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

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Analysis 1.11. Comparison 1 Cardiorespiratory training versus control - end of intervention, Outcome 11 Mobility - maximal gait speed (m/min over 5 to 10 metres). Review: Physical fitness training for stroke patients Comparison: 1 Cardiorespiratory training versus control - end of intervention Outcome: 11 Mobility - maximal gait speed (m/min over 5 to 10 metres) Study or subgroup Training Control Mean Difference Weight Mean Difference 1 During usual care N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI da Cunha 2002 6 35.4 (17.4) 7 16.2 (13.8) 8.5 % 19.20 [ 1.93, 36.47 ] Pohl 2002 (1) 20 73.2 (44.4) 10 58.2 (38.4) 3.1 % 15.00 [ -15.74, 45.74 ] Bateman 2001 36 16 (11.06) 37 16.22 (19.49) 24.0 % -0.22 [ -7.47, 7.03 ] Eich 2004 25 42.6 (18) 25 36 (13.2) 20.4 % 6.60 [ -2.15, 15.35 ] Pohl 2002 20 97.8 (48) 10 58.2 (38.4) 3.0 % 39.60 [ 7.84, 71.36 ] Subtotal (95% CI) 107 89 58.9 % 10.00 [ -0.05, 20.05 ] Heterogeneity: Tau 2 = 64.28; Chi 2 = 9.66, df = 4 (P = 0.05); I 2 =59% Test for overall effect: Z = 1.95 (P = 0.051) 2 After usual care Salbach 2004 44 59.4 (33.6) 47 48 (29.4) 12.8 % 11.40 [ -1.61, 24.41 ] Moore 2010 10 54.6 (26.4) 10 46.2 (19.2) 6.6 % 8.40 [ -11.83, 28.63 ] Mudge 2009 31 47.4 (16.8) 27 37.8 (15) 21.7 % 9.60 [ 1.42, 17.78 ] Subtotal (95% CI) 85 84 41.1 % 9.93 [ 3.38, 16.48 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.08, df = 2 (P = 0.96); I 2 =0.0% Test for overall effect: Z = 2.97 (P = 0.0030) Total (95% CI) 192 173 100.0 % 8.66 [ 2.98, 14.34 ] Heterogeneity: Tau 2 = 21.33; Chi 2 = 10.89, df = 7 (P = 0.14); I 2 =36% Test for overall effect: Z = 2.99 (P = 0.0028) Test for subgroup differences: Chi 2 = 0.00, df = 1 (P = 0.99), I 2 =0.0% -50 -25 0 25 50 Favours control Favours training (1) Pohl 2002 data were subdivided into two relevant comparisons. Half of the controls (10 participants) were used for each comparison. Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 111
Analysis 1.12. Comparison 1 Cardiorespiratory training versus control - end of intervention, Outcome 12 Mobility - maximal gait speed (m/min over 5 to 10 metres); subgroup: ACSM. Review: Physical fitness training for stroke patients Comparison: 1 Cardiorespiratory training versus control - end of intervention Outcome: 12 Mobility - maximal gait speed (m/min over 5 to 10 metres); subgroup: ACSM Study or subgroup Training Control Mean Difference Weight Mean Difference 1 ACSM criteria met N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI Bateman 2001 36 16 (11.06) 37 16.22 (19.49) 24.0 % -0.22 [ -7.47, 7.03 ] Eich 2004 25 42.6 (18) 25 36 (13.2) 20.4 % 6.60 [ -2.15, 15.35 ] Moore 2010 10 54.6 (26.4) 10 46.2 (19.2) 6.6 % 8.40 [ -11.83, 28.63 ] Subtotal (95% CI) 71 72 50.9 % 2.97 [ -2.41, 8.35 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 1.68, df = 2 (P = 0.43); I 2 =0.0% Test for overall effect: Z = 1.08 (P = 0.28) 2 ACSM criteria unknown Mudge 2009 31 47.4 (16.8) 27 37.8 (15) 21.7 % 9.60 [ 1.42, 17.78 ] Pohl 2002 20 97.8 (48) 10 58.2 (38.4) 3.0 % 39.60 [ 7.84, 71.36 ] Pohl 2002 (1) 20 73.2 (44.4) 10 58.2 (38.4) 3.1 % 15.00 [ -15.74, 45.74 ] Subtotal (95% CI) 71 47 27.8 % 16.24 [ 0.40, 32.07 ] Heterogeneity: Tau 2 = 88.05; Chi 2 = 3.26, df = 2 (P = 0.20); I 2 =39% Test for overall effect: Z = 2.01 (P = 0.044) 3 ACSM criteria not met da Cunha 2002 6 35.4 (17.4) 7 16.2 (13.8) 8.5 % 19.20 [ 1.93, 36.47 ] Salbach 2004 44 59.4 (33.6) 47 48 (29.4) 12.8 % 11.40 [ -1.61, 24.41 ] Subtotal (95% CI) 50 54 21.3 % 14.22 [ 3.83, 24.61 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.50, df = 1 (P = 0.48); I 2 =0.0% Test for overall effect: Z = 2.68 (P = 0.0073) Total (95% CI) 192 173 100.0 % 8.66 [ 2.98, 14.34 ] Heterogeneity: Tau 2 = 21.33; Chi 2 = 10.89, df = 7 (P = 0.14); I 2 =36% Test for overall effect: Z = 2.99 (P = 0.0028) Test for subgroup differences: Chi 2 = 5.22, df = 2 (P = 0.07), I 2 =62% -50 -25 0 25 50 Favours control Favours training (1) Pohl 2002 included three intervention arms with 20 participants in each arm. The data were subdivided in two relevant comparisons. Half of the participants in the control group (10 participants) were used for each comparison to avoid inflation of overall numbers. Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 112
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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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Eich 2004 Methods Design: randomise
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Flansbjer 2008 (Continued) Allocati
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James 2002 Methods Design: randomis
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Kim 2001 Methods Design: randomised
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Lennon 2008 Methods Design: pilot r
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Moore 2010 Methods Design: randomis
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Page 103 and 104: 13 Physical fitness - muscle streng
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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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