06.01.2013 Views

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

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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 />

63

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!