Du modtager denne e-mail, fordi du abonnerer på servicen Scias Update.
------------------------------
*Dagens forskningsoversigt fra Scias Update:*
Physical fitness interventions for nonambulatory stroke survivors: A
mixed-methods systematic review and meta-analysis.
Brain Behav. 2018 07;8(7):e01000
Authors: Lloyd M, Skelton DA, Mead GE, Williams B, van Wijck F
Abstract
INTRODUCTION: Physical fitness training after stroke is recommended in
guidelines across the world, but evidence pertains mainly to ambulatory
stroke survivors. Nonambulatory stroke survivors (FAC score ≤2) are at
increased risk of recurrent stroke due to limited physical activity. This
systematic review aimed to synthesize evidence regarding case fatality,
effects, experiences, and feasibility of fitness training for nonambulatory
stroke survivors.
METHODS: Eight major databases were searched for any type of study design.
Two independent reviewers selected studies, extracted data, and assessed
study quality, using published tools. Random-effects meta-analysis was
used. Following their separate analysis, qualitative and quantitative data
were synthesized using a published framework.
RESULTS: Of 13,614 records, 33 studies involving 910 nonambulatory
participants met inclusion criteria. Most studies were of moderate quality.
Interventions comprised assisted walking (25 studies), cycle ergometer
training (5 studies), and other training (3 studies), mainly in acute
settings. Case fatality did not differ between intervention (1.75%) and
control (0.88%) groups (95% CI 0.13-3.78, p = 0.67). Compared with control
interventions, assisted walking significantly improved: fat mass, peak
heart rate, peak oxygen uptake and walking endurance, maximum walking
speed, and mobility at intervention end, and walking endurance, balance,
mobility, and independent walking at follow-up. Cycle ergometry
significantly improved peak heart rate, work load, peak ventilation, peak
carbon dioxide production, HDL cholesterol, fasting insulin and fasting
glucose, and independence at intervention end. Effectiveness of other
training could not be established. There were insufficient qualitative data
to draw conclusions about participants' experiences, but those reported
were positive. There were few intervention-related adverse events, and
dropout rate ranged from 12 to 20%.
CONCLUSIONS: Findings suggest safety, effectiveness, and feasibility of
adapted fitness training for screened nonambulatory stroke survivors.
Further research needs to investigate the clinical and cost-effectiveness
as well as experiences of fitness training-especially for chronic stroke
survivors in community settings.
PMID: 29920979
------------------------------
Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
------------------------------
Læs mere om folkesundhedsvidenskabelige forskningsoversigter, adgang til
artikler, kvalitetsvurdering og folkenene bag Scias Update på
scias.dk/update.
Du kan også finde ovenstående abstract på *Facebook*
<https://evidens.link/2YgvF2I> eller *PubMed* <https://fsv.link/2HcQpmp>.
------------------------------
Hvis du ikke længere ønsker at modtage disse opdateringer om nye opslag fra
Scias Update, skal du gå ind på update.scias.dk/e-mail.
Samme sted kan du vælge at modtage en ugentlig e-mail, hvis du ikke ønsker
at modtage en ny oversigt på alle hverdage.
Mange hilsner
Scias Update (scias.dk/update)
