American journal of physical medicine & rehabilitation · 2026
Are Cardiac Rehabilitation Programs Effective in Improving Aerobic Capacity for People With Transient Ischemic Attack and Stroke?: A Rapid Review and Meta-analysis.
СтатьяМетаанализОбзорНазвание и аннотация: Перевод в очереди
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Walton Lucy, Preston Elisabeth, De Mendonca Juliana, Flynn Allyson, Davey Rachel, Freene Nicole
Аннотация
OBJECTIVE: The aim of the study was to evaluate the effectiveness of exercise-based cardiac rehabilitation in improving aerobic capacity for people with stroke or TIA.
DESIGN: This is a rapid review with meta-analysis.
RESULTSL: Four databases were searched from February 2015 to March 2025. Nine studies ( N = 490 participants) of low-moderate quality were included (2 randomized controlled trials, 2 quasi-experimental trials, 5 pre-post studies), three of which were pooled for meta-analysis. Findings suggest cardiac rehabilitation improves aerobic capacity (28 m, 95% confidence interval = 16 m to 39 m, P ≤ 0.00001) for people with TIA or stroke, with promising improvements also found for systolic blood pressure (95% confidence interval = -18 mmHg to -5.3 mmHg, P = 0.0003), self-reported diet (95% confidence interval = 2.4 to 4.7, P ≤ 0.00001), and self-reported physical activity (95% confidence interval = 1533 METmin/week to 5156 METmin/week, P = 0.0003). No significant relationships were identified between program frequency, intensity, time, and type principles and aerobic capacity outcomes.
CONCLUSIONS: Cardiac rehabilitation may be effective in improving aerobic capacity post-TIA or stroke, however current evidence is limited and of low certainty. Further high-quality research on program effectiveness, and the influence of frequency, intensity, time, and type principles is needed to support evidence-based decisions making by clinicians, researchers, and policy-makers.
DESIGN: This is a rapid review with meta-analysis.
RESULTSL: Four databases were searched from February 2015 to March 2025. Nine studies ( N = 490 participants) of low-moderate quality were included (2 randomized controlled trials, 2 quasi-experimental trials, 5 pre-post studies), three of which were pooled for meta-analysis. Findings suggest cardiac rehabilitation improves aerobic capacity (28 m, 95% confidence interval = 16 m to 39 m, P ≤ 0.00001) for people with TIA or stroke, with promising improvements also found for systolic blood pressure (95% confidence interval = -18 mmHg to -5.3 mmHg, P = 0.0003), self-reported diet (95% confidence interval = 2.4 to 4.7, P ≤ 0.00001), and self-reported physical activity (95% confidence interval = 1533 METmin/week to 5156 METmin/week, P = 0.0003). No significant relationships were identified between program frequency, intensity, time, and type principles and aerobic capacity outcomes.
CONCLUSIONS: Cardiac rehabilitation may be effective in improving aerobic capacity post-TIA or stroke, however current evidence is limited and of low certainty. Further high-quality research on program effectiveness, and the influence of frequency, intensity, time, and type principles is needed to support evidence-based decisions making by clinicians, researchers, and policy-makers.