Evidence map›Paper›PMID 33745454›Full record

Trial reportBMC neurology2021

Feasibility and adherence to moderate intensity cardiovascular fitness training following stroke: a pilot randomized controlled trial.

Hanna Reynolds, Sarah Steinfort, Jane Tillyard, Sarah Ellis, Alan Hayes, Erik D Hanson, Tissa Wijeratne, Elizabeth H Skinner

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07569497 (Co-design of a Physical Activity Maintenance Intervention for People With Stroke), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 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.

NCT07569497 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Co-design of a Physical Activity Maintenance Intervention for People With Stroke

TypeinterventionalSponsorUniversity of UlsterRan2024 to 2026Enrolled34ConditionsStrokeArmsPhysical activity maintenance
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Effects of nonpharmacological interventions on post-stroke quality of life: a systematic review, meta-analysis, and meta-regression.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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

8 authors.

Hanna ReynoldsDepartment of Physiotherapy, Western Health, 176 Furlong Rd, St Albans, 3021, Australia.
Sarah SteinfortDepartment of Physiotherapy, Western Health, 176 Furlong Rd, St Albans, 3021, Australia.
Jane TillyardDepartment of Physiotherapy, Western Health, 176 Furlong Rd, St Albans, 3021, Australia.
Sarah EllisDepartment of Physiotherapy, Western Health, 176 Furlong Rd, St Albans, 3021, Australia.
Alan HayesAustralian Institute of Musculoskeletal Science, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-1398-3694
Erik D HansonThe Institute for Health and Sport, Victoria University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-7744-5652
Tissa WijeratneThe University of Melbourne, Melbourne, Australia.
Elizabeth H SkinnerDepartment of Physiotherapy, Western Health, 176 Furlong Rd, St Albans, 3021, Australia. elizabeth.skinner@wh.org.au.ORCID http://orcid.org/0000-0003-0268-7160

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a leading cause of disability worldwide and the cardiovascular fitness levels of stroke survivors are diminished to an extent that impairs functioning and activities of daily living performance. While cardiovascular training seems an empirically appropriate intervention, the optimal dosage and intensity of cardiovascular training in stroke survivors remains unclear. The aim was to determine the safety and feasibility of moderate-intensity cardiovascular training following stroke, including measurement of adherence to training.

methodsA pilot, prospective, patient- and assessor-blinded randomised controlled trial conducted in a tertiary, metropolitan hospital-based community rehabilitation centre. Eligibility criteria included ambulant (> 100 m), 6 weeks-12 months post stroke. Moderate-intensity fitness training or control (low-intensity) exercise was offered biweekly for 12 weeks. Outcome measures included adverse events, peak oxygen uptake (VO

resultsFeasibility: Seventy-one (50%) of 141 screened participants were eligible (29% did not agree to participate). Twenty participants (10 intervention, 10 control) were recruited. The median (%; IQR) supervised sessions was 19.5 (81%; 12, 20); and 20 (83%; 19, 22) in the intervention and control groups, respectively. Progression of duration and intensity was limited; mean of 10 sessions to achieve target duration (30 min). There were no adverse events. Baseline peak oxygen uptake (VO

conclusionsModerate-intensity fitness training was safe but achievement of target duration and intensity was challenging for stroke survivors. A definitive adequately-powered randomised trial is required. Alternative fitness training protocols may need to be explored.

trial registrationThe trial protocol was prospectively registered on the Australian New Zealand Clinical Trials Registry ( ACTRN 12613000822785 ) on 25/07/2013.

Indexed as

Patient ComplianceTreatment OutcomeActivities of Daily LivingAgedAustraliaExercise TherapyFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesQuality of LifeStrokeStroke RehabilitationAerobic exerciseMoodPhysical fitnessRandomized controlled trialStroke

Identifiers

PMID33745454
PMCPMC7983371

What OpenQuestion holds

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Registered trials

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.