Why the study?
Community exercise might benefit stroke recovery, but existing results remained controversial.
Does community exercise improve walking distance and speed in patients with stroke?
Comparison
Community exercise vs usual care
Design
Systematic review and meta-analysis of RCTs
Key result
Community exercise significantly improved 6-Minute walk distance (SMD 0.48; 95% CI 0.22 to 0.74; P=0.0003) and walking speed in stroke patients compared to usual care.
Authors
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Supports community exercise in post-stroke rehab; reinforces Level 1 evidence for mobility gains over usual care.
Meta-Analysis (n=497)
Does community exercise improve walking distance and speed in patients with stroke?
Standardized Mean Difference: 0.48 (95% CI 0.22–0.74)
p-value: p=0.0003
Community exercise improves functional mobility (walking distance and speed) in stroke patients, though it does not significantly affect balance, muscle strength, or mental quality of life.
Peng et al. (2019) conducted a meta-analysis in Stroke (n=497). Community exercise vs. Usual care was evaluated on 6-Minute walk distance (SMD 0.48, 95% CI 0.22 to 0.74, p=0.0003). Community exercise significantly improved 6-Minute walk distance (SMD 0.48; 95% CI 0.22 to 0.74; P=0.0003) and walking speed in stroke patients compared to usual care.