Article

The purpose of this systematic review was to examine studies that
examined the effectiveness of aerobic exercise interventions on mobility in
long-term stroke survivors. DESIGN: The authors searched electronic databases for
randomized control trials between January 1995 and December 2014 investigating
aerobic exercise interventions and mobility in stroke survivors after the
subacute phase (>6 mos). Mobility was measured using objective functional fitness
tests: 6-minute walk, 10-meter walk, and up-n-go. RESULTS: Nine randomized
control trials that compared aerobic exercise with a control group among stroke
survivors (mean age, 56.95-68 yrs) were identified. Aerobic interventions lasted
between 2 and 6 mos and primarily involved walking. Using the Comprehensive
Meta-analysis software, it was found that two of the three mobility outcomes
showed small to moderate effect sizes favoring the aerobic exercise group:
6-minute walk (g = 0.366, P < 0.001) and 10-meter walk (g = 0.411, P = 0.002),
while the up-n-go test was not significant (g = -0.150, P = 0.330). CONCLUSION:
These findings demonstrate that stroke survivors may continue to benefit from
aerobic exercise after the subacute phase. Future research needs to examine the
precise dose and recommendation for aerobic exercise, test other exercise
modalities, and use larger samples to thoroughly determine long-term exercise
effects on mobility in this population.

Langue : ANGLAIS