High-Intensity Exercise Training Impact on Cardiorespiratory Fitness, Gait Ability, and Balance in Stroke Survivors: A Systematic Review and Meta-Analysis. in Journal of clinical medicine / J Clin Med. 2024 Sep 17;13(18):5498. doi: 10.3390/jcm13185498.

2024
AOU Alessandria

Tipo pubblicazione

Review

Autori/Collaboratori (10)Vedi tutti...

Baricich A
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20072 Milan, Italy.
Borg MB
Rehabilitation Unit, IRCSS Humanitas Research Hospital, 20089 Milan, Italy.
Battaglia M
Department of Health Sciences, Università del Piemonte Orientale "Amedeo Avogadro", 28100 Novara, Italy.

et alii...

Abstract

Stroke survivors commonly face challenges such as reduced physical activity and cardiorespiratory fitness (CRF) as well as balance and gait impairments, exacerbating their disability. While high-intensity exercise interventions have demonstrated some potential, their effects on these items remain uncertain. Therefore, our study aimed to investigate the impact of high-intensity training protocols on CRF, gait ability, and balance in stroke survivor populations. Two independent investigators systematically searched five databases for relevant RCTs following the PICO model. Through a systematic review of 25 RCTs published up to 31 May 2023, including adult first-stroke survivors, comparing high-intensity exercise training versus low-to-mild or no exercises, we evaluated outcomes such as the Six-Minute Walking Test (6 MWT), peak oxygen uptake (VO2peak), Ten-Meter Walk Test (10 MWT), Berg Balance Scale (BBS), and Timed Up and Go test (TUG). The protocol was registered in PROSPERO (registration number CRD42023456773). Meta-analyses indicated significant enhancements in CRF, as measured by 6 MWT and VO2peak, following high-intensity exercise interventions. However, no significant differences were observed in BBS, 10 MWT, and TUG. Our findings underscore the potential of high-intensity exercise interventions in ameliorating CRF among stroke survivors, although further research involving standardized protocols and long-term follow-ups is imperative to optimize rehabilitation outcomes.

Accesso banca dati bibliografica

PMID : 39336984

DOI : 10.3390/jcm13185498

Keywords

cardio-respiratory fitness; high-intensity exercise; high-intensity training; meta-analysis; rehabilitation; stroke;