Evidence map›Paper›PMID 42089147›Full record

Trial reportStroke2026

Home-Based Supervised Cardiorespiratory Interval Training Decreases Poststroke Fatigue and Improves Cardiorespiratory Fitness: A Randomized Controlled Trial.

Anna Bråndal, Maria Svedjebrant, Ylva Nilsagård, Per Wester

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03458884 (Does a Cardiorespiratory Interval Training Program at Home Improve Post-stroke Fatigue?), which is not on this map. Not yet cited in PubMed.

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

NCT03458884 naunknown statusnot on this map

Does a Cardiorespiratory Interval Training Program at Home Improve Post-stroke Fatigue?

TypeinterventionalSponsorUmeå UniversityRan2018 to 2025Enrolled50ConditionsStroke, FatigueArmsCardiorespiratory interval training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Anna BråndalDepartment of Public Health and Clinical Medicine, Umeå University, Sweden (A.B., P.W.).ORCID 0000-0001-5532-5070
Maria SvedjebrantCentre for Research and Development, Region Gävleborg/Uppsala University, Sweden (M.S.).ORCID 0009-0001-1401-6543
Ylva NilsagårdFaculty of Medicine and Health, Örebro University, Sweden (M.S., Y.N.).ORCID 0000-0002-9760-3785
Per WesterDepartment of Public Health and Clinical Medicine, Umeå University, Sweden (A.B., P.W.).ORCID 0000-0003-0394-5096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoststroke fatigue (PSF) affects nearly half of all stroke survivors and significantly hinders rehabilitation and daily functioning. There is no established treatment. Low cardiorespiratory fitness may contribute to PSF, suggesting aerobic training as a potential intervention.

methodsIn this 2-center, randomized, open-label, blinded end point trial, we evaluated a home-based, supervised cardiorespiratory interval training program (HS-CITP) in individuals with PSF (Swedish Fatigue Assessment Scale score ≥28) 1 to 7 months poststroke. Participants were randomized (1:1) to either HS-CITP or usual care with self-directed activity after early supported discharge. The intervention consisted of 35-minute cycling sessions performed 3 times per week at 70% to 80% of maximum heart rate for 8 weeks. The study was powered to detect a 9-point between-group difference on the Swedish Fatigue Assessment Scale. The primary outcome was self-reported fatigue (Swedish Fatigue Assessment Scale score) at 8 weeks (postintervention), and the secondary outcome was peak oxygen uptake (mL/kg per minute) at 8 weeks. Analyses were performed according to the intention-to-treat principle using adjusted between-group comparisons.

resultsForty-five participants were randomized; the mean age was 64 years, and 56% were women. Forty-three participants completed the postintervention assessment (HS-CITP: n=22; control: n=21). Adherence to HS-CITP was 92%, and no adverse events were reported. In adjusted analyses, compared with the control group, HS-CITP significantly reduced fatigue (between-group mean difference -5.35 Swedish Fatigue Assessment Scale score points [95% CI -9.03 to -3.67];

conclusionsSupervised home-based interval training significantly reduced PSF and improved cardiorespiratory fitness, with good adherence and no safety concerns. These findings support integrating structured aerobic exercise into stroke rehabilitation. Larger, longer-term trials are needed to confirm durability, determine the optimal timing poststroke, and evaluate other exercise modalities. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03458884.

Indexed as

Cardiorespiratory FitnessExercise TherapyFatigueStrokeStroke RehabilitationAgedFemaleHumansMaleMiddle AgedTreatment Outcomecardiorespiratory fitnessexercisefatiguestrokesurvivors

Identifiers

PMID42089147
PMCPMC13281980

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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.