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

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S15. (MH “Exertion+”) S14. (MH “Exercise Test+”) or (MH “Exercise Test, Cardiopulmonary”) or (MH “Exercise Test, Muscular+”) S13. (MH “Exercise+”) S12. S1 or S2 or S5 or S8 or S9 or S10 or S11 S11. (MH “Gait Disorders, Neurologic+”) S10. TI ( hemipleg* or hemipar* or paresis or paretic ) or AB ( hemipleg* or hemipar* or paresis or paretic ) S9. (MH “Hemiplegia”) S8. S6 and S7 S7. TI ( haemorrhage* or hemorrhage* or haematoma* or hematoma* or bleed* ) or AB ( haemorrhage* or hemorrhage* or haematoma* or hematoma* or bleed* ) S6. TI ( brain* or cerebr* or cerebell* or intracerebral or intracranial or subarachnoid ) or AB ( brain* or cerebr* or cerebell* or intracerebral or intracranial or subarachnoid ) S5. S3 and S4 S4. TI ( ischemi* or ischaemi* or infarct* or thrombo* or emboli* or occlus* ) or AB ( ischemi* or ischaemi* or infarct* or thrombo* or emboli* or occlus* ) S3. TI ( brain* or cerebr* or cerebell* or intracran* or intracerebral ) or AB ( brain* or cerebr* or cerebell* or intracran* or intracerebral ) S2. TI ( stroke or poststroke or post-stroke or cerebrovasc* or brain vasc* or cerebral vasc or cva or apoplex or SAH ) or AB ( stroke or poststroke or post-stroke or cerebrovasc* or brain vasc* or cerebral vasc or cva or apoplex or SAH ) S1. (MH “Cerebrovascular Disorders+”) or (MH “stroke patients”) or (MH “stroke units”) Appendix 5. SPORTDiscus (EBSCO) search strategy S16. (S7 and S15) S15. S8 or S9 or S10 or S11 or S12 or S13 or S14 S14. SU ( random* or trial or crossover or cross-over or placebo* or control* or factorial or sham or counterbalance* or multiple baseline* or ABAB design or meta analysis* or metaanlaysis or meta-anlaysis or systematic review* ) or KW ( random* or trial or crossover or cross-over or placebo* or control* or factorial or sham or counterbalance* or multiple baseline* or ABAB design or meta analysis* or metaanlaysis or meta-anlaysis or systematic review* ) S13. TI ( meta analysis* or metaanlaysis or meta-anlaysis or systematic review* ) or AB ( meta analysis* or metaanlaysis or meta-anlaysis or systematic review* ) S12. TI ( counterbalance* or multiple baseline* or ABAB design ) or AB ( counterbalance* or multiple baseline* or ABAB design ) S11. ( TI ( clin* or intervention* or compar* or experiment* or preventive or therapeutic ) or AB ( clin* or intervention* or compar* or experiment* or preventive or therapeutic ) ) and ( TI trial* or AB trial* ) S10. TI ( crossover or cross-over or placebo* or control* or factorial or sham ) or AB ( crossover or cross-over or placebo* or control* or factorial or sham ) S9. ( TI ( singl* or doubl* or tripl* or trebl* ) or AB ( singl* or doubl* or tripl* or trebl* ) ) and ( TI ( blind* or mask*) or AB ( blind* or mask* ) ) S8. TI random* or AB random* S7. S1 or S2 or S3 or S4 or S5 or S6 S6. TI ( hemipleg* or hemipar* or paresis or paretic ) or AB ( hemipleg* or hemipar* or paresis or paretic ) S5.DE “HEMIPLEGIA” S4. ( TI ( brain* or cerebr* or cerebell* or intracerebral or intracranial or subarachnoid ) or AB ( brain* or cerebr* or cerebell* or intracerebral or intracranial or subarachnoid ) ) and ( TI ( haemorrhage* or hemorrhage* or haematoma* or hematoma* or bleed* ) or AB ( haemorrhage* or hemorrhage* or haematoma* or hematoma* or bleed* ) ) S3. ( TI ( brain* or cerebr* or cerebell* or intracran* or intracerebral ) or AB ( brain* or cerebr* or cerebell* or intracran* or intracerebral ) ) and ( TI ( ischemi* or ischaemi* or infarct* or thrombo* or emboli* or occlus* ) or AB ( ischemi* or ischaemi* or infarct* or thrombo* or emboli* or occlus* ) ) S2. TI ( stroke or poststroke or post-stroke or cerebrovasc* or brain vasc* or cerebral vasc or cva or apoplex or SAH ) or AB ( stroke or poststroke or post-stroke or cerebrovasc* or brain vasc* or cerebral vasc or cva or apoplex or SAH ) S1. DE “CEREBROVASCULAR disease” or DE “BRAIN Hemorrhage” or DE “CEREBRAL embolism & thrombosis” Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 237
W H A T ’ S N E W Last assessed as up-to-date: 7 April 2011. Date Event Description 22 November 2010 New search has been performed We have updated all main electronic search strategies to March 2010. We have included 11 additional randomised clinical trials and seven ongoing trials. We have clarified our inclusion criteria and objectives 22 November 2010 New citation required and conclusions have changed New first author. We have revised the main text and conclusions of the review according to the findings of the new included trials H I S T O R Y Protocol first published: Issue 4, 2001 Review first published: Issue 1, 2004 Date Event Description 2 March 2009 New search has been performed We updated the search of the Cochrane Stroke Group Trials Register in March 2009 3 November 2008 New citation required and conclusions have changed There is sufficient evidence to incorporate cardiorespiratory training, using walking as a mode of exercise, into the rehabilitation of patients with stroke in order to improve speed, tolerance and independence during walking, but further trials are needed to determine the optimal exercise prescription after stroke and to establish whether any long-term benefits exist 3 November 2008 New search has been performed We updated the searches to March 2007. There are now 24 trials, involving 1147 participants, included in the review; 12 more trials than in the previous version. The text of the review has been revised throughout 23 October 2008 Amended Converted to new review format. Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 238
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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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