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

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Analysis 3.1. Comparison 3 Resistence training versus control - end of intervention, Outcome 1 Physical fitness - composite measure of muscle strength. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Analysis 3.2. Comparison 3 Resistence training versus control - end of intervention, Outcome 2 Physical fitness - muscle strength, knee extension (Nm). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Analysis 3.3. Comparison 3 Resistence training versus control - end of intervention, Outcome 3 Physical fitness - muscle strength, knee flexion (Nm). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Analysis 3.4. Comparison 3 Resistence training versus control - end of intervention, Outcome 4 Mobility - maximal gait speed (m/min). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Analysis 3.5. Comparison 3 Resistence training versus control - end of intervention, Outcome 5 Mobility - preferred gait speed (m/min). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Analysis 3.6. Comparison 3 Resistence training versus control - end of intervention, Outcome 6 Mobility - gait endurance (6-MWT metres). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Analysis 3.7. Comparison 3 Resistence training versus control - end of intervention, Outcome 7 Physical function - weightbearing (% body weight - affected side). . . . . . . . . . . . . . . . . . . . . . . . . . 150 Analysis 3.8. Comparison 3 Resistence training versus control - end of intervention, Outcome 8 Physical function - stair climbing, maximal (sec/step). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 Analysis 3.9. Comparison 3 Resistence training versus control - end of intervention, Outcome 9 Physical function - Timed Up and Go (sec). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Analysis 3.10. Comparison 3 Resistence training versus control - end of intervention, Outcome 10 Health related QoL - SF-36 physical functioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Analysis 3.11. Comparison 3 Resistence training versus control - end of intervention, Outcome 11 Health related QoL - SF-36 mental health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Analysis 3.12. Comparison 3 Resistence training versus control - end of intervention, Outcome 12 Mood - Centre for Epidemiologic Studies for Depression scale (CES-D). . . . . . . . . . . . . . . . . . . . . 155 Analysis 4.1. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 1 Physical fitness - muscle strength, knee extension (Nm). . . . . . . . . . . . . . . . . . . . . . . . . . 156 Analysis 4.2. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 2 Physical fitness - muscle strength, knee flexion (Nm). . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Analysis 4.3. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 3 Mobility - maximal gait speed (m/min). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Analysis 4.4. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 4 Mobility - gait endurance (6-MWT metres). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Analysis 4.5. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 5 Physical function - Timed Up and Go (sec). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 Analysis 4.6. Comparison 4 Resistence training versus control - end of retention follow-up, Outcome 6 Mood - Centre for Epidemiologic Studies for Depression scale (CES-D). . . . . . . . . . . . . . . . . . . . . 161 Analysis 5.1. Comparison 5 Mixed training versus control - end of intervention, Outcome 1 Case fatality. . . . . 162 Analysis 5.2. Comparison 5 Mixed training versus control - end of intervention, Outcome 2 Disability - Lawton IADL. 163 Analysis 5.3. Comparison 5 Mixed training versus control - end of intervention, Outcome 3 Disability - Barthel Index (BI). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 Analysis 5.4. Comparison 5 Mixed training versus control - end of intervention, Outcome 4 Disability - Barthel Index (BI) & Functional Independence Measure (FIM) combined. . . . . . . . . . . . . . . . . . . . 165 Analysis 5.5. Comparison 5 Mixed training versus control - end of intervention, Outcome 5 Disability - Nottingham Extended ADLs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Analysis 5.6. Comparison 5 Mixed training versus control - end of intervention, Outcome 6 Disability - Rivermead Mobility Index (RMI). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Analysis 5.7. Comparison 5 Mixed training versus control - end of intervention, Outcome 7 Disability - Stroke Impact Scale (SIS-16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 Analysis 5.8. Comparison 5 Mixed training versus control - end of intervention, Outcome 8 Physical fitness - peak VO2 (ml/kg/min). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Analysis 5.9. Comparison 5 Mixed training versus control - end of intervention, Outcome 9 Physical fitness - gait economy, VO2 (ml/kg/metre). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170 Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. iii
Analysis 5.10. Comparison 5 Mixed training versus control - end of intervention, Outcome 10 Physical fitness - muscle strength, ankle dorsiflexion*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Analysis 5.11. Comparison 5 Mixed training versus control - end of intervention, Outcome 11 Physical fitness - muscle strength, knee extension*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172 Analysis 5.12. Comparison 5 Mixed training versus control - end of intervention, Outcome 12 Physical fitness - muscle strength, knee flexion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Analysis 5.13. Comparison 5 Mixed training versus control - end of intervention, Outcome 13 Physical fitness - muscle strength, elbow extension force (N). . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Analysis 5.14. Comparison 5 Mixed training versus control - end of intervention, Outcome 14 Physical fitness - muscle strength, elbow flexion force (N). . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Analysis 5.15. Comparison 5 Mixed training versus control - end of intervention, Outcome 15 Physical fitness - muscle strength, grip strength (paretic hand). . . . . . . . . . . . . . . . . . . . . . . . . . 176 Analysis 5.16. Comparison 5 Mixed training versus control - end of intervention, Outcome 16 Physical fitness - muscle strength, grip force (N). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Analysis 5.17. Comparison 5 Mixed training versus control - end of intervention, Outcome 17 Physical fitness - muscle strength, leg extensor power (affected leg) W/Kg. . . . . . . . . . . . . . . . . . . . . . 178 Analysis 5.18. Comparison 5 Mixed training versus control - end of intervention, Outcome 18 Mobility - preferred gait speed (m/min). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 Analysis 5.19. Comparison 5 Mixed training versus control - end of intervention, Outcome 19 Mobility - preferred gait speed (m/min); subgroup: therapy time. . . . . . . . . . . . . . . . . . . . . . . . . . 180 Analysis 5.20. Comparison 5 Mixed training versus control - end of intervention, Outcome 20 Mobility - gait endurance (6 MWT metres). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 Analysis 5.21. Comparison 5 Mixed training versus control - end of intervention, Outcome 21 Mobility - Community Ambulation Speed (> 0.8 m/sec). . . . . . . . . . . . . . . . . . . . . . . . . . . . 182 Analysis 5.22. Comparison 5 Mixed training versus control - end of intervention, Outcome 22 Physical function - Berg Balance scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183 Analysis 5.23. Comparison 5 Mixed training versus control - end of intervention, Outcome 23 Physical function - functional reach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 Analysis 5.24. Comparison 5 Mixed training versus control - end of intervention, Outcome 24 Physical function - Nine Hole Peg Test (pegs/sec). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Analysis 5.25. Comparison 5 Mixed training versus control - end of intervention, Outcome 25 Physical function - Action Research Arm Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186 Analysis 5.26. Comparison 5 Mixed training versus control - end of intervention, Outcome 26 Physical function - Timed Up and Go (sec). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. . . . . . . . . . . . . . . . . . . 188 Analysis 5.28. Comparison 5 Mixed training versus control - end of intervention, Outcome 28 Health related QoL - EuroQuol (Health State). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Analysis 5.29. Comparison 5 Mixed training versus control - end of intervention, Outcome 29 Health related QoL - EuroQuol (Self-perceived health). . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 Analysis 5.30. Comparison 5 Mixed training versus control - end of intervention, Outcome 30 Health related QoL - SF-36 physical functioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Analysis 5.31. Comparison 5 Mixed training versus control - end of intervention, Outcome 31 Health related QoL - SF-36 social role functioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192 Analysis 5.32. Comparison 5 Mixed training versus control - end of intervention, Outcome 32 Health related QoL - SF-36 physical role functioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 Analysis 5.33. Comparison 5 Mixed training versus control - end of intervention, Outcome 33 Health related QoL - SF-36 emotional role functioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Analysis 5.34. Comparison 5 Mixed training versus control - end of intervention, Outcome 34 Mood - Stroke Impact Scale emotion score. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Analysis 5.35. Comparison 5 Mixed training versus control - end of intervention, Outcome 35 Mood - Geriatric Depression Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196 Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. iv
Page 1 and 2: Physical fitness training for strok
Page 3: Analysis 1.19. Comparison 1 Cardior
Page 7 and 8: Analysis 7.2. Comparison 7 Cardiore
Page 9 and 10: walking speed (mean difference (MD)
Page 11 and 12: Post-stroke physical activity and f
Page 13 and 14: Search methods for identification o
Page 15 and 16: • type of training (cardiorespira
Page 17 and 18: Compliance with the scheduled exerc
Page 19 and 20: Case fatality Number of deaths was
Page 21 and 22: we did not include these data in th
Page 23 and 24: (Flansbjer 2008; Kim 2001; Ouellett
Page 25 and 26: data were, however, confounded by a
Page 27 and 28: Vascular risk factors A few trials
Page 29 and 30: ical function outcomes did not impr
Page 31 and 32: We thank the Cochrane Stroke Group
Page 33 and 34: or relaxation. Proceedings of the U
Page 35 and 36: Dean 1997 {published data only} Dea
Page 37 and 38: (LEAPS): a randomized controlled tr
Page 39 and 40: with chronic stroke. Neurorehabilit
Page 41 and 42: Askim {published data only} Askim T
Page 43 and 44: Hobart 2002 Hobart JC, Williams LS,
Page 45 and 46: andomized controlled trials. Clinic
Page 47 and 48: Bale 2008 Methods Design: randomise
Page 49 and 50: Cooke 2010 Methods Design: phase I
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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 1.2. Comparison 1 Cardiore
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Analysis 1.10. Comparison 1 Cardior
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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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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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