Aerobic Program in Persons with Stroke: A Systematic Review
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900 |
Resumo: | 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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Aerobic Program in Persons with Stroke: A Systematic ReviewTreino Aeróbico em Indivíduos após Acidente Vascular Cerebral: Uma Revisão SistemáticaIntroduction: 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.Introdução: O objetivo deste estudo foi realizar uma revisão sistemática sobre o exercício após acidente vascular cerebral.Material e Métodos: Para isso, foi realizada uma revisão sistemática de ensaios clínicos randomizados e controlados publicados no PubMed e PEDro. Os critérios para inclusão dos artigos foram: Estudos - ensaios clínicos randomizados ou controlados; participantes - adultos de qualquer idade com diagnóstico clínico de acidente vascular cerebral; intervenções - qualquer treino físico aeróbio que vise melhorar a capacidade e/ou função cardiovascular. Dois revisores independentes categorizaram os ensaios selecionados, avaliaram a qualidade metodológica e extraíram os dados relevantes. A análise realizada foi dos vários protocolos usados tanto para a avaliaçãoe treino de indivíduos pós-acidente vascular cerebral.Resultados: De acordo com estudos clínicos analisados, uma vasta gama de instrumentos foi utilizada para medir a capacidade funcional dos pacientes. Ergometria e ergoespirometria foram os principais dispositivos da avaliação da capacidade cardiovascular. Treino\exercício na bicicleta ergométrica foi a estratégia de treino mais comumente usada, e fisioterapia convencional (baseada em alongamentos, fortalecimentos, treino de equilíbrio, coordenação e marcha) foi a terapia de controle mais frequente.Discussão: A duração do programa variou de 4 semanas a 6 meses, a frequência semanal média foi de três sessões por semana, enquanto que a intensidade do treinamento variou de 40 a 80% da frequência cardíaca máxima ou VO2 máximo. A duração de sessões de treino variou entre 25 minutos a 1 hora.Conclusão: O treino físico é uma ferramenta promissora para o tratamento de pacientes pós-AVC, tanto em termos de melhoria da capacidade funcional e da capacidade cardiovascular. No entanto, mais estudos são necessários para ampliar a área de atuação terapêutica nesta população.Ordem dos Médicos2014-01-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900oai:ojs.www.actamedicaportuguesa.com:article/4900Acta Médica Portuguesa; Vol. 27 No. 1 (2014): January-February; 108-115Acta Médica Portuguesa; Vol. 27 N.º 1 (2014): Janeiro-Fevereiro; 108-1151646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900/3884Francica, Juliana V.Bigongiari, AlineMochizuki, LuisMiranda, Maria Luiza J.Rodrigues, Brunoinfo:eu-repo/semantics/openAccess2022-12-20T11:04:04Zoai:ojs.www.actamedicaportuguesa.com:article/4900Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:59.969483Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Aerobic Program in Persons with Stroke: A Systematic Review Treino Aeróbico em Indivíduos após Acidente Vascular Cerebral: Uma Revisão Sistemática |
title |
Aerobic Program in Persons with Stroke: A Systematic Review |
spellingShingle |
Aerobic Program in Persons with Stroke: A Systematic Review Francica, Juliana V. |
title_short |
Aerobic Program in Persons with Stroke: A Systematic Review |
title_full |
Aerobic Program in Persons with Stroke: A Systematic Review |
title_fullStr |
Aerobic Program in Persons with Stroke: A Systematic Review |
title_full_unstemmed |
Aerobic Program in Persons with Stroke: A Systematic Review |
title_sort |
Aerobic Program in Persons with Stroke: A Systematic Review |
author |
Francica, Juliana V. |
author_facet |
Francica, Juliana V. Bigongiari, Aline Mochizuki, Luis Miranda, Maria Luiza J. Rodrigues, Bruno |
author_role |
author |
author2 |
Bigongiari, Aline Mochizuki, Luis Miranda, Maria Luiza J. Rodrigues, Bruno |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Francica, Juliana V. Bigongiari, Aline Mochizuki, Luis Miranda, Maria Luiza J. Rodrigues, Bruno |
description |
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. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900 oai:ojs.www.actamedicaportuguesa.com:article/4900 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/4900 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4900/3884 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 27 No. 1 (2014): January-February; 108-115 Acta Médica Portuguesa; Vol. 27 N.º 1 (2014): Janeiro-Fevereiro; 108-115 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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