Physical fitness training for stroke patients (Review) - Update Software
Physical fitness training for stroke patients (Review) - Update Software
Physical fitness training for stroke patients (Review) - Update Software
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Potempa 1995 (Continued)<br />
All participants aged 43 to 70 years and were 216 days post-<strong>stroke</strong> (SD 43)<br />
All participants had upper and lower limb hemiparesis<br />
Inclusion criteria: medically stable; at least 6 months post-<strong>stroke</strong>; completed <strong>for</strong>mal rehabilitation<br />
Exclusion criteria: <strong>patients</strong> with brain stem lesions; any clinical evidence that would preclude<br />
maximal exercise testing<br />
Interventions Intervention: cardiorespiratory <strong>training</strong>: cycle ergometer <strong>training</strong> <strong>for</strong> 30 minutes per day 3<br />
days per week <strong>for</strong> 10 weeks; intensity 30% to 50% of maximal ef<strong>for</strong>t increasing to maximum<br />
sustainable over first 4 weeks<br />
Control: non-exercise intervention: passive range of motion exercises <strong>for</strong> 30 minutes per<br />
day 3 days per week <strong>for</strong> 10 weeks<br />
Setting: unknown<br />
Outcomes Included outcomes: blood pressure; maximum cycling work rate (Watts)<br />
Other outcomes: BMI; heart rate at rest and during maximal exercise; respiratory exchange<br />
rate and other respiratory variables; exercise duration; Fugl Meyer score<br />
Notes Variance reported as standard error and converted to standard deviation<br />
Risk of bias<br />
Bias Authors’ judgement Support <strong>for</strong> judgement<br />
Allocation concealment (selection bias) Unclear risk Not reported<br />
Richards 1993<br />
Methods Design: randomised trial of mixed <strong>training</strong> plus usual care versus usual care - during usual<br />
care<br />
Randomisation mechanism: unknown; method: stratified on BI scores<br />
Allocation concealment: unknown<br />
Blinding: investigator; efficacy unknown<br />
Intention-to-treat: no<br />
Measurements: end of intervention (5 weeks)<br />
Withdrawals: control group 3 (1 refusal, 2 unknown)<br />
Participants Randomised: 18 participants<br />
Intervention: 10 participants; 5 males and 5 females; age 69.6 years (SD 7.4 years); 8.3<br />
days post-<strong>stroke</strong> (SD 1.4)<br />
Control: 8 participants; 2 males and 6 females; age 67.3 years (SD 11.2); 8.8 days post<strong>stroke</strong><br />
(SD 1.5)<br />
Inclusion criteria: within 50 km of treatment centre; males and females aged 40 to 80 years;<br />
0 to 7 days after first <strong>stroke</strong>; middle cerebral artery syndrome identified by CT; under care<br />
of neurologist involved in study; willing to sign in<strong>for</strong>med consent<br />
Exclusion criteria: other major medical conditions that would interfere with functional<br />
capacity or interfere with rehabilitation; <strong>patients</strong> who were independently ambulatory 1<br />
week after <strong>stroke</strong>; <strong>patients</strong> who were unconscious at onset<br />
<strong>Physical</strong> <strong>fitness</strong> <strong>training</strong> <strong>for</strong> <strong>stroke</strong> <strong>patients</strong> (<strong>Review</strong>)<br />
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />
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