Evidence map›Paper›PMID 25082924›Full record

ArticlePhysical therapy2014

Integrating aerobic training within subacute stroke rehabilitation: a feasibility study.

Louis Biasin, Michael D Sage, Karen Brunton, Julia Fraser, Jo-Anne Howe, Mark Bayley, Dina Brooks, William E McIlroy, Avril Mansfield, Elizabeth L Inness

Abstract read
In one paragraph

Article in Physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Physical Fitness Training in Patients with Subacute Stroke (PHYS-STROKE): Safety analyses of a randomized clinical trial.International journal of stroke : official journal of the International Stroke Society · 2022
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Dynamics of middle cerebral artery blood flow velocity during moderate-intensity exercise.Journal of applied physiology (Bethesda, Md. : 1985) · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Feasibility of delivering a dance intervention for subacute stroke in a rehabilitation hospital setting.International journal of environmental research and public health · 2015
    Article
  20. Does aerobic exercise and the FITT principle fit into stroke recovery?Current neurology and neuroscience reports · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Louis BiasinL. Biasin, BSc, BScPT, Toronto Rehabilitation Institute-Mobility Team, University Health Network, Room 11-107, Toronto, Canada, M5G 2A2; and Department of Physical Therapy, University of Toronto, Toronto, Canada. louis.biasin@uhn.ca.
Michael D SageM.D. Sage, MSc, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada; and Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada.
Karen BruntonK. Brunton, BScPT, Toronto Rehabilitation Institute, University Health Network; and Department of Physical Therapy, University of Toronto.
Julia FraserJ. Fraser, MSc, Toronto Rehabilitation Institute, University Health Network; and Graduate Department of Rehabilitation Science, University of Toronto.
Jo-Anne HoweJ-A. Howe, DipP&OT, BScPT, Toronto Rehabilitation Institute, University Health Network; and Department of Physical Therapy, University of Toronto.
Mark BayleyM. Bayley, MD, Toronto Rehabilitation Institute, University Health Network.
Dina BrooksD. Brooks, PhD, Toronto Rehabilitation Institute, University Health Network; Department of Physical Therapy, University of Toronto; and Graduate Department of Rehabilitation Science, University of Toronto.
William E McIlroyW.E. McIlroy, PhD, Toronto Rehabilitation Institute, University Health Network; Graduate Department of Rehabilitation Science, University of Toronto; Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute, Toronto; and Department of Kinesiology, University of Waterloo, Waterloo, Canada.
Avril MansfieldA. Mansfield, PhD, Toronto Rehabilitation Institute, University Health Network; Department of Physical Therapy, University of Toronto; Graduate Department of Rehabilitation Science, University of Toronto; and Canadian Partnership for Stroke Recovery, Sunnybrook Research Institute.
Elizabeth L InnessE.L. Inness, BScPT, MSc, PhD candidate, Toronto Rehabilitation Institute, University Health Network; Department of Physical Therapy, University of Toronto; and Graduate Department of Rehabilitation Science, University of Toronto.

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundAerobic activity positively affects patients recovering from stroke and is part of best practice guidelines, yet this evidence has not been translated to routine practice.

objectiveThe objective of this study was to evaluate the feasibility of a model of care that integrated aerobic training in an inpatient rehabilitation setting for patients in the subacute stage of stroke recovery. Key elements of the program were personalized training prescription based on submaximal test results and supervision within a group setting.

designThis was a prospective cohort study.

methodsParticipants (N=78) completed submaximal exercise testing prior to enrollment, and the test results were used by their treating physical therapists for exercise prescription. Feasibility was evaluated using enrollment, class attendance, adherence to prescription, and participant perceptions.

resultsOverall, 31 patients (40%) were referred to and completed the exercise program. Cardiac comorbidities were the main reason for nonreferral to the fitness group. Program attendance was 77%; scheduling conflicts were the primary barrier to participation. The majority of participants (63%) achieved 20 minutes of continuous exercise by the end of the program. No adverse events were reported, all participants felt they benefited from the program, and 80% of the participants expressed interest in continuing to exercise regularly after discharge. LIMITATIONS: Cardiac comorbidities prevented enrollment in the program for 27% of the admitted patients, and strategies for inclusion in exercise programs in this population should be explored.

conclusionsThis individualized exercise program within a group delivery model was feasible; however, ensuring adequate aerobic targets were met was a challenge, and future work should focus on how best to include individuals with cardiac comorbidities.

Indexed as

Exercise TherapyStroke RehabilitationAgedComorbidityFeasibility StudiesFemaleHeart DiseasesHumansMaleMiddle AgedProspective StudiesStroke

Identifiers

PMID25082924
PMCPMC4263905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.