1. THE INFLUENCE OF AEROBIC EXERCISE TRAINING ON CARDIOPULMONARY OUTCOME PARAMETERS IN STROKE PATIENTS
A SYSTEMATIC REVIEW
Justien Cornelis* (PT, MSc)(1), Christel Vanroy (PT, MSc)(1), Christiaan Vrints (MD, PhD)(2,3), Paul Beckers (PT, PhD)(1,2,3), Dirk Vissers (PT, PhD)(1)
(1) Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Wilrijk, Belgium; (2) Department of Cardiology, Antwerp University Hospital, Edegem, Belgium; (3) Faculty of Medicine and Health Sciences, Department of Medicine, University of Antwerp, Wilrijk, Belgium
PURPOSE
Cardiac exercise training became more important in stroke patients, as it seems to improve cardiovascular fitness and activities of daily living. In order to assess the influence of a cardiac training program on aerobic capacity and functionality, cardiopulmonary exercise test (CPET) parameters can be evaluated.
The goal of this systematic review is to describe the effect of cardiac training on the established CPET parameters in stroke patients.
METHODS
Systematic search strategy
("stroke"[Mesh] OR "CVA*" OR "cerebrovascular accident*") AND ("Exercise"[Mesh] OR "training" OR "Physical Exertion"[Mesh] OR "Physical Endurance"[Mesh] OR exercise) AND ("Physical Fitness"[Mesh] OR "aerobic capacity" OR "cardiovascular fitness" OR "cardiopulmonary exercise" OR "cardiorespiratory exercise")
Selection criteria
1) Stroke
2) ≥18 years
3) Randomized clinical trials
4) Exercise training
5) CPET assessment (baseline & end)
5) English, Spanish, Portuguese, French, German and Dutch
6) At least peak VO2 had to be investigated
Databases: PubMed Library, Web of Science and Cochrane Clinical Trials
RESULTS
Effect exercise training on CPET parameters?
VE/VCO2 slope
OUES
PetCO2
EOV
Effect of modality of training on CPET parameters?
Continuous training
Interval training
Combined training
Intensity: low – moderate - high
Records identified through database (n=555), after deduplication (n=462), resulting in 33 studies
Not evaluated despite of aerobic / cardiac training
Peak VO2 was investigated in 33 articles. Only 5 more than an afore published meta-analysis [1] in which it was found that the overall mean difference for peak VO2 was 2,27ml/kg/min.
Therefore we considered not to list the peak VO2 results. However, it is important to investigate other cardiorespiratory parameters that are often suggested in cardiac patiënts.
Relevance?
Prognosis
Evaluating cardiorespiratory system
Only effect on peak VO2 rarely investigated
[1] Marsden et al., 2013
CONCLUSIONS
Aerobic training improves aerobic capacity in stroke
Research should document other CPET parameters and investigate clinical relevance
Declaration of interest: The authors have nothing to declare
*Corresponding author: