Deans' stroke musings: How strongly is aerobic capacity correlated with walking speed and distance after stroke? Systematic review and meta-analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 10, 2015

How strongly is aerobic capacity correlated with walking speed and distance after stroke? Systematic review and meta-analysis

My aerobic capacity should have been off the charts but my walking speed at first was atrocious because of foot drop and then the problem became spasticity of the leg that didn't allow the lower leg to swing straight and freely.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J72109&phrase=no&rec=128903
NARIC Accession Number: J72109. What's this?
ISSN: 0031-9023.
Author(s): Outermans, Jacqueline; van de Port, Ingrid; Wittink, Harriet; de Groot, Janke; Kwakkel, Gert.
Publication Year: 2015.
Number of Pages: 19.
Abstract: This systematic review summarized the available evidence on the correlation between peak oxygen consumption (VO2peak) and walking capacity. Restoration of walking capacity, expressed as walking speed and walking distance, is a primary goal after stroke. Peak aerobic capacity (measured as VO2peak) is suggested to be correlated with walking capacity after stroke. Although the strength of this correlation is unclear, physical therapy programs often target walking capacity by means of aerobic training. The MEDLINE, CINAHL, EMBASE, Cochrane Library, and SPORTDiscus databases were searched up to May 2014 for cross-sectional studies reporting correlation coefﬁcients between VO2peak and walking capacity in stroke, along with longitudinal studies reporting these correlation coefﬁcients at baseline. Thirteen studies involving 454 participants were included. The methodological quality of the studies was assessed using a checklist of 27 items for observational research. Information on study design, stroke severity and recovery, and assessments and outcome of VO2peak and walking capacity, as well as the reported correlation coefﬁcients, were extracted. Meta-analyses showed combined correlation coefﬁcients for VO2peak and walking speed and for VO2peak and walking distance of .42 and .52, respectively. The results indicate a low positive combined correlation coefficient between VO2peak and walking speed and a moderate combined positive correlation between VO2peak and walking distance that were both statistically significant. These findings suggest that other factors, such as age, balance, stroke severity, or lower-extremity muscle strength, may influence the correlation between VO2peak and walking capacity.