Effects of exercise on post-stroke cognitive function: a systematic review and meta-analysis of randomized controlled trials.
Top Stroke Rehabil
; : 1-22, 2024 Jun 02.
Article
em En
| MEDLINE
| ID: mdl-38825881
ABSTRACT
BACKGROUND:
A growing body of research examining the effect of exercise on cognitive function in stroke patients, while findings of available studies were conflicting.OBJECTIVES:
We aimed to estimate the effect of exercise on cognitive function in stroke patients.METHODS:
For this systematic review and meta-analysis, we searched PubMed, Web of Science, Embase, Cochrane, and Scopus electronic databases, through 13 March 2023. The three-level restricted maximum likelihood random effects model was used to synthesize the data.RESULTS:
Twenty-five studies met the inclusion criteria. There was a significant effect of exercise on improving cognitive function in stroke patients (Cohen's d = 0.37, 95% CI, 0.16 to 0.58, p < 0.01, I2 = 22.12%). Subgroup analysis showed that exercise significantly improved memory. In addition, aerobic exercise, exercise conducted 12 weeks or more, 3 times or more per week, less than 60 minutes per session, less than 180 minutes per week, and up to 12 months post-stroke increased cognitive function significantly.CONCLUSIONS:
Exercise improved cognitive function in stroke patients. To improve cognitive function, this meta-analysis provides clinicians with evidence to recommend that stroke patients participate in aerobic exercise at least 3 times per week for 30-60 minutes, with a goal of 180 minutes per week being achieved by increasing the frequency of exercise. Exercise initiated within 12 months post-stroke and continued for 12 weeks or more is most beneficial for improving cognitive function.
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MEDLINE
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En
Ano de publicação:
2024
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Article