Exercise programs delivered according to guidelines improve mobility in people with stroke: A systematic review and meta-analysis

But guidelines are pretty much fucking useless. No defined starting objective damage diagnosis. NO EXACT STROKE PROTOCOLS TO FOLLOW. 'Improve' is not what survivors want, they want 100% recovery. I would fire your sorry asses for this lazy crapola. 

Exercise programs delivered according to guidelines improve mobility in people with stroke: A systematic review and meta-analysis

Archives of Physical Medicine and Rehabilitation , Volume 101(1) , Pgs. 154-165.

NARIC Accession Number: J82932.  What's this?
ISSN: 0003-9993.
Author(s): Pogrebnoy, Dina; Dennett, Amy.
Publication Year: 2020.
Number of Pages: 12.

Abstract: 

Study investigated whether prescribing a combined aerobic and resistance training exercise program in accordance with the American Stroke Association (ASA) physical activity guidelines improves mobility and physical activity levels of people after stroke. An online database search from the earliest available date to August 27, 2018, was performed to identify randomized controlled trials evaluating the effectiveness of exercise programs prescribed in accordance with guidelines for improving mobility and physical activity levels in adults with subacute or chronic stroke. Two independent reviewers completed data extraction. Risk of bias was assessed using the Physiotherapy Evidence Database Scale, and overall quality of evidence was assessed using the Grades of Research, Assessment, Development, and Evaluation approach. Data was pooled from a total of 499 participants for meta-analysis. There was high-level evidence that exercise programs adhering to guidelines improve habitual walking speed and walking endurance. A sensitivity analysis demonstrated high-level evidence of improvements in walking endurance and moderate-level evidence of improvements on the Timed Up and Go test. No differences were detected for other mobility outcome measures or physical activity levels. Adherence was high and few adverse events were reported. A combined exercise program comprising aerobic and resistance training that adheres to the ASA guidelines is safe and should be prescribed in addition to usual care to improve mobility. Further research is needed to understand the relationship between exercise programs and behavior change requirements to improve long-term physical activity levels.
Descriptor Terms: AMBULATION, EXERCISE, LITERATURE REVIEWS, MOBILITY, PHYSICAL THERAPY, STANDARDS, STROKE.


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Citation: Pogrebnoy, Dina, Dennett, Amy. (2020). Exercise programs delivered according to guidelines improve mobility in people with stroke: A systematic review and meta-analysis.  Archives of Physical Medicine and Rehabilitation , 101(1), Pgs. 154-165. Retrieved 3/16/2020, from REHABDATA database.


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