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

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Table 3. Outline of the studies which focused on mixed training interventions (Continued) Duncan 2003 James 2002 Circuit training Circuit training Yang 2006 Functionalstepping and chair rising Mead 2007 Circuit includingwalking,stepping, cycle ergometry; resistance training body mass, weights and elastic After Lower body tion maximum, 3 x 10 repetitions (strength component) Yes 50% to 60% heart rate reserve 90 to 120 3 4 Cardio: yes Strength: unclear After Both Yes Unknown 90 3 12 to 14 (total of 36 sessions) After Lower body After Both Yes Rating of perceivedexertion: 13 to 16 Yes Unknown 30 3 4 No 40 to 75 3 12 to 14 (total of 36 sessions) Cardio: no Strength: yes Unknown Table 4. Pooled walking data for cardiorespiratory training, resistance training, and mixed training at the end of the training period and at follow-up End of intervention End of follow-up Intervention Walking outcome Cardiorespiratory training Maximal gait speed Preferred gait speed Trials (number of participants) MD (95% CI) 7 (365) 8.66 m/min (2.98, 14.34) 4 (221) 4.68 m/min (1.40, 7.96) Significance level Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Trials (number of participants) MD (95% CI) P = 0.003 3 (186) 8.21 m/min (3.38, 13.05) P = 0.005 - - - Significance level P = 0.0009 229
Table 4. Pooled walking data for cardiorespiratory training, resistance training, and mixed training at the end of the training period and at follow-up (Continued) Resistance training Mixed training CI: confidence interval m: metre MD: mean different min: minutes NS: non-significant 6-Meter Walking Test Maximal gait speed Preferred gait speed 6-Meter Walking Test Maximal gait speed Preferred gait speed 6-Meter Walking Test A P P E N D I C E S 4 (219) 47.13 metres (19.39, 74.88) 4 (104) 1.92 m/min (- 3.50, 7.35) 3 (80) 2.34 m/min (- 6.77, 11.45) 2 (66) 3.78 metres (- 68.56, 76.11) P = 0.0009 2 (107) 69.3 metres (33.38, 105.23) NS 1 (24) - 19.8 m/min (- 95.77, 56.17) NS - - - NS 1 (24) 11.0 m/min (- 105.95, 127.95) - - - - - - 8 (397) 2.93 m/min (0.02, 5.84) 3 (168) 30.59 metres (8.90, 52.28) P = 0.05 3 (201) -2.12 m/min (-4.85, 0.62) P = 0.006 - - - Appendix 1. Cochrane Central Register of Controlled Trials (CENTRAL) search strategy P = 0.0002 #1.MeSH descriptor Cerebrovascular Disorders explode all trees #2.MeSH descriptor brain injuries this term only #3.MeSH descriptor Brain Injury, Chronic this term only #4.(stroke in Title, Abstract or Keywords or poststroke in Title, Abstract or Keywords or post-stroke in Title, Abstract or Keywords or cerebrovasc* in Title, Abstract or Keywords or (brain in Title, Abstract or Keywords and vasc* in Title, Abstract or Keywords) or (cerebral in Title, Abstract or Keywords and vasc* in Title, Abstract or Keywords) or cva* in Title, Abstract or Keywords or apoplex* in Title, Abstract or Keywords or SAH in Title, Abstract or Keywords) #5.( (brain* in Title, Abstract or Keywords or cerebr* in Title, Abstract or Keywords or cerebell* in Title, Abstract or Keywords or intracran* in Title, Abstract or Keywords or intracerebral in Title, Abstract or Keywords) and (ischemi* in Title, Abstract or Keywords or ischaemi* in Title, Abstract or Keywords or infarct* in Title, Abstract or Keywords or thrombo* in Title, Abstract or Keywords or emboli* in Title, Abstract or Keywords or occlus* in Title, Abstract or Keywords) ) Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. NS NS NS 230
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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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Analysis 3.1. 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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Page 185 and 186: Analysis 5.17. Comparison 5 Mixed t
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