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

Salbach 2004 (Continued)
Interventions Intervention: cardiorespiratory training: task-oriented circuit training, performed 55 minutes
per day 3 days per week for 6 weeks, comprising a warm up followed by 10 walkingrelated
tasks (step ups, balance beam, kicking ball, stand up and walk, obstacle course,
treadmill, walk and carry, speed walk, backward walking, stairs); progression of speed, load
and degree of assistance
Control: functional practice, whilst seated, of writing, keyboard use, and manipulating
cards; some practice encouraged at home
Setting: 2 rehabilitation centres or hospitals
Outcomes Included outcomes: gait endurance 6MWT; gait comfortable speed; gait maximal speed;
TUG; BBS
Other outcomes: activity-specific balance confidence scale
Notes
Risk of bias
Bias Authors’ judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Not reported
Sims 2009
Methods Design: pilot randomised study of resistance training versus no intervention (i.e. a waitinglist
comparison group) - after usual care. Sample size calculation reported
Randomisation: computer generated block randomisation by an independent investigator
- blocks of 6 stratified by gender
Allocation concealment: unclear
Blinding:unclear
Intention-to-treat: yes
Measurements: at the end of the training programme (10 weeks) and at 6-month followup
Withdrawals: 1 participant did not complete the 10-week assessment; 5 participants (3
intervention, 2 control) did not complete the physical assessment at 10 weeks due to health
reasons unrelated to the programme or time commitments. 43 participants completed the
6-month survey assessment
Participants Randomised: 45 participants; 27 males and 18 females; mean age 67.13 years (SD 15.23)
, average time since stroke 13.2 months (SD 4.95)
Intervention: 23 participants were allocated to the progressive resistance training group. 21
participants completed the 10-week programme (2 people became medically ineligible)
Control: 22 participants were allocated to the waiting-list control group
Inclusion criteria: stroke survivors with depressive symptoms
Exclusion criteria: under 18 years; stroke < 6 months ago; inability to walk a distance of at
least 20 metres independently with or without a gait assistive device; Prime-MD Patients
Health Questionnaire (PHQ-9) score < 5; depression with psychotic features; alcohol or
drug-related depression, schizophrenia; bipolar disorder; other psychiatric diagnoses; suicidal
ideation; dementia; terminally ill; uncontrolled hypertension; unstable angina; and
Physical fitness training for stroke patients (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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