Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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Auteur Lu Luo
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Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis / Lu Luo in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis [texte imprimé] / Lu Luo, Auteur ; Haining Meng, Auteur ; Ziwei Wang, Auteur . - 2020 . - p. 59-68.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 59-68
Catégories : SPÉCIALITÉ
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Tags : Exercise therapy Intensity Stroke Cardiorespiratory fitness Safety Meta-analysis Résumé : Background: Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking.
Objective: This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors.
Methods: We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2 peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
Results: We included 17 studies (PEDro score≥4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2 peak; SMD=0.56, P Conclusions: Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke.
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