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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Winstein 2004 (Continued)<br />
sive hydrocephalus; history of brain injury; severe aphasia, neglect, agitation or depression<br />
which could limit participation<br />
Interventions Intervention: upper limb movements resisted by gravity, free weights, Thera-Band and grip<br />
devices <strong>for</strong> fingers, 60 minutes/day 5 days per week <strong>for</strong> 4 to 6 weeks, high intensity <strong>for</strong> 3<br />
days per week and low intensity higher velocity <strong>for</strong> 2 days/week, <strong>training</strong> target 20 hours<br />
total<br />
Control: standard care delivered by occupational therapy, included muscle facilitation exercises<br />
using neuro-developmental approach, electrical stimulation, stretching, ADL and<br />
caregiver <strong>training</strong>; activities included use of upper limbs<br />
Setting: inpatient rehabilitation hospital and outpatient clinic<br />
Outcomes Included outcomes: FIM (mobility and self care scores); FTHUE; composite measure of<br />
strength (sum of torque from extension and flexion of the wrist elbow and shoulder); grip<br />
and pinch <strong>for</strong>ce<br />
Other outcomes: Fugl-Meyer scores<br />
Notes Change from baseline scores reported and analysed.<br />
Risk of bias<br />
Bias Authors’ judgement Support <strong>for</strong> judgement<br />
Allocation concealment (selection bias) Low risk Sealed envelopes<br />
Yang 2006<br />
Methods Design: randomised trial of mixed <strong>training</strong> versus no intervention - after usual care<br />
Randomisation mechanism: picking envelopes<br />
Allocation concealment: sealed envelopes<br />
Blinding: investigator<br />
Intention-to-treat: unknown<br />
Measurements: end of intervention (4 weeks)<br />
Withdrawals: none<br />
Participants Randomised: 48 participants<br />
Intervention: 24 participants; 16 males and 8 females; age 56.8 years (SD 10.2); time since<br />
<strong>stroke</strong> > 1 year<br />
Control: 24 participants; 18 males and 8 females; age 60 years (SD 10.4); time since <strong>stroke</strong><br />
> 1 year<br />
Inclusion criteria: first <strong>stroke</strong> < 1 year ago; not receiving rehabilitation; ambulatory, independent<br />
with no aids; medically stable to participate; able to understand instructions and<br />
follow commands<br />
Exclusion criteria: medical condition preventing participation; uncontrolled health condition<br />
<strong>for</strong> which exercise was contraindicated<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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