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

Yang 2006 (Continued)
Interventions Intervention: mixed training performed as a circuit 30 minutes per day 3 days per week
for 4 weeks; circuit comprised 6 x 5-minute lower extremity workstations (standing and
reaching, sit-to-stand from chair, stepping forwards and backwards onto blocks, stepping
sideways onto blocks, forward step-up onto blocks), participants encouraged to work hard,
progression achieved by increasing number of repetitions in each 5-minute block, and increasing
step and chair height, and the complexity of task; extended periods (5-minute)
warrant acknowledgement of a cardiorespiratory component despite the author’s title (progressive
resistance strength training)
Control: no intervention
Outcomes Included outcomes: gait endurance (6MWT - outcome assessor not blinded); gait speed
preferred (10-metres); 3-metre TUG; step test; isometric strength of knee and hip ankle
extension and flexion; and ankle dorsi-flexion and plantar-flexion (using handheld dynamometer)
Other outcomes: gait cadence and stride length
Notes Trial authors stated ’strength training’ but intervention was actually mixed training. Data
reported as absolute and change scores
Risk of bias
Bias Authors’ judgement Support for judgement
Allocation concealment (selection bias) Low risk Sealed envelopes
6MWT: 6-Metre Walking Test
9HPT: 9-Hole Peg Test
12MWT: 12-minute walk test
ABCS: Activities-Specific Balance Confidence Scale
ACSM: American College of Sports Medicine
ADL: activities of daily living
AQoL: Assessment of Quality of Life Instrument
ARAT: Action Research Arm Test
BBS: Berg Balance scale
BI: Bathel Index
BMI: Body Mass Index
CES-D: Centre for Epidemiological Studies for Depression scale
CT: computerised tomography
ECG: electrocardiogram
EMS: Elderly Mobility Scale
FAC: Functional Ambulation Classification
FAI: Frenchay Activity Index
FAPS: Functional Ambulation Profile Score
FIM: Functional Independence Measure
FTHUE: Functional Test of the Hemiparetic Upper Extremity
HADS: Hospital Anxiety and Depression Scale
LOT-R: Life Orientation Test - Revised
Physical fitness training for stroke patients (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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