Aerobic Program in Persons with Stroke: A Systematic Review

Authors

  • Juliana V. Francica Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.
  • Aline Bigongiari Biomechanical Laboratory. University of São Paulo. São Paulo/SP. Brazil.
  • Luis Mochizuki Biomechanical Laboratory. University of São Paulo. São Paulo/SP. Brazil.
  • Maria Luiza J. Miranda Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.
  • Bruno Rodrigues Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.

DOI:

https://doi.org/10.20344/amp.4900

Abstract

Introduction: The aim of this study was to perform a systematic review on the exercise trials post stroke.
Material and Methods: Therefore, we conducted a systematic review of randomized controlled clinical trials published in PubMed and PEDro. The inclusion criteria were: Studies – randomized or controlled clinical trials; Participants – Adults of any age with a clinical diagnosis of stroke; Interventions – any aerobic physical training aimed at improving cardiovascular capacity and/or function. Two independent reviewers categorized the selected trials, assessed methodological quality and extracted the relevant data. Various protocols were analyzed and used for both the assessment and physical training of post-stroke subjects.
Results: According to clinical trials analyze, a wide range of instruments were used to measure functional capacity. Ergospirometry and ergometry were found to be main devices in the assessment of cardiovascular capacity. Cycle ergometer training was the most commonly used training strategy, and conventional physiotherapy (based on stretching, strengthening, balance, coordination and gait training) was the most frequent control therapy.
Discussion: Training duration ranged from 4 weeks to 6 months; the mean weekly frequency was 3 sessions per week while training intensity ranged from 40 to 80% of maximal heart rate or VO2 peak. Duration of training sessions ranged from 25 minutes to 1 hour.
Conclusion: Exercise training is a promising tool for the management of post-stroke patients, both in terms of improved cardiovascular and functional capacity. Further studies are needed to widen the scope of therapeutic management of this population.

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Author Biographies

Juliana V. Francica, Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.

Aline Bigongiari, Biomechanical Laboratory. University of São Paulo. São Paulo/SP. Brazil.

Luis Mochizuki, Biomechanical Laboratory. University of São Paulo. São Paulo/SP. Brazil.

Maria Luiza J. Miranda, Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.

Bruno Rodrigues, Human Movement Laboratory. São Judas Tadeu University. São Paulo/SP. Brazil.

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Published

2014-01-10

How to Cite

1.
Francica JV, Bigongiari A, Mochizuki L, Miranda MLJ, Rodrigues B. Aerobic Program in Persons with Stroke: A Systematic Review. Acta Med Port [Internet]. 2014 Jan. 10 [cited 2024 Apr. 25];27(1):108-15. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900

Issue

Section

Review Articles