Comparative effectiveness of aerobic training intensities in chronic stroke: a network meta-analysis of randomized controlled trials - Scorecard - MDSpire
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Comparative effectiveness of aerobic training intensities in chronic stroke: a network meta-analysis of randomized controlled trials
Clinical Scorecard: Effectiveness Comparison of Aerobic Exercise Intensities in Chronic Stroke Patients: A Network Meta-Analysis of Randomized Controlled Trials
At a Glance
Category
Detail
Condition
Chronic Stroke
Key Mechanisms
Aerobic exercise modalities improve cardiopulmonary fitness and functional recovery outcomes.
Target Population
Chronic stroke patients (≥3 months post-stroke)
Care Setting
Rehabilitation settings focusing on physical exercise interventions
Key Highlights
HIIT and MICT showed significant effects on VO2peak, 6MWT, and 10MWT.
No statistically significant differences for BBS or TUG among interventions.
Evidence certainty was predominantly low to very low across comparisons.
Guideline-Based Recommendations
Diagnosis
Assess functional recovery outcomes post-stroke using standardized tests.
Management
Implement HIIT or MICT as part of rehabilitation for chronic stroke patients.
Monitoring & Follow-up
Evaluate VO2peak, walking performance, and balance regularly.
Risks
Consider low evidence certainty when interpreting results for balance and TUG.
Patient & Prescribing Data
Chronic stroke patients with motor impairments.
Aerobic exercise is essential for improving physical function and preventing cardiovascular decline.
Clinical Best Practices
Utilize a consistency-based random-effects model for evaluating exercise interventions.
Conduct sensitivity analyses to ensure robustness of findings.
