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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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