Evidence map›Paper›PMID 40787723›Full record

SynthesisJournal of rehabilitation medicine2025

Optimizing physical fitness in chronic stroke patients: the impact of exercise training modality and dosage on maximal and sub-maximal fitness - a systematic review and meta-analysis.

Felix Nindorera, Clement Leveque, Eric Meyer, Costantino Balestra, Sigrid Theunissen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. 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

5 authors.

Felix NindoreraEnvironmental, Occupational, Aging (Integrative) Physiology Laboratory, Department of Physiotherapy, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium; Centre for interdisciplinary research in rehabilitation and social integration, Centre intégré universitaire de Santé et de services sociaux de la Capitale-Nationale, Québec, Canada.ORCID 0000-0002-1243-3597
Clement LevequeEnvironmental, Occupational, Aging (Integrative) Physiology Laboratory, Department of Physiotherapy, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium.ORCID 0000-0002-4087-4437
Eric MeyerEnvironmental, Occupational, Aging (Integrative) Physiology Laboratory, Department of Physiotherapy, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium.
Costantino BalestraEnvironmental, Occupational, Aging (Integrative) Physiology Laboratory, Department of Physiotherapy, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium; Motor Sciences Department, Physical Activity Teaching Unit, Université Libre de Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0001-6771-839X
Sigrid TheunissenEnvironmental, Occupational, Aging (Integrative) Physiology Laboratory, Department of Physiotherapy, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium. stheunissen@he2b.be.ORCID 0000-0003-0313-7267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of different exercise training modalities on maximal and sub-maximal physical fitness in chronic stroke patients and determine the optimal training dosage.

designSystematic review and meta-analysis of 38 randomized controlled trials.

methodsA comprehensive search was conducted across seven databases (MedLine, Embase, ScienceDirect, Cochrane Library, CINAHL, and SPORTSDiscus) up to March 31, 2024. Maximal fitness was measured by VO2 max/peak, and sub-maximal fitness by the 6- or 12-minute walk test (6MWT) Results: Aerobic and mixed training significantly improved VO2 max/peak (MD = 3.16 [2.83, 3.49], p < 0.00001; I² = 22%). Only aerobic training significantly enhanced 6MWT performance (MD = 34.30 [25.08, 43.53], p < 0.00001; I² = 25%). Sensitivity analysis revealed that VO2 max/peak gains were greater with moderate-to-high intensity, while moderate intensity sufficed for 6MWT improvement. The optimal regimen was 45-minute sessions of moderate-to-high intensity aerobic training, at least three times weekly for a minimum of eight weeks.

conclusionModerate-to-vigorous aerobic training enhances physical fitness in chronic stroke. High-intensity and mixed training programs yield greater maximal fitness improvements, while moderate intensity benefits sub-maximal capacity. Targeted, intensity-monitored exercise programs of ≥45 minutes, three times weekly over ≥8 weeks, are recommended for significant fitness gains.

Indexed as

Exercise TherapyPhysical FitnessStrokeStroke RehabilitationChronic DiseaseHumansOxygen ConsumptionRandomized Controlled Trials as Topic

Identifiers

PMID40787723
PMCPMC12359817

What OpenQuestion holds

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LicenceCC BY
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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.