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

Ouellette 2004 (Continued)
using pneumatic resistance, and unilateral ankle; dorsiflexion; plantarflexion, both using
weights; progression achieved via weekly assessment of 1-RM; warm up for each exercise
was 4 repetitions of 25% 1-RM
Control: non-exercise: bilateral range of motion and upper body flexibility exercises 3 days/
week for 12 weeks
Setting: exercise laboratory
Outcomes Included outcomes: muscle strength (bilateral lower limb extension force); muscle strength
(unilateral knee extension, ankle dorsiflexion and ankle plantarflexion); gait endurance
(6MWT), preferred speed (10 metres) and maximal speed (10 metres); chair rise time (5
repetitions); stair climb time (10 steps); late life function and disability instrument scale;
SF-36 physical function subscale
Other outcomes: muscle power - bilateral lower limb extension and unilateral knee extension;
geriatric depression scale (data not reported); sickness impact profile; Ewarts selfefficacy
scale
Notes Variance reported as standard error and converted to standard deviation
Risk of bias
Bias Authors’ judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Not reported
Pohl 2002
Methods Design: randomised trial of cardiorespiratory training plus % usual care versus usual care
- during usual care
Randomisation mechanism: unknown; method: equal block based on gait speed
Allocation concealment: unknown
Blinding: investigator; efficacy unknown
Intention-to-treat: no
Measurements: end of intervention (4 weeks)
Withdrawals: none
Participants Randomised: 60 participants. 20 participants were randomised to the speed-dependent
treadmill training group (STT); 20 participants to the limited progressive treadmill training
group (LTT) and 20 participants to a conventional gait training group (CGT).
Intervention: STT group = 20 participants; 14 males, 6 females; age 57.1 years (SD 13.9);
16.8 (20.5) weeks post-stroke. LTT group = 20 participants; 16 males, 4 females; age 58.2
years (SD 10.5); 16.2 (16.4) weeks post-stroke.
Control: 20 participants; 13 males, 7 females; age 61.6 years (SD 10.6); 16.10 (SD 18.5)
weeks post-stroke
Inclusion criteria: left or right hemiparesis for > 4 weeks; impaired gait; no or slight abnormal
muscle tone (Ashworth Score 0 and 1); walk without assistance (FAC = 3); 10-metre walk
time > 5 seconds and < 60 seconds; class B exercise risk (ACSM 1998); absence of known
heart disease; no evidence of heart failure, ischaemia or angina at rest or exercise; appropriate
rise in systolic blood pressure and absence of ventricular tachycardia during exercise
Physical fitness training for stroke patients (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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