evidence/gaps
Cochrane · systematic review · CD003316

Physical fitness training for stroke patients

Saunders, DH, Sanderson, M, Hayes, S, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Stroke2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
13
No studies
2
Included studies
NR
No studies 2 · 11.1%Ungraded 3 · 16.7%Very low 0 · 0%Low 7 · 38.9%Moderate 5 · 27.8%High 1 · 5.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Cardiorespiratory training compared to control for people with stroke: end of intervention

Population: people with stroke
CD003316.PUB7 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Death Analysis 1.1
Cardiorespiratory training vs control
no estimate extracted32 studies · 1631 participantsLow
Downgraded: risk of bias
Dead or dependent
Cardiorespiratory training vs control
no estimate extracted0 studies · 0 participantsUngraded
Disability
Cardiorespiratory training vs control
SMD 0.528 studies · 462 participantsModerate
Downgraded: inconsistency
Physical fitness
Cardiorespiratory training vs control
MD 3.49 studies · 438 participantsModerate
Downgraded: risk of bias, imprecision
Mobility
Cardiorespiratory training vs control
MD 4.4712 studies · 588 participantsHigh
Physical function
Cardiorespiratory training vs control
MD 1.928 studies · 471 participantsModerate
Downgraded: inconsistency

Resistance training compared to control for people with stroke: end of intervention

Population: people with stroke
CD003316.PUB7 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Death Analysis 3.1
Resistance training vs control
no estimate extracted20 studies · 803 participantsLow
Downgraded: risk of bias
Dead or dependent
Resistance training vs control
no estimate extracted0 studies · 0 participantsUngraded
Disability
Resistance training vs control
no estimate extractedNRNo studies
Physical Fitness
Resistance training vs control
no estimate extractedNRNo studies
Mobility
Resistance training vs control
MD 2.155 studies · 203 participantsModerate
Downgraded: inconsistency
Physical Function
Resistance training vs control
MD 3.275 studies · 220 participantsLow
Downgraded: risk of bias

Mixed training compared to control for people with stroke: end of intervention

Population: people with stroke
CD003316.PUB7 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Death Analysis 5.1
Mixed training vs control
no estimate extracted23 studies · 1231 participantsLow
Downgraded: risk of bias
Dead or dependent
Mixed training vs control
no estimate extracted0 studies · 0 participantsUngraded
Disability
Mixed training vs control
SMD 0.239 studies · 604 participantsLow
Downgraded: inconsistency
Physical fitness
Mixed training vs control
MD 1.42 studies · 140 participantsLow
Downgraded: inconsistency
Mobility
Mixed training vs control
MD 4.7110 studies · 738 participantsModerate
Downgraded: inconsistency
Physical function
Mixed training vs control
MD 2.129 studies · 419 participantsLow
Downgraded: risk of bias

Cardiorespiratory training

Population: stroke patients
CD003316.PUB6 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Case fatality
no estimate extracted28 studies · 1437 participantsModerate
Dead or dependent
no estimate extracted0 studies · 0 participantsUngraded
Disability
no estimate extracted8 studies · 462 participantsHigh
Physical fitness ‐ peak VO2 (ml/kg/min)
no estimate extracted9 studies · 425 participantsHigh
Mobility
no estimate extracted14 studies · 631 participantsHigh
Mobility
no estimate extracted10 studies · 505 participantsHigh
Mobility
no estimate extracted15 studies · 826 participantsHigh

Mixed training

Population: stroke patients
CD003316.PUB6 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Case fatality
no estimate extracted17 studies · 957 participantsModerate
Dead or dependent
no estimate extracted0 studies · 0 participantsUngraded
Disability
no estimate extracted7 studies · 544 participantsHigh
Mobility
no estimate extracted9 studies · 639 participantsHigh
Mobility
no estimate extracted7 studies · 561 participantsHigh
Physical function ‐ balance
no estimate extracted6 studies · 260 participantsHigh
Physical function ‐ balance
no estimate extracted9 studies · 596 participantsHigh