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Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke
BACKGROUND: Although aerobic training (AT) and resistance training (RT) are recommended after stroke, the optimal dosage of these interventions and their effectiveness on balance, walking capacity, and quality of life (QoL) remain conflicting. OBJECTIVES: Our study aimed to quantify the effects of d...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9982519/ https://www.ncbi.nlm.nih.gov/pubmed/36873960 http://dx.doi.org/10.4102/sajp.v79i1.1846 |
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author | Amanzonwé, Elogni R. Tedesco Triccas, Lisa Codjo, Léopold Hansen, Dominique Feys, Peter Kossi, Oyéné |
author_facet | Amanzonwé, Elogni R. Tedesco Triccas, Lisa Codjo, Léopold Hansen, Dominique Feys, Peter Kossi, Oyéné |
author_sort | Amanzonwé, Elogni R. |
collection | PubMed |
description | BACKGROUND: Although aerobic training (AT) and resistance training (RT) are recommended after stroke, the optimal dosage of these interventions and their effectiveness on balance, walking capacity, and quality of life (QoL) remain conflicting. OBJECTIVES: Our study aimed to quantify the effects of different modes, dosages and settings of exercise therapy on balance, walking capacity, and QoL in stroke survivors. METHOD: PubMed, CINHAL, and Hinari databases were searched for randomised controlled trials (RCTs) evaluating the effects of AT and RT on balance, walking, and QoL in stroke survivors. The treatment effect was computed by the standard mean differences (SMDs). RESULTS: Twenty-eight trials (n = 1571 participants) were included. Aerobic training and RT interventions were ineffective on balance. Aerobic training interventions were the most effective in improving walking capacity (SMD = 0.37 [0.02, 0.71], p = 0.04). For walking, capacity, a higher dosage (duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve) of AT interventions demonstrated a significantly greater effect (SMD = 0.58 [0.12, 1.04], p = 0.01). Combined AT and RT improved QoL (SMD = 0.56 [0.12, 0.98], p = 0.01). Hospital located rehabilitation setting was effective for improving walking capacity (SMD = 0.57 [0.06, 1.09], p = 0.03) compared with home and/or community and laboratory settings. CONCLUSION: Our findings showed that neither AT nor RT have a significant effect on balance. However, AT executed in hospital-located settings with a higher dose is a more effective strategy to facilitate walking capacity in chronic stroke. In contrast, combined AT and RT is beneficial for improving QoL. CLINICAL IMPLICATIONS: A high dosage of aerobic exercise, duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve is beneficial for improving walking capacity. |
format | Online Article Text |
id | pubmed-9982519 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-99825192023-03-04 Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke Amanzonwé, Elogni R. Tedesco Triccas, Lisa Codjo, Léopold Hansen, Dominique Feys, Peter Kossi, Oyéné S Afr J Physiother Review Article BACKGROUND: Although aerobic training (AT) and resistance training (RT) are recommended after stroke, the optimal dosage of these interventions and their effectiveness on balance, walking capacity, and quality of life (QoL) remain conflicting. OBJECTIVES: Our study aimed to quantify the effects of different modes, dosages and settings of exercise therapy on balance, walking capacity, and QoL in stroke survivors. METHOD: PubMed, CINHAL, and Hinari databases were searched for randomised controlled trials (RCTs) evaluating the effects of AT and RT on balance, walking, and QoL in stroke survivors. The treatment effect was computed by the standard mean differences (SMDs). RESULTS: Twenty-eight trials (n = 1571 participants) were included. Aerobic training and RT interventions were ineffective on balance. Aerobic training interventions were the most effective in improving walking capacity (SMD = 0.37 [0.02, 0.71], p = 0.04). For walking, capacity, a higher dosage (duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve) of AT interventions demonstrated a significantly greater effect (SMD = 0.58 [0.12, 1.04], p = 0.01). Combined AT and RT improved QoL (SMD = 0.56 [0.12, 0.98], p = 0.01). Hospital located rehabilitation setting was effective for improving walking capacity (SMD = 0.57 [0.06, 1.09], p = 0.03) compared with home and/or community and laboratory settings. CONCLUSION: Our findings showed that neither AT nor RT have a significant effect on balance. However, AT executed in hospital-located settings with a higher dose is a more effective strategy to facilitate walking capacity in chronic stroke. In contrast, combined AT and RT is beneficial for improving QoL. CLINICAL IMPLICATIONS: A high dosage of aerobic exercise, duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve is beneficial for improving walking capacity. AOSIS 2023-02-10 /pmc/articles/PMC9982519/ /pubmed/36873960 http://dx.doi.org/10.4102/sajp.v79i1.1846 Text en © 2023. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Review Article Amanzonwé, Elogni R. Tedesco Triccas, Lisa Codjo, Léopold Hansen, Dominique Feys, Peter Kossi, Oyéné Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title | Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title_full | Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title_fullStr | Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title_full_unstemmed | Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title_short | Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
title_sort | exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9982519/ https://www.ncbi.nlm.nih.gov/pubmed/36873960 http://dx.doi.org/10.4102/sajp.v79i1.1846 |
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