Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke

被引:8
作者
Amanzonwe, Elogni R. [1 ,2 ]
Triccas, Lisa Tedesco [2 ]
Codjo, Leopold [3 ]
Hansen, Dominique [2 ,4 ]
Feys, Peter [2 ]
Kossi, Oyene [2 ,5 ,6 ]
机构
[1] Univ Parakou, Dept Neurol NeuroRehabil, Unit NeuroRehabil, Parakou, Benin
[2] Hasselt Univ, Fac Rehabil Sci, Rehabil Res Ctr, REVAL, Hasselt, Belgium
[3] Univ Parakou, Fac Med, Dept Cardiol, Parakou, Benin
[4] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium
[5] Univ Hosp Parakou, Dept Neurol NeuroRehabil, Unit NeuroRehabil, Parakou, Benin
[6] Univ Parakou, Natl Sch Publ Hlth & Epidemiol, ENATSE, Parakou, Benin
关键词
Std; mean difference; balance; exercise therapy; quality of life; stroke; walking ability; FUNCTIONAL ELECTRICAL-STIMULATION; CARDIOVASCULAR FITNESS; TREADMILL EXERCISE; OVERGROUND WALKING; AEROBIC EXERCISE; REHABILITATION; INTENSITY; PEOPLE; SURVIVORS; SPEED;
D O I
10.4102/sajp.v79i1.1846
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
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.
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页数:12
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