Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/2107
Title: Maintenance of cardiorespiratory fitness in people with stroke: a systematic review and meta-analysis
Epworth Authors: Machado, Natasha
Wingfield, Matthew
Olver, John
Williams, Gavin
Johnson, Liam
Other Authors: Kramer, Sharon
Keywords: Cardiorespiratory Fitness
Cerebrovascular Disorders
Follow-Up Studies
Rehabilitation
Stroke
Systematic Review
Epworth Monash Rehabilitation Medicine Unit, Melbourne, Victoria, Australia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jul-2022
Publisher: Elsevier
Citation: Arch Phys Med Rehabil . 2022 Jul;103(7):1410-1421.e6
Abstract: Objective: To determine if improvements in cardiorespiratory fitness are maintained in the short-, medium- and long-term after a cardiorespiratory fitness intervention in people with stroke. Data sources: MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, (CENTRAL) Cochrane, Web of Science, Sports Discus, and Physiotherapy Evidence Database were searched from inception. Study selection: Randomized controlled trials and cohort studies including (1) people with stroke; (2) cardiorespiratory fitness interventions; (3) a direct measure of cardiorespiratory fitness; and (4) short- (0 to <3 months), medium- (3-6 months), or long-term (>6 months) follow-up data. Data extraction: Two reviewers independently screened full texts and extracted data, including study methods, participant demographic information, stroke type and severity, outcome measures, intervention information, follow-up time points, and results, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A lower limit of -1.0 mL•kg-1•min-1 was used to determine maintenance (ie, no change) of cardiorespiratory fitness. Data synthesis: Fourteen studies (N=324 participants) were included. Participants completed cardiorespiratory fitness training 2-5 days per week over 4-13 weeks at moderate to high intensity (40%-70% heart rate reserve [HRR]; n=4 studies), high intensity (60% to <90% HRR; n=7 studies), and intervals of high intensity (85%-95% peak heart rate or maximal heart rate; n=3 studies). Most people with stroke did maintain cardiorespiratory fitness in the short- (-0.19 mL•kg-1•min-1 [95% CI, -1.66 to 1.28]), medium- (-0.61 mL•kg-1•min-1 [95% CI, -3.95 to 2.74]), and long-term (0.00 mL•kg-1•min-1 [95% CI, -2.23 to 2.23]) after completion of cardiorespiratory fitness interventions. Conclusions: People with stroke maintain cardiorespiratory fitness after a cardiorespiratory fitness intervention in the short-, medium-, and longer-term. However, little is known about the impact of participant and intervention characteristics on the long-term maintenance of cardiorespiratory fitness.
URI: http://hdl.handle.net/11434/2107
DOI: 10.1016/j.apmr.2022.01.151
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/35172177/
ISSN: 0003-9993
1532-821X
Journal Title: Archives of Physical Medicine and Rehabilitation
Type: Journal Article
Affiliated Organisations: Florey Institute of Neuroscience and Mental Health, Victoria, Australia
Centre for Quality and Patient Safety Research, Institute for Health Transformation, Alfred-Deakin Partnership, Deakin University, Victoria, Australia.
Physiotherapy Department, Faculty of Medicine, Dentistry and Health Science, University of Melbourne, Victoria, Australia
Department of Medicine, Monash University, Victoria, Australia.
Physiotherapy Department, Faculty of Medicine, Dentistry and Health Science, University of Melbourne, Victoria, Australia
Faculty of Exercise Science, Australian Catholic University, Victoria, Australia.
Type of Clinical Study or Trial: Systematic Review and Meta-Analysis
Appears in Collections:Rehabilitation

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