Article

OBJECTIVE: To provide insight into exercise stress testing after stroke or
transient ischemic attack (TIA) in terms of feasibility, safety,
and protocols
used. DATA SOURCES: PubMed, Embase, CINAHL, and Web of Science were searched for
relevant studies published from inception to March 2014, and reference lists were
hand searched. STUDY SELECTION: To be included in the review, the articles needed
to include participants diagnosed with stroke or TIA and have any form of test to
assess exercise capacity.
DATA EXTRACTION: The scoping review methodology does
not include critical appraisal of the literature but was chosen to reflect all
aspects of exercise stress testing after stroke or TIA. Two reviewers performed
screening for eligible studies independently, and 1 reviewer extracted the data.
DATA SYNTHESIS: We found a total of 112 studies involving 5008 participants
describing symptom-limited (n=103), submaximal (n=9), and field (n=6) exercise
stress test protocols. Some of the studies reported on data from >1 protocol.
Metabolic analysis was included in 87% of the studies involving symptom-limited
tests, 40% of submaximal studies, and 29% of field tests. Monitoring of blood
pressure, perceived exertion, and electrocardiographic responses was done in 54%,
42%, and 95% of all studies, respectively. A mere 10% of all studies reported on
electrocardiographic abnormalities detected during testing. No serious adverse
events were reported. CONCLUSIONS: Symptom-limited exercise stress testing
appears to be safe in patients with stroke or TIA and provides a more valid
measure of exercise capacity than submaximal and field tests. The level of
disability may compromise feasibility, and test modality should be chosen
carefully to optimize test results.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS