Physical fitness training for stroke patients (Review) - Update Software

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9 Physical fitness - muscle strength, leg extensor power (affected leg) W/Kg 1 66 Mean Difference (IV, Random, 95% CI) 0.02 [-0.13, 0.17] 9.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 9.2 After usual care 1 66 Mean Difference (IV, Random, 95% CI) 0.02 [-0.13, 0.17] 10 Physical fitness - grip strength (paretic hand) 1 63 Mean Difference (IV, Random, 95% CI) -0.04 [-0.26, 0.18] 10.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 10.2 After usual care 1 63 Mean Difference (IV, Random, 95% CI) -0.04 [-0.26, 0.18] 11 Mobility - preferred gait speed (m/min) 3 201 Mean Difference (IV, Random, 95% CI) -2.12 [-4.85, 0.62] 11.1 During usual care 2 136 Mean Difference (IV, Random, 95% CI) -1.02 [-8.64, 6.60] 11.2 After usual care 1 65 Mean Difference (IV, Random, 95% CI) -2.28 [-5.21, 0.65] 12 Mobility - community ambulation speed (> 0.8 m/sec) 3 217 Odds Ratio (M-H, Random, 95% CI) 1.33 [0.70, 2.53] 12.1 During usual care 1 52 Odds Ratio (M-H, Random, 95% CI) 2.14 [0.56, 8.12] 12.2 After usual care 2 165 Odds Ratio (M-H, Random, 95% CI) 1.15 [0.48, 2.76] 13 Physical function - Berg Balance scale 1 62 Mean Difference (IV, Random, 95% CI) -2.0 [-5.25, 1.25] 13.1 During usual care 1 62 Mean Difference (IV, Random, 95% CI) -2.0 [-5.25, 1.25] 13.2 After usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 14 Physical function - functional reach 1 66 Mean Difference (IV, Random, 95% CI) 2.5 [-0.97, 5.97] 14.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 14.2 After usual care 1 66 Mean Difference (IV, Random, 95% CI) 2.5 [-0.97, 5.97] 15 Physical function - Timed Up and Go (sec) 2 128 Mean Difference (IV, Random, 95% CI) -0.30 [-1.14, 0.55] 15.1 During usual care 1 62 Mean Difference (IV, Random, 95% CI) 0.0 [-6.97, 6.97] 15.2 After usual care 1 66 Mean Difference (IV, Random, 95% CI) -0.30 [-1.15, 0.55] 16 Health related QoL - EuroQuol (Health State) 1 50 Mean Difference (IV, Random, 95% CI) 0.04 [-0.12, 0.20] 16.1 During usual care 1 50 Mean Difference (IV, Random, 95% CI) 0.04 [-0.12, 0.20] 16.2 After usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 17 Health related QoL - EuroQuol (Self-perceived health) 1 49 Mean Difference (IV, Random, 95% CI) 3.40 [-7.31, 14.11] 17.1 During usual care 1 49 Mean Difference (IV, Random, 95% CI) 3.40 [-7.31, 14.11] 17.2 After usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 18 Health related QoL - SF-36 physical functioning 2 146 Mean Difference (IV, Random, 95% CI) 2.46 [-7.20, 12.11] 18.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 18.2 After usual care 2 146 Mean Difference (IV, Random, 95% CI) 2.46 [-7.20, 12.11] 19 Health related QoL - SF-36 physical role functioning 2 146 Mean Difference (IV, Random, 95% CI) 11.61 [2.38, 20.84] 19.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 19.2 After usual care 2 146 Mean Difference (IV, Random, 95% CI) 11.61 [2.38, 20.84] 20 Health related QoL - SF-36 emotional role functioning 1 80 Mean Difference (IV, Random, 95% CI) 10.0 [-2.28, 22.28] 20.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 20.2 After usual care 1 80 Mean Difference (IV, Random, 95% CI) 10.0 [-2.28, 22.28] 21 Mood - Stroke Impact Scale emotion score 1 80 Mean Difference (IV, Random, 95% CI) 1.0 [-5.80, 7.80] 21.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 99
21.2 After usual care 1 80 Mean Difference (IV, Random, 95% CI) 1.0 [-5.80, 7.80] 22 Mood - Geriatric Depression Scale 1 80 Mean Difference (IV, Random, 95% CI) -1.4 [-2.54, -0.26] 22.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 22.2 After usual care 1 80 Mean Difference (IV, Random, 95% CI) -1.4 [-2.54, -0.26] 23 Mood - Hospital Anxiety and Depression Scale (HADS) - anxiety score 1 66 Mean Difference (IV, Random, 95% CI) -0.25 [-1.79, 1.29] 23.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 23.2 After usual care 1 66 Mean Difference (IV, Random, 95% CI) -0.25 [-1.79, 1.29] 24 Mood - Hospital Anxiety and Depression Scale (HADS) - depression score 1 66 Mean Difference (IV, Random, 95% CI) 0.18 [-1.27, 1.63] 24.1 During usual care 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0] 24.2 After usual care 1 66 Mean Difference (IV, Random, 95% CI) 0.18 [-1.27, 1.63] Comparison 7. Cardiorespiratory versus resistance versus mixed training Outcome or subgroup title No. of studies No. of participants Statistical method Effect size 1 Mobility - gait preferred speed (m/min) 15 Mean Difference (IV, Random, 95% CI) Subtotals only 1.1 Cardiorespiratory training 4 221 Mean Difference (IV, Random, 95% CI) 4.68 [1.40, 7.96] 1.2 Mixed training 8 397 Mean Difference (IV, Random, 95% CI) 2.93 [0.02, 5.84] 1.3 Resistance training 3 80 Mean Difference (IV, Random, 95% CI) 2.34 [-6.77, 11.45] 2 Mobility - gait preferred speed (m/min); sensitivity analysis: confounded studies removed 8 Mean Difference (IV, Random, 95% CI) Subtotals only 2.1 Cardiorespiratory training 2 111 Mean Difference (IV, Random, 95% CI) 6.86 [1.24, 12.48] 2.2 Mixed training 3 201 Mean Difference (IV, Random, 95% CI) 0.49 [-2.96, 3.94] 2.3 Resistance training 3 80 Mean Difference (IV, Random, 95% CI) 2.34 [-6.77, 11.45] Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 100
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Physical fitness training for strok
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Analysis 1.19. Comparison 1 Cardior
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Analysis 5.10. Comparison 5 Mixed t
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Analysis 7.2. Comparison 7 Cardiore
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walking speed (mean difference (MD)
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Post-stroke physical activity and f
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Search methods for identification o
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• type of training (cardiorespira
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Compliance with the scheduled exerc
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Case fatality Number of deaths was
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we did not include these data in th
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(Flansbjer 2008; Kim 2001; Ouellett
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data were, however, confounded by a
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Vascular risk factors A few trials
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ical function outcomes did not impr
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We thank the Cochrane Stroke Group
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or relaxation. Proceedings of the U
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Dean 1997 {published data only} Dea
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(LEAPS): a randomized controlled tr
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with chronic stroke. Neurorehabilit
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Askim {published data only} Askim T
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Hobart 2002 Hobart JC, Williams LS,
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andomized controlled trials. Clinic
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Bale 2008 Methods Design: randomise
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Cooke 2010 Methods Design: phase I
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da Cunha 2002 Methods Design: rando
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Duncan 1998 Methods Design: randomi
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Page 57 and 58: Flansbjer 2008 (Continued) Allocati
Page 59 and 60: James 2002 Methods Design: randomis
Page 61 and 62: Kim 2001 Methods Design: randomised
Page 63 and 64: Lennon 2008 Methods Design: pilot r
Page 65 and 66: Moore 2010 Methods Design: randomis
Page 67 and 68: Mudge 2009 (Continued) sessions (e.
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Page 77 and 78: Winstein 2004 (Continued) sive hydr
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Page 81 and 82: (Continued) Franceschini 2009 Not v
Page 83 and 84: (Continued) Maeshima 2003 Not a rel
Page 85 and 86: (Continued) Thielman 2005 Not a rel
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Analysis 3.7. Comparison 3 Resisten
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Analysis 3.11. Comparison 3 Resiste
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Analysis 5.1. Comparison 5 Mixed tr
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Analysis 7.2. Comparison 7 Cardiore
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Table 1. Outline of the studies whi
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Table 3. Outline of the studies whi
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Table 4. Pooled walking data for ca
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#42.(physical in Abstract and (exer
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71 8 and 36 and 70 72 limit 71 to h
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S58. (MH “Random Assignment”) o
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W H A T ’ S N E W Last assessed a
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MeSH check words Humans Physical fi
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