Comparative effectiveness of aerobic training intensities in chronic stroke: a network meta-analysis of randomized controlled trials - Report - MDSpire
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Comparative effectiveness of aerobic training intensities in chronic stroke: a network meta-analysis of randomized controlled trials
Clinical Report: Effectiveness Comparison of Aerobic Exercise Intensities in Chronic Stroke Patients
Overview
This study conducts a network meta-analysis of 33 RCTs to evaluate the effects of aerobic exercise modalities on cardiopulmonary fitness and functional recovery in chronic stroke patients. High-Intensity Interval Training (HIIT) and Moderate-Intensity Continuous Training (MICT) showed significant improvements in VO2peak and walking performance. Evidence certainty was assessed as predominantly low to very low across comparisons.
Background
Stroke is a leading cause of death and disability globally, with many survivors facing significant motor impairments that hinder physical activity. Regular aerobic exercise is essential for improving cardiovascular fitness and functional recovery in stroke patients.
Data Highlights
Outcome
Intervention
Effect Size
VO2peak
HIIT, MICT
Effect sizes varied
6MWT
HIIT, MICT
Effect sizes varied
10MWT
HIIT, MICT
Effect sizes varied
BBS
Various interventions
No significant differences
TUG
Various interventions
No significant differences
Key Findings
HIIT and MICT showed the most significant effects on VO2peak, 6MWT, and 10MWT.
No statistically significant differences were found for BBS or TUG among most interventions.
Evidence certainty was predominantly low to very low across comparisons, particularly for BBS and TUG.
33 RCTs with 1,665 participants were included in the analysis.
Clinical Implications
Clinicians should consider incorporating HIIT and MICT into rehabilitation programs for chronic stroke patients to enhance cardiopulmonary fitness and walking ability. However, the low certainty of evidence necessitates cautious interpretation of these findings.
Conclusion
HIIT and MICT may improve fitness and walking performance in chronic stroke patients, but the overall evidence quality is low.
