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

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Analysis 5.22. Comparison 5 Mixed training versus control - end of intervention, Outcome 22 Physical function - Berg Balance scale. Review: Physical fitness training for stroke patients Comparison: 5 Mixed training versus control - end of intervention Outcome: 22 Physical function - Berg Balance scale Study or subgroup Training Control Std. Mean Difference Weight Std. Mean Difference 1 During usual care N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI Richards 1993 9 33.2 (18.2) 8 28.4 (19.7) 13.8 % 0.24 [ -0.72, 1.20 ] Richards 2004 31 46 (7) 31 47 (8) 31.9 % -0.13 [ -0.63, 0.37 ] Subtotal (95% CI) 40 39 45.7 % -0.05 [ -0.49, 0.39 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.46, df = 1 (P = 0.50); I 2 =0.0% Test for overall effect: Z = 0.23 (P = 0.82) 2 After usual care Duncan 1998 10 46.9 (3.63) 10 45.8 (5.39) 15.6 % 0.23 [ -0.65, 1.11 ] Duncan 2003 50 4.36 (5.02) 50 1.7 (3.68) 38.7 % 0.60 [ 0.20, 1.00 ] Subtotal (95% CI) 60 60 54.3 % 0.54 [ 0.17, 0.90 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.56, df = 1 (P = 0.45); I 2 =0.0% Test for overall effect: Z = 2.88 (P = 0.0040) Total (95% CI) 100 99 100.0 % 0.26 [ -0.14, 0.66 ] Heterogeneity: Tau 2 = 0.07; Chi 2 = 5.06, df = 3 (P = 0.17); I 2 =41% Test for overall effect: Z = 1.26 (P = 0.21) Test for subgroup differences: Chi 2 = 4.04, df = 1 (P = 0.04), I 2 =75% Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. -4 -2 0 2 4 Favours control Favours training 183
Analysis 5.23. Comparison 5 Mixed training versus control - end of intervention, Outcome 23 Physical function - functional reach. Review: Physical fitness training for stroke patients Comparison: 5 Mixed training versus control - end of intervention Outcome: 23 Physical function - functional reach Study or subgroup Training Control Std. Mean Difference Weight Std. Mean Difference N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI 1 During usual care Subtotal (95% CI) 0 0 0.0 % 0.0 [ 0.0, 0.0 ] Heterogeneity: not applicable Test for overall effect: not applicable 2 After usual care Duncan 2003 50 0.53 (4.88) 50 0.63 (5.37) 57.7 % -0.02 [ -0.41, 0.37 ] Mead 2007 32 28.8 (6.66) 34 26.3 (7.17) 42.3 % 0.36 [ -0.13, 0.84 ] Subtotal (95% CI) 82 84 100.0 % 0.14 [ -0.22, 0.50 ] Heterogeneity: Tau 2 = 0.02; Chi 2 = 1.39, df = 1 (P = 0.24); I 2 =28% Test for overall effect: Z = 0.75 (P = 0.45) Total (95% CI) 82 84 100.0 % 0.14 [ -0.22, 0.50 ] Heterogeneity: Tau 2 = 0.02; Chi 2 = 1.39, df = 1 (P = 0.24); I 2 =28% Test for overall effect: Z = 0.75 (P = 0.45) Test for subgroup differences: Not applicable Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. -2 -1 0 1 2 Favours control Favours training 184
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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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Mudge 2009 (Continued) sessions (e.
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Pohl 2002 (Continued) Exclusion cri
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Richards 1993 (Continued) Intervent
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Salbach 2004 (Continued) Interventi
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Smith 2008 (Continued) Inclusion cr
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Winstein 2004 (Continued) sive hydr
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mAS: modified Ashworth Scale MAS: M
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(Continued) Franceschini 2009 Not v
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(Continued) Maeshima 2003 Not a rel
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(Continued) Thielman 2005 Not a rel
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Eng Trial name or title The effect
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Ivey (B) Trial name or title Streng
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Protas (Continued) Participants 48
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Suskin 2007 (Continued) Time frame:
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Wolff Trial name or title Effects o
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11.2 After usual care 3 169 Mean Di
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7 Physical fitness - maximum cyclin
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10.2 After usual care 1 20 Mean Dif
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13 Physical fitness - muscle streng
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36 Mood - Hospital Anxiety and Depr
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21.2 After usual care 1 80 Mean Dif
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Page 139 and 140: Analysis 2.7. Comparison 2 Cardiore
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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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