Abstract:
OBJECTIVE:To determine whether aerobic exercise improves aerobic capacity in individuals with stroke. DESIGN:A systematic review of randomized controlled trials. DATABASES SEARCHED: MEDLINE, CINAHL, EMBASE, Cochrane Database of Systematic Reviews and Physiotherapy Evidence Database were searched. INCLUSION CRITERIA:Design: randomized controlled trials (RCTs). PARTICIPANTS:individuals with stroke. INTERVENTIONS:aerobic exercise training aimed at improving aerobic capacity. OUTCOMES: PRIMARY OUTCOMES:aerobic capacity (peak oxygen consumption (VO2), peak workload). SECONDARY OUTCOMES:walking velocity, walking endurance. DATA ANALYSIS:The methodological quality was assessed by the PEDro scale. Meta-analyses were performed for all primary and secondary outcomes. RESULTS:Nine articles (seven RCTs) were identified. The exercise intensity ranged from 50% to 80% heart rate reserve. Exercise duration was 20-40 min for 3-5 days a week. The total number of subjects included in the studies was 480. All studies reported positive effects on aerobic capacity, regardless of the stage of stroke recovery. Meta-analysis revealed a significant homogeneous standardized effect size (SES) in favour of aerobic exercise to improve peak VO2 (SES 0.42; 95% confidence interval (CI) 0.15-0.69; P=0.001) and peak workload (SES 0.50; 95% CI 0.26-0.73; P<0.001). There was also a significant homogeneous SES in favour of aerobic training to improve walking velocity (SES 0.26; 95% CI 0.05-0.48; P= 0.008) and walking endurance (SES 0.30; 95% CI 0.06-0.55; P= 0.008). CONCLUSIONS:There is good evidence that aerobic exercise is beneficial for improving aerobic capacity in people with mild and moderate stroke. Aerobic exercise should be an important component of stroke rehabilitation.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Pang MY,Eng JJ,Dawson AS,Gylfadóttir Sdoi
10.1191/0269215506cr926oasubject
Has Abstractpub_date
2006-02-01 00:00:00pages
97-111issue
2eissn
0269-2155issn
1477-0873journal_volume
20pub_type
杂志文章,meta分析,评审abstract:OBJECTIVE:To evaluate the feasibility and preliminary effectiveness of therapeutic exercise before total hip replacement in frail elderly. DESIGN:A single-blind, randomized clinical pilot trial. SETTING:Outpatient physiotherapy department. SUBJECTS:Frail elderly with hip osteoarthritis awaiting total hip replacement...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510371427
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514552503
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To develop an adaptive measure, the Stroke Arm Ladder, to parsimoniously quantify upper extremity function post stroke. SETTING:Various studies conducted in Montreal and elsewhere in Canada. SUBJECTS:A total of 4058 persons with stroke who participated in various studies were assessed on different occasions...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510389496
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
abstract::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515601175
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon. DESIGN:Prospective multi-centre randomised controlled trial. SETTING:Four hand surgery departments in Sweden. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520962287
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515623600
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Although cognitive impairments are common following stroke, there is considerable uncertainty about the types of interventions that can reduce activity restrictions and improve quality of life. Indeed, a recent project to identify priorities for research into life after stroke determined that the top priorit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514538982
更新日期:2015-02-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501666968247
更新日期:2001-02-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518787316
更新日期:2018-12-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr476oa
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To investigate the internal consistency, the domain structure and the influence of social desirability with regard to a questionnaire translated and adapted to assess the quality of rehabilitation team conferences in the Netherlands. STUDY DESIGN:A questionnaire to determine group decision-making processes w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921501674553635
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. DESIGN:Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. SETTING:Hospital wards o...
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pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519858395
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To validate the Southampton Needs Assessment Questionnaire (SNAQ) for use with disabled people during face-to-face interviews. DESIGN:The SNAQ was designed to be used in a cross-sectional survey of disabled people with a physical disability with a follow-up study one year later. Content and criterion validit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215500cr373oa
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of behavioural activation interventions for people with neurological conditions with comorbid depression, and explore content and adaptations. DATA SOURCES:PsycINFO, MEDLINE, CINAHL, AMED, and EMBASE databases were searched on the 19 November 2019. Reference lists of selected fu...
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pub_type: 杂志文章
doi:10.1177/0269215519896404
更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1177/0269215517698734
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:To compare self-report measures of daily activities with objective activity data to determine whether patients with chronic lower back pain report their activity levels as accurately as controls do. DESIGN:A cross-sectional study was performed in patients and controls. SETTING:The study was carried out in t...
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pub_type: 杂志文章
doi:10.1177/0269215510380828
更新日期:2011-03-01 00:00:00
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doi:10.1191/0269215502cr545oa
更新日期:2002-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-04-01 00:00:00
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更新日期:2009-02-01 00:00:00
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更新日期:2010-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
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更新日期:1999-01-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke. DESIGN:Randomized non-blinded controlled pilot study. SETTING:Neurological rehabilitation hospital. SUBJECTS:First-time ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2013-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To pilot a method for routine outcome data collection one year after admission to a major trauma centre, to determine current outcomes, and to identify possible methodological improvements. DESIGN:A postal questionnaire audit. SETTING:A major trauma centre in the United Kingdom. SUBJECTS:In total, 355 pati...
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更新日期:2017-12-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:To estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome. DESIGN:Multicentre, double-blind, placebo randomized controlled trial. SETTING:"Mancha Centro" Outpatient primary care clinic (Spain). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215515578293
更新日期:2016-04-01 00:00:00