Much more important would be to have EXACT STROKE PROTOCOLS that can deliver the ability for survivors to do aerobic exercise. You're doing this in the wrong order. Deliver recovery first.
A Systematic Review on the Effects of Acute Aerobic Exercise on Neurophysiological, Molecular, and Behavioral Measures in Chronic Stroke
Abstract
Background
A
single bout of aerobic exercise (AE) can produce changes in
neurophysiological and behavioral measures in healthy individuals and
those with stroke. However, the effects of AE-priming effects on
neuroplasticity markers and behavioral measures are unclear.
Objectives
This
systematic review aimed to examine the effects of AE on neuroplasticity
measures, such as corticomotor excitability (CME), molecular markers,
cortical activation, motor learning, and performance in stroke.
Methods
A
literature search was performed in MEDLINE, CINAHL, Scopus, and
PsycINFO databases. Randomized and non-randomized studies incorporating
acute AE in stroke were selected. Two reviewers independently assessed
the risk of bias and methodological rigor of the studies and extracted
data on participant characteristics, exercise interventions, and
neuroplasticity related outcomes. The quality of transcranial magnetic
stimulation reported methods was assessed using a standardized
checklist.
Results
A
total of 16 studies were found suitable for inclusion. Our findings
suggest mixed evidence for the effects of AE on CME, limited to no
effects on intracortical inhibition and facilitation and some evidence
for modulating brain derived neurotrophic factor levels, motor learning,
and cortical activation. Exercise intensities in the moderate to
vigorous range showed a trend towards better effects on neuroplasticity
measures.
Conclusion
It
appears that choosing a moderate to vigorous exercise paradigm for at
least 20 to 30 minutes may induce changes in some neuroplasticity
parameters in stroke. However, these findings necessitate prudent
consideration as the studies were diverse and had moderate
methodological quality. There is a need for a consensus on an exercise
priming paradigm and for good-quality, larger controlled studies.
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