Aerobic Exercise Recommendations to Optimize Best Practices in Care After Stroke: AEROBICS 2019 Update

被引：145

作者：

MacKay-Lyons, Marilyn ^{[1
,2
]}

Billinger, Sandra A. ^{[3
]}

Eng, Janice J. ^{[4
]}

Dromerick, Alex ^{[5
]}

Giacomantonio, Nicholas ^{[6
]}

Hafer-Macko, Charlene ^{[7
]}

Macko, Richard ^{[8
]}

Nguyen, Emily ^{[9
]}

Prior, Peter ^{[10
]}

Suskin, Neville ^{[11
]}

Tang, Ada ^{[12
]}

Thornton, Marianne ^{[13
]}

Unsworth, Karen ^{[14
]}

机构：

[1] Dalhousie Univ, Sch Physiotherapy, 5869 Univ Ave, Halifax, NS B3H 3J5, Canada

[2] QEII Hlth Sci Ctr, Dept Phys Med & Rehabil, Halifax, NS, Canada

[3] Univ Kansas, Med Ctr, Phys Therapy & Rehab Sci, Kansas City, KS 66103 USA

[4] Univ British Columbia, Dept Phys Therapy, Vancouver, BC, Canada

[5] Pasquerilla Healthcare Ctr, Dept Neurol, Washington, DC USA

[6] QEII Hlth Sci Ctr, Dept Cardiol, Halifax, NS, Canada

[7] Univ Maryland, Sch Med, Dept Neurol, Baltimore, MD 21201 USA

[8] VA Maryland Hlth Care Syst, Dept Neurol, Baltimore, MD USA

[9] Trinity Coll Dublin, Dublin, Ireland

[10] St Josephs Hlth Care London, Dept Psychol, London, ON, Canada

[11] Western Univ, Dept Cardiol, London, ON, Canada

[12] McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada

[13] MA Champlain Reg Stroke Network, Ottawa, ON, Canada

[14] St Josephs Hlth Care London, Dept Cardiac Rehabil, London, ON, Canada

来源：

PHYSICAL THERAPY | 2020年 / 100卷 / 01期

基金：

加拿大健康研究院;

关键词：

PHYSICAL-ACTIVITY PROGRAM; WALKING CAPACITY; REHABILITATION; MANAGEMENT; EFFICACY; FITNESS; STRESS;

D O I：

10.1093/ptj/pzz153

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Most stroke survivors have very low levels of cardiovascular fitness, which limits mobility and leads to further physical deconditioning, increased sedentary behavior, and heightened risk of recurrent stroke. Although clinical guidelines recommend that aerobic exercise be a part of routine stroke rehabilitation, clinical uptake has been suboptimal. In 2013, an international group of stroke rehabilitation experts developed a user-friendly set of recommendations to guide screening and prescription-the Aerobic Exercise Recommendations to Optimize Best Practices in Care after Stroke (AEROBICS 2013). The objective of this project was to update AEROBICS 2013 using the highest quality of evidence currently available. The first step was to conduct a comprehensive review of literature from 2012 to 2018 related to aerobic exercise poststroke. A working group of the original consensus panel members drafted revisions based on synthesis. An iterative process was used to achieve agreement among all panel members. Final revisions included: (1) addition of 115 new references to replace or augment those in the original AEROBICS document, (2) rewording of the original recommendations and supporting material, and (3) addition of 2 new recommendations regarding prescription. The quality of evidence from which these recommendations were derived ranged from low to high. The AEROBICS 2019 Update should make it easier for clinicians to screen for, and prescribe, aerobic exercise in stroke rehabilitation. Clinical implementation will not only help to narrow the gap between evidence and practice but also reduce current variability and uncertainty regarding the role of aerobic exercise in recovery after stroke.

引用

页码：149 / 156

页数：8

共 41 条

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American College of Sports Medicine, 2017, ACSMS GUIDELINES EXE, V10

[2]

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