Cardiopulmonary exercise testing and aerobic treadmill training after stroke: Feasibility of a controlled trial

J Stroke Cerebrovasc Dis. 2020 Jul;29(7):104854. doi: 10.1016/j.jstrokecerebrovasdis.2020.104854. Epub 2020 May 11.

Abstract

Purpose: To investigate the feasibility and safety of a randomized controlled trial that performed cardiopulmonary exercise testing and 12 weeks of aerobic treadmill training in individuals in the chronic phase after stroke.

Methods: The following data were recorded: number of individuals contacted to participate, that attended in the evaluation session, and that were included (recruited) in the study; retention, attendance and adherence rates; reasons for exclusion, withdrawal, non-attendance and non-completing exercise; adverse events.

Results: From 230 individuals that were contacted, 39 (17%) attended the evaluation session and 22 (9.6%) were recruited in the study, 11 in each group (control and experimental). The main source of recruitment was other research projects (43.5%). The main reason for exclusion was unavailability (22%). Six out of 39 individuals (15.4%) that attended in the evaluation session were not able to perform the cardiopulmonary exercise testing. All subjects included showed a respiratory exchange ratio ≥1.0 (considered as maximal effort in the CPET). Retention rate was 81% and the main reason of withdrawal was unavailability (75%). The overall attendance rate was 88% and the main reason for non-attendance was illness/sickness (20.8%). The adherence rate was 99% and the reasons for non-completing sessions were illness/sickness (60%) or delay (40%). No serious adverse events occurred.

Conclusion: Recruitment rate was low, retention rate was moderate, attendance and adherence rates were high. No serious adverse events occurred. It was feasible and safe to execute a randomized clinical trial that performed cardiopulmonary exercise testing and 12 weeks of aerobic treadmill training.

Keywords: Aerobic; Cardiopulmonary exercise testing; Physical activity; Randomized controlled trials; Stroke.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Brazil
  • Cardiopulmonary Resuscitation*
  • Cardiorespiratory Fitness*
  • Exercise Therapy* / adverse effects
  • Exercise Tolerance*
  • Feasibility Studies
  • Humans
  • Patient Compliance
  • Patient Selection
  • Predictive Value of Tests
  • Recovery of Function
  • Sample Size
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / therapy*
  • Stroke Rehabilitation / adverse effects
  • Stroke Rehabilitation / methods*
  • Time Factors
  • Treatment Outcome