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

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Ryan Trial name or title Inflammation and exercise in stroke Methods Randomised clinical trial; parallel assignment; open label Participants 150 participants expected Ischaemic or haemorrhagic stroke greater than or equal to 6 months prior with stable residual hemiparetic gait deficits Already completed all conventional inpatient and outpatient physical therapy Interventions Intervention: cardiorespiratory training Control: stretching Outcomes Body composition, VO2 peak Starting date Start: May 2009 Completion: April 2014 Contact information Dr Alice S. Ryan, University of Maryland, VA Research Service, USA Tel 410-605-7851, Email aryan@grecc.umaryland.edu Notes NCT00891514 (same as Ivey (A)?) Suskin 2007 Trial name or title Cardiac rehabilitation for TIA patients (CR-TIA) Methods Randomised clinical trial, parallel assignment; single blind (outcomes assessor) Participants 200 participants Inclusion criteria: age > 20 years; documented TIA or mild non-disabling stroke within the previous 3 months; at least 1 of the following vascular risk factors: hypertension, ischaemic heart disease, diabetes mellitus, dyslipidaemia or cigarette smoking Exclusion criteria: inability to speak or understand English or provide informed consent; severe aphasia that renders communication difficult or impossible; Modified Rankin Scale score of greater than or equal to 3; Mini Mental State Examination score ≤ 20; evidence of intracranial haemorrhage confirmed by CT scan or MRI study; anticipated or recent (< 30 days) carotid endarterectomy, angioplasty and/or stenting; resides > 1 hour travel time from London or Ottawa; prior participation in a CCR program; inability to perform expected exercise training of CCR program; evidence of cardioembolic source for TIA/stroke such as atrial fibrillation, valvular disease, septal defect or left ventricular wall motion abnormality; participation in another clinical trial that could interfere with the intervention or outcomes of the current study Interventions Intervention: comprehensive CCR program plus usual care (include home-based exercise 2 days/week for 6 months) Control: usual care alone Outcomes Primary outcome measures: functional capacity; lipid profile; depression symptoms; cognition Secondary outcome measures: cerebrovascular and cardiovascular events; physiological, anthropometric and behavioral vascular risk factors; neurocognitive measure; quality of life Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 85
Suskin 2007 (Continued) Time frame: 6 months Starting date Start: September 2007 Completion: March 2010 Contact information Neville G. Suskin, MBChB, MSc, University of Western Ontario and London Health Sciences Centre, London, Ontario, Canada, N6A 5A5 Tel: + 1 519 663 3488, Email: neville.suskin@lhsc.on.ca Notes NCT00536562 Tørhaug Trial name or title Strength training for chronic stroke patients Methods Randomised cross-over trial; single group assignment; open label Participants Stroke patients, males and females, under 67 years old (from 18 to 67 years) who had suffered from a stroke at least 6 months previously, able to walk, living in the Trondheim area such that travel costs can be covered by 1500 NOK Interventions Intervention: Maximal Strength Training (MST) involving weights of up to 90% of the participants 1 repetition maximum. Unilateral leg press and plantarflexion exercises Outcomes Primary outcome: unilateral 1 repetition maximum for leg press and plantarflexion Secondary outcomes: rate of force development in unilateral leg press and plantarflexion; maximal oxygen uptake and walking economy; Timed Up and Go Test; 4 Step Balance Test; V-Wave (using surface electromyography - SEMG) of soleus during static plantarflexion; blood lipid profile; 6-Minute Walk Test; Jump Height of a counter movement jump; SF-36 Quality of life questionnaire, Norwegian version Starting date Start: November 2009 Completion date March 2010 Contact information Study Completion Date: Notes NCT01003353. Trial has been completed but not yet published Van der Port Trial name or title Cost-effectiveness of a structured progressive task-oriented circuit class training programme to enhance walking competency after stroke: The protocol of the FIT-Stroke trial Methods Multicentre single-blinded randomised trial stratified by rehabilitation centre Participants 220 stroke patients discharge to the community from inpatient rehabilitation who are able to communicate and walk at least 10 meters without physical assistance Physical fitness training for stroke patients (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 86
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Physical fitness training for strok
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Analysis 1.19. Comparison 1 Cardior
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Analysis 5.10. Comparison 5 Mixed t
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Analysis 7.2. Comparison 7 Cardiore
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walking speed (mean difference (MD)
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Post-stroke physical activity and f
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Search methods for identification o
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• type of training (cardiorespira
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Compliance with the scheduled exerc
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Case fatality Number of deaths was
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we did not include these data in th
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(Flansbjer 2008; Kim 2001; Ouellett
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data were, however, confounded by a
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Vascular risk factors A few trials
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ical function outcomes did not impr
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We thank the Cochrane Stroke Group
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or relaxation. Proceedings of the U
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Dean 1997 {published data only} Dea
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(LEAPS): a randomized controlled tr
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with chronic stroke. Neurorehabilit
Page 41 and 42: Askim {published data only} Askim T
Page 43 and 44: Hobart 2002 Hobart JC, Williams LS,
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Page 47 and 48: Bale 2008 Methods Design: randomise
Page 49 and 50: Cooke 2010 Methods Design: phase I
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Page 55 and 56: Eich 2004 Methods Design: randomise
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Page 65 and 66: Moore 2010 Methods Design: randomis
Page 67 and 68: Mudge 2009 (Continued) sessions (e.
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Page 81 and 82: (Continued) Franceschini 2009 Not v
Page 83 and 84: (Continued) Maeshima 2003 Not a rel
Page 85 and 86: (Continued) Thielman 2005 Not a rel
Page 87 and 88: Eng Trial name or title The effect
Page 89 and 90: Ivey (B) Trial name or title Streng
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Page 99 and 100: 7 Physical fitness - maximum cyclin
Page 101 and 102: 10.2 After usual care 1 20 Mean Dif
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Page 105 and 106: 36 Mood - Hospital Anxiety and Depr
Page 107 and 108: 21.2 After usual care 1 80 Mean Dif
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Analysis 3.1. Comparison 3 Resisten
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Analysis 3.11. Comparison 3 Resiste
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Analysis 5.1. Comparison 5 Mixed tr
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Analysis 7.2. Comparison 7 Cardiore
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Table 1. Outline of the studies whi
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Table 3. Outline of the studies whi
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Table 4. Pooled walking data for ca
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#42.(physical in Abstract and (exer
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71 8 and 36 and 70 72 limit 71 to h
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S58. (MH “Random Assignment”) o
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W H A T ’ S N E W Last assessed a
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MeSH check words Humans Physical fi
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