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

Teixeira 1999 (Continued)
Inclusion criteria: at least 9 months post-stroke; independently ambulatory with or without
walking aids; no comprehensive aphasia
Exclusion criteria: non-stroke related disability
Interventions Intervention: mixed training: cardiorespiratory and lower extremity strength training 60 to
90 minutes per day 3 days per week for 10 weeks; cardiorespiratory training: graded walking
plus stepping or cycling progressing from 10 to 20 minutes per day and from 50% to 70%
of maximal cycling work rate over first 5 weeks; strength training: 7 exercises involving use
of body weight and progressive resistive exercise using different masses and elastic bands
(Thera-Band), each performed as 3 x 10 repetitions and progressing from 50% to 80% of
1 repetition maximum; warm up and warm down 10 to 20 minutes per day
Control: no intervention
Setting: unclear
Outcomes Included outcomes: gait preferred speed (22-metre); Adjusted Activity Score; NHP
Other outcomes: insufficient data to compare lower limb muscle strength (peak torque
Nm); muscle tone assessment; and stair climbing
Notes
Risk of bias
Bias Authors’ judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Not reported
Winstein 2004
Methods Design: randomised trial of resistance training plus usual care versus usual care - during
and after usual care
Randomisation mechanism: unknown; method: stratified on Orpington Prognostic Scale
(1.6 to 1.4 and 4.2 to 6.8)
Allocation concealment: sealed envelopes
Blinding: principal investigator but not outcome assessor
Intention-to-treat: no
Measurements: end of intervention (4 to 6 weeks) and 9-month post stroke follow-up
Withdrawals: before end of intervention: 1 (treatment group, medical complications), 1
(control group, lost interest); before end of follow-up: 9 (treatment group 4, control group
5 - moved away or lost contact)
Participants Randomised: 42 participants
Intervention: 21 participants; 12 males and 8 females; time since stroke 17.3 days (SD
10.6)
Control: 20 participants; 2 males and 8 females; time since stroke 15.4 days (SD 5.5)
Age: 29 to 76 years, most 35 to 75 years
Inclusion criteria: first stroke; 2 to 35 days post-stroke; FIM score
Exclusion criteria: peripheral nerve or orthopaedic condition limiting arm movement; function
limited by cardiac disease; subarachnoid haemorrhage without infarction; progres-
Physical fitness training for stroke patients (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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