Evidence map›Paper›PMID 30543801›Full record

Trial reportArchives of physical medicine and rehabilitation2019

Combined Aerobic Exercise and Task Practice Improve Health-Related Quality of Life Poststroke: A Preliminary Analysis.

Anson B Rosenfeldt, Susan M Linder, Sara Davidson, Cynthia Clark, Nicole M Zimmerman, John J Lee, Jay L Alberts

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 14% of its field
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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  8. Article
  9. Quality of life measures for people following stroke: a structured content review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Review
  10. Review
  11. The effect of 30-day adequate transitions of acute stroke care on 90-day readmission or death.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  12. Review
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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

7 authors at 2 institutions in 1 country.

Anson B RosenfeldtDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Susan M LinderDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH; Neurological Institute, Cleveland Clinic, Cleveland, OH. Electronic address: linders@ccf.org.
Sara DavidsonNeurological Institute, Cleveland Clinic, Cleveland, OH.
Cynthia ClarkDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Nicole M ZimmermanOffice of Clinical Transformation, Cleveland Clinic, Cleveland, OH.
John J LeeDepartment of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, OH.
Jay L AlbertsDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH; Neurological Institute, Cleveland Clinic, Cleveland, OH; Office of Clinical Transformation, Cleveland Clinic, Cleveland, OH.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · US

Funding

Cost-effectiveness and efficacy of a combined intervention to facilitate motor recovery following strokeK01HD092556 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI LINDER, SUSAN MARIE · 2018 to 2022
$666k
Heart-Brain Retraining: Forced Aerobic exercise for Stroke RehabilitationR03HD073566 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI ALBERTS, JAY L., LINDER, SUSAN MARIE · 2012 to 2013
$145k
NICHD NIH HHS K01 HD092556NICHD NIH HHS R03 HD073566
6 · The paper itself

Abstract

objectiveThe aim of this project was to determine the effects of lower extremity aerobic exercise coupled with upper extremity repetitive task practice (RTP) on health-related quality of life (HRQOL) and depressive symptomology in individuals with chronic stroke.

designSecondary analysis of data from 2 randomized controlled trials.

settingResearch laboratory.

participantsIndividuals (N=40) with chronic stroke.

interventionsParticipants received one of the following interventions: forced exercise+RTP (FE+RTP, n=16), voluntary exercise+RTP (VE+RTP, n=16), or stroke education+RTP (EDU+RTP, n=8). All groups completed 24 sessions, each session lasting 90 minutes.

main outcome measuresThe Center for Epidemiological Studies-Depression Scale (CES-D) and Stroke Impact Scale (SIS) were used to assess depressive symptomology and HRQOL.

resultsThere were no significant group-by-time interactions for any of the SIS domains or composite scores. Examining the individual groups following the intervention, those in the FE+RTP and VE+RTP groups demonstrated significant improvements in the following SIS domains: strength, mobility, hand function, activities of daily living, and the physical composite. In addition, the FE+RTP group demonstrated significant improvements in memory, cognitive composite, and percent recovery from stroke. The HRQOL did not change in the EDU+RTP group. Although CES-D scores improved predominantly for those in the FE+RTP group, these improvements were not statistically significant. Overall, results were maintained at the 4-week follow-up.

conclusionAerobic exercise, regardless of mode, preceding motor task practice may improve HRQOL in patients with stroke. The potential of aerobic exercise to improve cardiorespiratory endurance, motor outcomes, and HRQOL poststroke justifies its use to augment traditional task practice.

Indexed as

Practice, PsychologicalQuality of LifeActivities of Daily LivingAdultAgedChronic DiseaseCognitionCombined Modality TherapyDepressionExerciseExercise TherapyFemaleHandHumansLower ExtremityMaleAerobic exerciseDepressionHealth-related quality of lifeRehabilitationStroke

Identifiers

PMID30543801
PMCPMC6487221
OpenAlexW2903989245

What OpenQuestion holds

Textmetadata
LicenceTDM
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.