55,56 , eight were home based 27,31,32,39,44,49,54,56 but only 1 was unsupervised and caregiver delivered 54 Aspects that were well reported (> 75% of studies) included the exercise equipment required, whether it was supervised or not, and details of the type of exercise to enable replication. However, aspects that were poorly reported (<25% of studies) included the qualification of the instructors and the incorporation of motivation or other non-exercise components.…”

Section: Study Characteristicsmentioning

confidence: 99%

Effect of Exercise Interventions on Health-Related Quality of Life After Stroke and Transient Ischemic Attack

Ali¹,

Tabassum

Baig

et al. 2021

Stroke

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Exercise interventions have been shown to help physical fitness, walking, and balance after stroke, but data are lacking on whether such interventions lead to improvements in health-related quality of life (HRQoL). In this systematic review and meta-analysis, 30 randomized controlled trials (n=1836 patients) were found from PubMed, OVID MEDLINE, Web of Science, CINAHL, SCOPUS, The Cochrane Library, and TRIP databases when searched from 1966 to February 2020 that examine the effects of exercise interventions on HRQoL after stroke or transient ischemic attack. Exercise interventions resulted in small to moderate beneficial effects on HRQoL at intervention end (standardized mean difference, −0.23 [95% CI, −0.40 to −0.07]) that appeared to diminish at longer-term follow-up (standardized mean difference, −0.11 [95% CI, −0.26 to 0.04]). Exercise was associated with moderate improvements in physical health (standardized mean difference, −0.33 [95% CI, −0.61 to −0.04]) and mental health (standardized mean difference, −0.29 [95% CI, −0.49 to −0.09]) domains of HRQoL while effects on social or cognitive composites showed little difference. Interventions that were initiated within 6 months, lasted at least 12 weeks in duration, involved at least 150 minutes per week, and included resistance training appeared most effective. Exercise can lead to moderate beneficial effects on HRQoL and should be considered an integral part of stroke rehabilitation.

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“…The most current Evidence-Based Review of Stroke Rehabilitation [11] indicates goal-setting programs or home visits may not be beneficial for improving mood related outcomes [12], and that traditional talk therapies such as Cognitive Behaviour Therapy (CBT) does not improve activities of daily living or quality of life [13,14]. The literature is mixed regarding the effectiveness of CBT for improving post-stroke depression [13] and also mixed for music therapy [15], physical activity [16], and speech therapy for mood concerns [17][18].…”

Section: Post Stroke Mood Issues In Young Stroke Patientsmentioning

confidence: 99%

Emotional Freedom Techniques for Stroke Rehabilitation: A Single Case Study

Fuller¹,

Stapleton²

2021

obm icm

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A 37-year-old female with a history of complex trauma, anxiety and depression was treated with Emotional Freedom Techniques (EFT) supplemented with guided imagery within the first 24 hours of having a stroke that affected the right side. CT scans indicated a haemorrhage and brain clot. Surgery was delayed as another seizure was expected. Interventions occurred during COVID-19 restrictions. The patient then engaged in 90 minutes of EFT every day over the course of a week while in hospital. After seven days she was discharged, and there were significant reductions in depression, anxiety and pain, and mobility returned. Upon discharge the patient had evident improvement in balance and coordination and successfully completed a driving test within the weeks that followed. Subsequent CT scans reveal very little scaring or evidence of the stroke, blood pressure remained stable, and no medication was warranted. This case study presents the practitioner’s perspective of the sessions provided.

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The effect of aerobic exercise on stroke rehabilitation

Abstract: Incorporation of aerobic exercises into conventional rehabilitation programs of early stroke patients may provide positive contributions, particularly to mood and aerobic capacity.

Cited by 20 publications

References 18 publications

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

Aerobic exercise and consecutive task‐specific training (AExaCTT) for upper limb recovery after stroke: A randomized controlled pilot study

Effect of Exercise Interventions on Health-Related Quality of Life After Stroke and Transient Ischemic Attack

Emotional Freedom Techniques for Stroke Rehabilitation: A Single Case Study

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