Evidence map›Paper›PMID 26763949›Full record

Trial reportArchives of physical medicine and rehabilitation2016

Exercise Induces Peripheral Muscle But Not Cardiac Adaptations After Stroke: A Randomized Controlled Pilot Trial.

Sarah A Moore, Djordje G Jakovljevic, Gary A Ford, Lynn Rochester, Michael I Trenell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 6 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

12 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Combined cardiorespiratory and resistance training for people with stroke.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
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  5. Physical fitness training for stroke patients.The Cochrane database of systematic reviews · 2020
    Pooled it
  6. Pooled it
  7. Trial
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Observational
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

5 authors.

Sarah A MooreInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom. Electronic address: s.a.moore@ncl.ac.uk.
Djordje G JakovljevicInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom; Research Councils UK, Newcastle Centre for Ageing and Vitality, Newcastle upon Tyne, United Kingdom.
Gary A FordUniversity of Oxford, Oxford, United Kingdom.
Lynn RochesterInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
Michael I TrenellInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom; Research Councils UK, Newcastle Centre for Ageing and Vitality, Newcastle upon Tyne, United Kingdom.

Funding

Department of Health SRF-2011-04-017Medical Research Council G0700718Medical Research Council G0802536Medical Research Council MR/L016354/1
6 · The paper itself

Abstract

objectiveTo explore the physiological factors affecting exercise-induced changes in peak oxygen consumption and function poststroke.

designSingle-center, single-blind, randomized controlled pilot trial.

settingCommunity stroke services.

participantsAdults (N=40; age>50y; independent with/without stick) with stroke (diagnosed >6 mo previously) were recruited from 117 eligible participants. Twenty participants were randomized to the intervention group and 20 to the control group. No dropouts or adverse events were reported.

interventionsIntervention group: 19-week (3 times/wk) progressive mixed (aerobic/strength/balance/flexibility) community group exercise program. Control group: Matched duration home stretching program.

main outcome measures(1) Pre- and postintervention: maximal cardiopulmonary exercise testing with noninvasive (bioreactance) cardiac output measurements; and (2) functional outcome measures: 6-minute walk test; timed Up and Go test, and Berg Balance Scale.

resultsExercise improved peak oxygen consumption (18±5 to 21±5 mL/(kg⋅min); P<.01) and peak arterial-venous oxygen difference (9.2±2.7 to 11.4±2.9 mL of O2/100 mL of blood; P<.01), but did not alter cardiac output (17.2±4 to 17.7±4.2 L/min; P=.44) or cardiac power output (4.8±1.3 to 5.0±1.35 W; P=.45). A significant relation existed between change in peak oxygen consumption and change in peak arterial-venous oxygen difference (r=.507; P<.05), but not with cardiac output. Change in peak oxygen consumption did not strongly correlate with change in function.

conclusionsExercise induced peripheral muscle, but not cardiac output, adaptations after stroke. Implications for stroke clinical care should be explored further in a broader cohort.

Indexed as

AgedCardiac OutputExerciseExercise TestExercise TherapyFemaleHumansMaleMiddle AgedMuscle, SkeletalOxygen ConsumptionPilot ProjectsSingle-Blind MethodStrokeStroke RehabilitationCardiac outputExercisePhysical fitnessRehabilitationStroke

Identifiers

PMID26763949
PMCPMC5813708

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Registered trials

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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.