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Millard L, Breukelman G J, Joyisa C, Bhengu N T. Benefits of Physical Activity on Stroke Recovering Patients: A Review of The Literature. Ann Appl Sport Sci 2023; 11 (S1)
URL: http://aassjournal.com/article-1-1145-en.html
1- Department of Human Movement Science, University of Zululand, KwaDlangezwa 3866, South Africa , MillardL@unizulu.ac.za
2- Department of Human Movement Science, University of Zululand, KwaDlangezwa 3866, South Africa
Abstract:   (1517 Views)
Background. Stroke is one of the world's most serious social and health problems. The incorporation of tailored physical activity and exercise into the rehabilitation process and post-rehabilitation phase could portray a successful action primarily directed at the cognitive and functional recovery of brain-injured individuals following a stroke. Exercise has been shown to provide both physical and psychological benefits for post-stroke patients.
Objectives. To identify and discuss the physical activities that are beneficial to stroke-recovering patients.
Methods. A keyword search was used with the following headings; “benefits of physical activity”, “stroke”, “physical activity”, “recovering patients”, “physical activity guidelines”, “exercises”, “health benefits”, “stroke survivors”, “epidemiology stroke”, “prevention”, “incidence of stroke”, “statistical data on stroke”, “type of strokes”, “elderly”, “case fatality”, “mortality”, “morbidity”, and “risk factors” “physical fitness” which were combined and exploded.
Results. Only 46 full-text English-language articles were found among 1,897 citations through electronic searches. The information was judged appropriate for use in this study.
Conclusion. The use of different types of exercise training (e.g., aerobic, strength, flexibility, neuromuscular and traditional Chinese exercise) for stroke survivors is firmly supported by evidence. Exercise training enhances functional capacity, daily living ability, and quality of life while also lowering the risk of cardiovascular events. To maximize long-term adherence, stroke survivors' physical activity goals and exercise prescriptions should be tailored to them individually.
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APPLICABLE REMARKS
• Previously searched benefits of physical activity have shown that aerobic exercise helps increase VO2 and peak working loads in medium to large-size stroke patients.
• From primary to secondary objectives this review has highlighted areas for future research, pointing to opportunities to broaden the scope of the knowledge base.
• It's unknown how training affects death, dependency, and impairment following a stroke.
• There is enough data to recommend incorporating cardiorespiratory training, which includes walking, into post-stroke rehabilitation to increase walking speed, tolerance, and independence.
• More research is needed to find the best exercise prescription after a stroke and to see whether there are any long-term benefits.

Type of Study: Review Article | Subject: Exercise, Training and Health
Received: 2022/08/24 | Accepted: 2022/11/15

References
1. Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical activity in the prevention and treatment of stroke. ISRN Neurol. 2011;2011:953818. [DOI:10.5402/2011/953818] [PMID] [PMCID]
2. Lackland DT, Roccella EJ, Deutsch AF, Fornage M, George MG, Howard G, Kissela B.M, Kittner SJ, Lichtman JH, Lisabeth LD, Schwamm LH, Smith EE, Towfighi A, American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Quality of Care and Outcomes Research, Council on Functional Genomics and Translational Biology. Factors influencing the decline in stroke mortality: a statement from the American Heart Association/American Stroke Association. Stroke. 2014;45(1):315-353. [DOI:10.1161/01.str.0000437068.30550.cf] [PMID] [PMCID]
3. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, Djousse L, Elkind MSV, Ferguson JF, Fornage M, Khan SS, Kissela BM, Knutson KL, Kwan TW, Lackland DT, Lewis TT, Lichtman JH, Longenecker CT, Loop MS, Lutsey PL, Martin SS, Matsushita K, Moran AE, Mussolino ME, Perak AM, Rosamond WD, Roth GA, Sampson UKA, Satou GM, Schroeder EB, Shah SH, Shay CM, Spartano NL, Stokes A, Tirschwell DL, van Wagner LB, Tsao CW, American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2020 update: a report from the American heart association. Circulation. 2020;141(9):e139-e596. [DOI:10.1161/CIR.0000000000000757] [PMCID]
4. World Health Organization. International classification of functioning. Disability and Health. 2001:5. [DOI:10.1044/hhd5.1.7]
5. Davis BR, Vogt T, Frost PH, Burlando A, Cohen J, Wilson A, Brass LM, Frishman W, Price T, Stamler J. Risk factors for stroke and type of stroke in persons with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group. Stroke. 1998;29(7):1333-1340. [DOI:10.1161/01.STR.29.7.1333] [PMID]
6. Guzik, A., & Bushnell, C. Stroke epidemiology and risk factor management. Continuum (Minneap Minn). 2017;23(1, Cerebrovascular Disease):15-39. [DOI:10.1212/CON.0000000000000416] [PMID]
7. Andrew M, Hoessly M, Hedges K. Exercise after Stroke. A guide for people with stroke and their families. Stroke Foundation. Chapter: 1; 2017. p. 14-15.
8. Ibrahim F, Murr N. Embolic Stroke. In StatPearls. StatPearls Publishing; 2020.
9. Moerch-Rasmussen A, Nacu A, Waje-Andreassen U, Thomassen L, Naess H. Recurrent ischemic stroke is associated with the burden of risk factors. Acta Neurol Scand. 2016;133(4):289-294. [DOI:10.1111/ane.12457] [PMID]
10. Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, MacKay-Lyons M, Macko RF, Mead GE, Roth EJ, Shaughnessy M, Tang A, American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, Council on Epidemiology and Prevention, Council on Clinical Cardiology. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(8):2532-2553. [DOI:10.1161/STR.0000000000000022] [PMID]
11. Leach MJ, Gall SL, Dewey HM, Macdonell RAL, Thrift AG. Factors associated with quality of life in 7-year survivors of stroke. J Neurol Neurosurg Psychiatry. 2011;82(12):1365-1371. [DOI:10.1136/jnnp.2010.234765] [PMID]
12. Williams PT. Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc. 2001;33(5):754-761. [DOI:10.1097/00005768-200105000-00012] [PMID] [PMCID]
13. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-556. [DOI:10.1097/HCO.0000000000000437] [PMID]
14. Lloyd M, Skelton DA, Mead GE, Williams B, van Wijck F. Physical fitness interventions for nonambulatory stroke survivors: A mixed-methods systematic review and meta-analysis. Brain Behav. 2018;8(7):e01000. [DOI:10.1002/brb3.1000] [PMID] [PMCID]
15. Zheng H, Cao N, Yin Y, Feng W. Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science. Stroke Vasc Neurol. 2017;2(4):222-229. [DOI:10.1136/svn-2017-000069] [PMID] [PMCID]
16. Macko RF, Ivey FM, Forrester LW, Hanley D, Sorkin JD, Katzel LI, Silver KH, Goldberg AP. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005;36(10):2206-2211. [DOI:10.1161/01.STR.0000181076.91805.89] [PMID]
17. Greener J, Langhorne P. Systematic reviews in rehabilitation for stroke: issues and approaches to addressing them. Clin Rehabil. 2002;16(1):69-74. [DOI:10.1191/0269215502cr469oa] [PMID]
18. Lee CD, Folsom AR, Blair SN. Physical activity and stroke risk: a meta-analysis. Stroke. 2003;34(10):2475-2481. [DOI:10.1161/01.STR.0000091843.02517.9D] [PMID]
19. Boysen G, Krarup L. Benefits of physical activity for stroke survivors. Expert Rev Neurother. 2009;9(2):147-149. [DOI:10.1586/14737175.9.2.147] [PMID]
20. Saunders DH, Greig CA, Mead GE. Physical activity and exercise after stroke: review of multiple meaningful benefits. Stroke. 2014;45(12):3742-3747. [DOI:10.1161/STROKEAHA.114.004311] [PMID]
21. Mol VJ, Baker CA. Activity intolerance in the geriatric stroke patient. Rehabil Nurs. 1991;16(6):337-343. [DOI:10.1002/j.2048-7940.1991.tb01244.x] [PMID]
22. Sacco RL, Gan R, Boden-Albala B, Lin IF, Kargman DE, Hauser WA, Shea S, Paik MC. Leisure-time physical activity and ischemic stroke risk: the Northern Manhattan Stroke Study. Stroke. 1998;29(2):380-387. [DOI:10.1161/01.STR.29.2.380] [PMID]
23. Kurl S, Laukkanen JA, Rauramaa R, Lakka TA, Sivenius J, Salonen JT. Cardiorespiratory fitness and the risk for stroke in men. Arch Intern Med. 2003;163(14):1682-1688. [DOI:10.1001/archinte.163.14.1682] [PMID]
24. Corrado D, Basso C, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden cardiac death? J Cardiovasc Med. 2006;7(4):228-233. [DOI:10.2459/01.JCM.0000219313.89633.45] [PMID]
25. Lee CD, Blair SN. Cardiorespiratory fitness and stroke mortality in men. Med Sci Sports Exerc. 2002;34(4):592-595. https://doi.org/10.1249/00005768-200204000-00005 [DOI:10.1097/00005768-200204000-00005]
26. Young A. Physical Activity for Patients: An Exercise Prescription. Chapter 5: For a healthier old age. Young A, Harries M, editors. Lavenham Press Ltd. Royal College of Physicians of London; 2001.
27. Saunders DH, Greig CA, Young A, Mead GE. Association of activity limitations and lower-limb explosive extensor power in ambulatory people with stroke. Arch Phys Med Rehabil. 2008;89(4):677-683. [DOI:10.1016/j.apmr.2007.09.034] [PMID]
28. Qurat-ul-Ain, Malik AN, Amjad I. Effect of circuit gait training vs traditional gait training on mobility performance in stroke. J Pak Med Assoc. 2018;68(3):455-458.
29. Mead GE, Greig CA, Cunningham I, Lewis SJ, Dinan S, Saunders DH, Fitzsimons C, Young A. Stroke: a randomized trial of exercise or relaxation. J Am Geriatr Soc. 2007;55(6):892-899. [DOI:10.1111/j.1532-5415.2007.01185.x] [PMID]
30. Kim CM, Eng JJ, MacIntyre DL, Dawson AS. Effects of isokinetic strength training on walking in persons with stroke: a double-blind controlled pilot study. J Stroke Cerebrovasc Dis. 2001;10(6):265-273. [DOI:10.1053/jscd.2001.123775] [PMID] [PMCID]
31. Johnson EM. Has SF-36's role physical measure fallen short? J Public Health Med. 1999;21(2):234. [DOI:10.1093/pubmed/21.2.234] [PMID]
32. Heiland, EG, Ekblom Ö, Tarassova O, Fernström M, English C, Ekblom MM. ABBaH: Activity breaks for brain health. a protocol for a randomized crossover trial. Front Hum Neurosci. 2020;14:273. [DOI:10.3389/fnhum.2020.00273] [PMID] [PMCID]
33. Pate RR, O'Neill JR, Lobelo F. The evolving definition of "sedentary". Exerc Sport Sci Rev. 2008;36(4):173-178. [DOI:10.1097/JES.0b013e3181877d1a] [PMID]
34. Han P, Zhang W, Kang L, Ma Y, Fu L, Jia L, Yu H, Chen X, Hou L, Wang L, Yu X, Kohzuki M, Guo Q. Clinical evidence of exercise benefits for stroke. Adv Exp Med Biol. 2017;1000:131-151. [DOI:10.1007/978-981-10-4304-8_9] [PMID]
35. Harrison M, Ryan T, Gardiner C, Jones A. Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study. Top Stroke Rehabil. 2017;24(2):119-125. [DOI:10.1080/10749357.2016.1196908] [PMID]
36. Villa RF, Ferrari F, Moretti A. Post-stroke depression: Mechanisms and pharmacological treatment. Pharmacol Ther. 2018;184:131-144. [DOI:10.1016/j.pharmthera.2017.11.005] [PMID]
37. Mayo NE, Wood-Dauphinee S, Côté R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002;83(8):1035-1042. [DOI:10.1053/apmr.2002.33984] [PMID]
38. Gebruers N, Vanroy C, Truijen S, Engelborghs S, De Deyn PP. Monitoring of physical activity after stroke: a systematic review of accelerometry-based measures. Arch Phys Med Rehabil. 2010;91(2):288-297. [DOI:10.1016/j.apmr.2009.10.025] [PMID]
39. American College of Sports Medicine (ACSM). Guidelines for exercise testing and prescription - 10th ed. Philadelphia, PA: Wolters Kluwer Health. 2018. P.1-249.
40. Damsbo AG, Mortensen JK, Kraglund KL, Johnsen SP, Andersen G, Blauenfeldt RA. Prestroke Physical Activity and Poststroke Cognitive Performance. Cerebrovasc Dis. 2020;49(6):632-638. [DOI:10.1159/000511490] [PMID]
41. Reinholdsson M, Palstam A, Sunnerhagen KS. Prestroke physical activity could influence acute stroke severity (part of PAPSIGOT). Neurology. 2018;91(16):e1461-e1467. [DOI:10.1212/WNL.0000000000006354] [PMID] [PMCID]
42. Hesse S, Bertelt C, Jahnke MT, Schaffrin A, Baake P, Malezic M, Mauritz KH. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke. 1995;26(6):976-981. [DOI:10.1161/01.STR.26.6.976] [PMID]
43. Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Arch Phys Med Rehabil. 2001;82(7):879-884. [DOI:10.1053/apmr.2001.23853] [PMID]
44. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26(1):101-105. [DOI:10.1161/01.STR.26.1.101] [PMID]
45. Smith GV, Silver KH, Goldberg AP, Macko RF. "Task-oriented" exercise improves hamstring strength and spastic reflexes in chronic stroke patients. Stroke. 1999;30(10):2112-2118. [DOI:10.1161/01.STR.30.10.2112] [PMID]
46. Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke. 1998;29(6):1122-1128. [DOI:10.1161/01.STR.29.6.1122] [PMID]
47. Franklin BA, Sanders W. Reducing the risk of heart disease and stroke. Phys Sportsmed. 2000;28(10):19-26. [DOI:10.3810/psm.2000.10.1240] [PMID]
48. Patterson SL, Forrester LW, Rodgers MM, Ryan AS, Ivey FM, Sorkin JD, Macko RF. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil. 2007;88(1):115-119. [DOI:10.1016/j.apmr.2006.10.025] [PMID]
49. Michael K, Macko RF. Ambulatory activity intensity profiles, fitness, and fatigue in chronic stroke. Top Stroke Rehabil. 2007;14(2):5-12. [DOI:10.1310/tsr1402-5] [PMID]
50. Moore JL, Nordvik JE, Erichsen A, Rosseland I, Bø E, Hornby TG, FIRST-Oslo Team. Implementation of high-intensity stepping training during inpatient stroke rehabilitation improves functional outcomes. Stroke. 2020;51(2):563-570. [DOI:10.1161/STROKEAHA.119.027450] [PMID] [PMCID]

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