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European Journal of Physical and Rehabilitation Medicine 2016 April;52(2):233-43

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Do aerobic exercises really improve aerobic capacity of stroke survivors? A systematic review and meta-analysis

Mikhail SALTYCHEV 1, Tuulikki SJÖGREN 2, Esa BÄRLUND 3, Katri LAIMI 1, Joana PALTAMAA 4

1 Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku Turku, Finland; 2 Department of Health Sciences University of Jyväskylä, Jyväskylä, Finland; 3 Satakunta University of Applied Sciences, Pori, Finland; 4 School of Health and Social Studies JAMK University of Applied Sciences, Jyväskylä, Finland


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BACKGROUND: Even if aerobic exercises are recommended to stroke survivors, the clinical significance of the effect of these exercises on aerobic capacity has not been definitely shown.
AIM: To investigate, if there is evidence that aerobic capacity, measured by maximal oxygen consumption, can be improved by aerobic training?
DESIGN: Systematic review and meta-analysis, all settings.
SETTING: Department of Physical and Rehabilitation Medicine of a University Hospital.
POPULATION: Adult stroke survivors.
METHODS: Search on CENTRAL, MEDLINE, EMBASE, CINAHL, Pedro. Study selection and extraction based on the Cochrane Handbook for Systematic Reviews. Random effects meta-analysis.
RESULTS: Based on 13 randomized aerobic training improved aerobic capacity on average by 2.5 mL/kg/min. Four of the included studies had low risk of bias.
CONCLUSIONS: There is strong evidence that aerobic training is capable of improving aerobic capacity of stroke survivors, supporting the routine recommendation for training after stroke.
CLINICAL REHABILITATION IMPACT: It is not known, if one type of training is more effective than others in stroke survivors.

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