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

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Analysis 5.26. Comparison 5 Mixed training versus control - end of intervention, Outcome 26 Physical function - Timed Up and Go (sec). Review: Physical fitness training for stroke patients Comparison: 5 Mixed training versus control - end of intervention Outcome: 26 Physical function - Timed Up and Go (sec) 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 Richards 2004 31 31 (17) 31 33 (20) 1.0 % -2.00 [ -11.24, 7.24 ] Subtotal (95% CI) 31 31 1.0 % -2.00 [ -11.24, 7.24 ] Heterogeneity: not applicable Test for overall effect: Z = 0.42 (P = 0.67) 2 After usual care Mead 2007 32 10.4 (1.8) 34 11.5 (2.15) 92.9 % -1.10 [ -2.05, -0.15 ] Yang 2006 24 12.9 (6.5) 24 14.4 (6.7) 6.1 % -1.50 [ -5.23, 2.23 ] Subtotal (95% CI) 56 58 99.0 % -1.12 [ -2.05, -0.20 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.04, df = 1 (P = 0.84); I 2 =0.0% Test for overall effect: Z = 2.38 (P = 0.017) Total (95% CI) 87 89 100.0 % -1.13 [ -2.05, -0.21 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.08, df = 2 (P = 0.96); I 2 =0.0% Test for overall effect: Z = 2.41 (P = 0.016) Test for subgroup differences: Chi 2 = 0.03, df = 1 (P = 0.85), I 2 =0.0% Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. -20 -10 0 10 20 Favours training Favours control 187
Analysis 5.27. Comparison 5 Mixed training versus control - end of intervention, Outcome 27 Physical function - Timed Up and Go (sec) - sensitivity analysis - unconfounded trials. Review: Physical fitness training for stroke patients Comparison: 5 Mixed training versus control - end of intervention Outcome: 27 Physical function - Timed Up and Go (sec) - sensitivity analysis - unconfounded trials 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 Richards 2004 31 31 (17) 31 33 (20) 3.7 % -2.00 [ -11.24, 7.24 ] Subtotal (95% CI) 31 31 3.7 % -2.00 [ -11.24, 7.24 ] Heterogeneity: not applicable Test for overall effect: Z = 0.42 (P = 0.67) 2 After usual care Mead 2007 32 10.4 (4.8) 34 11.5 (2.15) 96.3 % -1.10 [ -2.91, 0.71 ] Subtotal (95% CI) 32 34 96.3 % -1.10 [ -2.91, 0.71 ] Heterogeneity: not applicable Test for overall effect: Z = 1.19 (P = 0.23) Total (95% CI) 63 65 100.0 % -1.13 [ -2.91, 0.65 ] Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.04, df = 1 (P = 0.85); I 2 =0.0% Test for overall effect: Z = 1.25 (P = 0.21) Test for subgroup differences: Chi 2 = 0.04, df = 1 (P = 0.85), I 2 =0.0% Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. -20 -10 0 10 20 Favours training Favours control 188
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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 143 and 144: Analysis 2.11. Comparison 2 Cardior
Page 151 and 152: Analysis 3.1. Comparison 3 Resisten
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Page 169 and 170: Analysis 5.1. Comparison 5 Mixed tr
Page 179 and 180: Analysis 5.11. Comparison 5 Mixed t
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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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