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

Ivey (B)
Trial name or title Strength training for skeletal muscle adaptation after stroke
Methods Randomised clinical trial; parallel assignment; open label
Participants 52 participants
Inclusion criteria: men and women aged 40 to 85 years, ?6 months post stroke
Completion of rehabilitation
Interventions Intervention: lower extremity strength training (leg extension, press and curl), 45 to 60 minutes per day, 3
days per week for 3 months
Control: active and passive upper and lower body stretching and range of motion, 45 to 60 minutes per day,
3 days per week for 3 months
Outcomes VO2 peak; bilateral single limb strength testing (leg extension and leg press); bilateral single limb muscle
endurance (static and dynamic); mobility (timed 10-metre and 6-minute walks); Berg Balance Scale
Starting date Start: April 2009
Completion: March 2012
Contact information Fred Ivey, VA Maryland Health Care System, Baltimore, USA
Notes NCT00827827
Luft
Trial name or title Structural neuroplasticity associated with aerobic treadmill training in geriatric chronic stroke survivors
Methods Randomised clinical trial; parallel assignment; open label
Participants 40 patients aged over 60 years with lower extremity paresis after a first-ever clinical stroke longer than 6
months prior to study inclusion will be recruited
Inclusion criteria: women and men aged > 60 years; first-ever ischaemic stroke at least prior 6 months;
all conventional inpatient and outpatient physical therapy completed; residual hemiparetic gait disturbance
adequate language and neurocognitive function to
participate in exercise training and testing
Exclusion criteria: already performing > 20 minutes aerobic exercise 3 times a week; alcohol consumption >
2 oz liquor, or 2 x 4 oz glasses of wine, or 2 x 12 oz cans of beer per day; cardiac history of unstable angina,
recent (< 3 months) myocardial infarction, congestive heart failure (New York Heart Association category II)
, haemodynamically significant valvular dysfunction; medical history of recent hospitalisation (< 3 months)
for severe medical disease: symptomatic peripheral arterial occlusive disease, orthopaedic or chronic pain
conditions restricting exercise, pulmonary or renal failure, active cancer,poorly controlled hypertension (>
160/100) or diabetes mellitis (fasting glucose >180 mg/dl, HbA1C > 10%); neurological history of dementia,
receptive or global aphasia that confounds testing and training (operationally defined as unable to follow 2point
commands), cognitive deficits (other than dementia and aphasia, as above), non-stroke neuromuscular
disorder restricting exercise (e.g. Parkinson’s syndrome), untreated major depression; exclusion criteria for
magnetic resonance imaging scanning (metal implants such as pacemakers, claustrophobia, etc)
Physical fitness training for stroke patients (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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