Batcho C1,2, Lessard G3, Dejeufosse E4, Cummings I3, Dupont M5
1Université Laval, Rehabilitation Department, Québec, Canada, 2Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Université Laval, Quebec, Canada, 3Laval University- CIRRIS, Quebec, Canada, 4Laval University, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale, Quebec, Canada, 5Laval University, Quebec, Canada
Background: Global incidence of stroke is increasing. Stroke survivors are often left with physical deficits; making rehabilitation a mandatory component of stroke recovery. Intensive rehabilitation therapy aims at recovering functions and independence. Therapy sessions must be of adequate intensity in terms of cardiopulmonary solicitation in order for patients' capacities to meet the physiological demands of independent living and decrease subsequent activity limitations once discharged. Previous research pointed out that most therapy sessions failed to provide intensive-enough training.
Purpose: The objective of this systematic review is to determine the current level of cardiopulmonary solicitation prompted by rehabilitation sessions in patients with stroke.
Methods: Three major electronic databases (PUBMED, CINHAL and EMBASE) were searched to identify observational studies that documented cardiopulmonary solicitation during rehabilitation sessions in post-stroke patients. A manual cross-referencing search was also performed. The methodological quality of each study was assessed using the EBL Critical Appraisal Tool and a modified PEDro Scale.
Results: A total of 9 articles met all the inclusion criteria and were included. Five of these 9 articles had reported data related to cardiopulmonary solicitation in terms of VO2max, VO2peak or HR; three had reported on active therapy time and one study had evaluated both metabolic stress and therapy time. No clear scientific evidence could be highlighted as to what is the actual cardiopulmonary solicitation prompted by rehabilitation sessions in a post-stroke context, as measured by metabolic stress (HR, VO2max or VO2peak ). Intensity measured in terms of active therapy time failed to provide scientifically reliable data.
Conclusion(s): The literature currently available documenting cardiopulmonary solicitation is poor, both in terms of number of studies and methodological quality. Preliminary results tend to support previous claims that patients are not provided with intensive-enough rehabilitation sessions that retrain their cardiopulmonary functions enough to meet the physiological demands of independent living.
Implications: The literature currently available documenting cardiopulmonary solicitation is poor, both in terms of number of studies and methodological quality. Preliminary results tend to support previous claims that patients are not provided with intensive-enough rehabilitation sessions that retrain their cardiopulmonary functions enough to meet the physiological demands of independent living.
Keywords: Stroke, Rehabilitation, Cardiopulmonary solicitation
Funding acknowledgements: Centre interdisciplinaire de recherche en réadaptation et en intégration sociale (CIRRIS), Quebec, Canada.
Purpose: The objective of this systematic review is to determine the current level of cardiopulmonary solicitation prompted by rehabilitation sessions in patients with stroke.
Methods: Three major electronic databases (PUBMED, CINHAL and EMBASE) were searched to identify observational studies that documented cardiopulmonary solicitation during rehabilitation sessions in post-stroke patients. A manual cross-referencing search was also performed. The methodological quality of each study was assessed using the EBL Critical Appraisal Tool and a modified PEDro Scale.
Results: A total of 9 articles met all the inclusion criteria and were included. Five of these 9 articles had reported data related to cardiopulmonary solicitation in terms of VO2max, VO2peak or HR; three had reported on active therapy time and one study had evaluated both metabolic stress and therapy time. No clear scientific evidence could be highlighted as to what is the actual cardiopulmonary solicitation prompted by rehabilitation sessions in a post-stroke context, as measured by metabolic stress (HR, VO2max or VO2peak ). Intensity measured in terms of active therapy time failed to provide scientifically reliable data.
Conclusion(s): The literature currently available documenting cardiopulmonary solicitation is poor, both in terms of number of studies and methodological quality. Preliminary results tend to support previous claims that patients are not provided with intensive-enough rehabilitation sessions that retrain their cardiopulmonary functions enough to meet the physiological demands of independent living.
Implications: The literature currently available documenting cardiopulmonary solicitation is poor, both in terms of number of studies and methodological quality. Preliminary results tend to support previous claims that patients are not provided with intensive-enough rehabilitation sessions that retrain their cardiopulmonary functions enough to meet the physiological demands of independent living.
Keywords: Stroke, Rehabilitation, Cardiopulmonary solicitation
Funding acknowledgements: Centre interdisciplinaire de recherche en réadaptation et en intégration sociale (CIRRIS), Quebec, Canada.
Topic: Neurology: stroke; Neurology: stroke; Cardiorespiratory
Ethics approval required: No
Institution: N/A
Ethics committee: N/A
Reason not required: This work is a systematic review of already published studies.
All authors, affiliations and abstracts have been published as submitted.
