Key result
Exercise training had positive effects on maximal oxygen uptake, peak aerobic capacity, 6-minute walk test, and resting heart rate in stroke survivors.
Why the study?
Does exercise training improve cardiovascular and autonomic parameters in stroke survivors?
Systematic Review (n=611)
Does exercise training improve cardiovascular and autonomic parameters in stroke survivors?
Exercise training appears to improve functional and autonomic cardiovascular parameters in stroke survivors, though more rigorous studies are needed.
Supports exercise training to improve cardiovascular and autonomic parameters post-stroke; extends evidence for rehab protocols but needs larger RCTs.
Negative changes in cardiovascular and autonomic variables in stroke survivors have encouraged the global scientific community to focus on investigating therapeutic strategies to mitigate stroke damage. The objective of the present study was to describe the effects of exercise training on cardiovascular and autonomic variables in stroke survivors. We used the PICO (population, intervention, control/comparison, and outcome variables) model for the search of articles in PubMed and Physiotherapy Evidence Databases from 2009 to December 2018. The following data were also recorded: type of study, author, year of publication, participants (time after stroke, sample size, and age) and benefits of exercise training. A total of 544 articles were initially selected, of which nine peer-reviewed articles met the search criteria. These nine studies enrolled 611 participants (middle-aged or elderly), and pointed to positive effects of training on maximal oxygen uptake, peak aerobic capacity, 6-minute walk test and resting heart rate. However, more well-controlled studies are needed to confirm the benefits of exercise training on cardiovascular and autonomic variables in this population.
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Gambassi et al. (2016) conducted a systematic review in Stroke (n=611). Exercise training was evaluated on Cardiovascular and autonomic variables (maximal oxygen uptake, peak aerobic capacity, 6-minute walk test, and resting heart rate). Exercise training had positive effects on maximal oxygen uptake, peak aerobic capacity, 6-minute walk test, and resting heart rate in stroke survivors.
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