Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke.
balance
exercise therapy
quality of life
stroke
walking ability
Journal
The South African journal of physiotherapy
ISSN: 2410-8219
Titre abrégé: S Afr J Physiother
Pays: South Africa
ID NLM: 9816433
Informations de publication
Date de publication:
2023
2023
Historique:
received:
10
10
2022
accepted:
09
12
2022
entrez:
6
3
2023
pubmed:
7
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
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. 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. 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). Twenty-eight trials ( 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. A high dosage of aerobic exercise, duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve is beneficial for improving walking capacity.
Sections du résumé
Background
UNASSIGNED
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
UNASSIGNED
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
UNASSIGNED
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
UNASSIGNED
Twenty-eight trials (
Conclusion
UNASSIGNED
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
UNASSIGNED
A high dosage of aerobic exercise, duration ≥ 120 min/week; intensity ≥ 60% heart rate reserve is beneficial for improving walking capacity.
Identifiants
pubmed: 36873960
doi: 10.4102/sajp.v79i1.1846
pii: SAJP-79-1846
pmc: PMC9982519
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1846Informations de copyright
© 2023. The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.
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