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

South African Journal of Physiotherapy

Field Value
Title Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke
Creator Amanzonwé, Elogni R. Tedesco Triccas, Lisa Codjo, Léopold Hansen, Dominique Feys, Peter Kossi, Oyéné
Subject Physiotherapy, Neurorehabilitation balance; exercise therapy; quality of life; stroke; walking ability
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.Objective: 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.Methods: 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.Conclusions: 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.
Publisher AOSIS
Contributor None
Date 2023-02-10
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Systematic review and meta-analysis
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v79i1.1846
Source South African Journal of Physiotherapy; Vol 79, No 1 (2023); 12 pages 2410-8219 0379-6175
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/1846/3138 https://sajp.co.za/index.php/sajp/article/view/1846/3139 https://sajp.co.za/index.php/sajp/article/view/1846/3140 https://sajp.co.za/index.php/sajp/article/view/1846/3141
Coverage None From inception to June 2022 Adults, males and females
Rights Copyright (c) 2023 Elogni R. Amanzonwé, Lisa Tedesco Triccas, Léopold Codjo, Dominique Hansen, Peter Feys, Oyéné Kossi https://creativecommons.org/licenses/by/4.0