Abstract
Background: Stroke has been considered the major cause of chronic disability in the world and ranks among the leading causes of death. Despite the fact that new vascular events often happen and risk factors are the same that Cardiovascular Diseases, secondary prevention through non-pharmacological measures, are not part of the routine physical rehabilitation after stroke. Objective: The aim is to answer the following clinical question: Should aerobic fitness be part of the physical rehabilitation of individuals post-stroke? Methodological Design: The methodology used in the study was an integrative literature review. Inclusion Criteria: Articles in English are published in secondary databases: systematic reviews with or without meta-analysis, which address the question PICO: patient (post-stroke), intervention (aerobic exercise), comparison (with or without aerobic conditioning) the outcome (volume of oxygen consumed peak (VO2peak), quality of life (QoL), morbidity and mortality). Outcomes: VO2peak, QoL, complications and mortality. Analysis of Studies: The methodological quality of included studies is assessed using the tools: PRISMA and R-AMSTAR. Results: There was “good” evidence for the inclusion of aerobic exercise on physical rehabilitation of post-stroke individuals to improve their physical capacity (VO2peak), facilitating the completion of activities of daily living and gait. There was weak evidence on the association of aerobic fitness with positive results on QoL in stroke victims and insufficient results to evaluate the effect of aerobic fitness on the risk of stroke recurrence and mortality. Conclusion: The aerobic conditioning should be included in the rehabilitation of stroke victims.
Highlights
Stroke is a clinical syndrome with a presumed vascular origin, characterized by rapidly developing clinical signs of focal or global symptoms due to changes in cerebral functions lasting for more than 24 hours or leading to death [1]
Many questions about aerobic fitness and stroke are still not well understood. Based on these important issues, the main goal of the present study is to perform a systematic literature review to answer the following clinical question: Should aerobics fitness be part of the Phys Rehab of individuals post-stroke? The secondary goals are to evaluate the effects of aerobic fitness on the quality of life (QoL), complications, mortality and peak oxygen uptake (VO2peak) of individuals post-stroke
—Aerobic exercises in the water used in one study
Summary
Stroke is a clinical syndrome with a presumed vascular origin, characterized by rapidly developing clinical signs of focal or global symptoms due to changes in cerebral functions lasting for more than 24 hours or leading to death [1]. Patients show functional limitations after a stroke (reduced mobility, balance disorders and muscular weakness), predisposing to the lack of activity and sedentary behavior [10] [11] Many of these are included in Physical Rehabilitation (Phys Rehab), the main goal is to recover patient’s function, posture control, motor control of the affected side, not including approaches to prevent future circulatory events, decreasing the risk factors or to change the natural history of disease [5] [7] [12]-[14]. Inclusion Criteria: Articles in English are published in secondary databases: systematic reviews with or without meta-analysis, which address the question PICO: patient (post-stroke), intervention (aerobic exercise), comparison (with or without aerobic conditioning) the outcome (volume of oxygen consumed peak (VO2peak), quality of life (QoL), morbidity and mortality).
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