Abstract:
OBJECTIVE:To examine the effectiveness of cardiovascular conditioning on comfortable gait speed and total distance walked when initiated in the chronic stage of stroke through a meta-analysis. METHODS:MEDLINE, CINAHL, EMBASE, and Scopus databases were searched from 1980 to June 2012. A study was selected if (1) it was a randomized controlled trial; (2) individuals in the study were entered into the study at or over 6 months post stroke; (3) cardiorespiratory training was initiated during the chronic stage of stroke; and (4) study participants were ≥18 years of age. A standardized mean difference (SMD ± SE and 95% confidence interval [CI]) was calculated for comfortable gait speed and/or 6-minute walk test (6MWT). results from all studies were then pooled using a random effects model. Treatment effect sizes were interpreted as small, ≯0.2; moderate, ≯0.5; or large, ≯0.8. Methodological quality of studies was assessed using the Physiotherapy Evidence Database (PEDro) tool. RESULTS:Seven studies met inclusion criteria. The analysis demonstrated a moderate and significant effect on 6MWT post treatment (SMD = 0.581 ± 0.277; 95% CI, -0.037 to 1.125; P = .036) with an improvement of 111.4 m to a pooled average of 357.7 m. No significant improvement in comfortable gait speed was noted post treatment (SMD = 0.159 ± 0.124; 95% CI, -0.085 to 0.402; P = .202) or at follow-up (SMD = 0.248 ± 0.256; 95% CI, -0.253 to 0.750; P = .332). CONCLUSION:Cardiovascular conditioning resulted in clinically relevant gains in walking distance of over 100 m post treatment on the 6MWT when initiated during the chronic stage of stroke. These results demonstrate that individuals in the chronic stage of stroke can still benefit from interventions to improve gait and mobility. This has important implications for outpatient and community-based programs.
journal_name
Top Stroke Rehabiljournal_title
Topics in stroke rehabilitationauthors
Mehta S,Pereira S,Janzen S,Mays R,Viana R,Lobo L,Teasell RWdoi
10.1310/tsr1906-463subject
Has Abstractpub_date
2012-11-01 00:00:00pages
463-70issue
6eissn
1074-9357issn
1945-5119pii
QQ5N6171L2843573journal_volume
19pub_type
杂志文章,meta分析abstract::Informal care provision presents many challenges. As the population ages, more people are forced to enter the role of informal caretaker. Despite the increase in the need for caregivers and the importance of providing care, there is little empirical research examining how men and women approach and cope with providing...
journal_title:Topics in stroke rehabilitation
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doi:10.1310/CJVW-WCPK-2FCV-369P
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journal_title:Topics in stroke rehabilitation
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journal_title:Topics in stroke rehabilitation
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,meta分析,评审
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journal_title:Topics in stroke rehabilitation
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abstract:BACKGROUND AND PURPOSE:Complex regional pain syndrome type I (CPRS I), is a complex of symptoms characterized by diffuse pain usually with associated swelling, vasomotor instability, and severe functional impairment of the affected extremity in stroke patients. Pain is a prominent feature and is often refractory to var...
journal_title:Topics in stroke rehabilitation
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journal_title:Topics in stroke rehabilitation
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1080/10749357.2016.1277481
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,meta分析,评审
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1996.11754101
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abstract:BACKGROUND:Persons with stroke commonly have serious sequelae requiring long-term medical treatment. They often experience distress, and thus improving quality of life (QOL) has been considered a therapeutic objective in addition to prolonging the patient's life. OBJECTIVE:The aim of this study was to analyze the impa...
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:Topics in stroke rehabilitation
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,meta分析
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1368912
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journal_title:Topics in stroke rehabilitation
pub_type: 临床试验,杂志文章
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,多中心研究
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
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abstract::Background: Changes in the paretic-side metabolism post-stroke and quadriceps muscle mechanical properties favour muscle wasting, affecting postural instability and walking impairment. Further clarification is needed in subjects post-stroke who show limited or non-limited community ambulation. Objectives: To analyze b...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2019.1634360
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