Is early initiated cardiorespiratory fitness training within a model of stroke-integrated cardiac rehabilitation safe and feasible?

Journal article

Machado, Natasha, Williams, Gavin, Olver, John and Johnson, Liam Gerard. (2024). Is early initiated cardiorespiratory fitness training within a model of stroke-integrated cardiac rehabilitation safe and feasible? Journal of Stroke & Cerebrovascular Diseases. 33(2), pp. 1-10. https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.107493

Publication dates
Authors	Machado, Natasha, Williams, Gavin, Olver, John and Johnson, Liam Gerard
Abstract	Objective: To investigate the safety and feasibility of an early initiated stroke-integrated Cardiac Rehabilitation program. Methods: People with acute first or recurrent ischaemic stroke, admitted to Epworth HealthCare were screened for eligibility and invited to participate. In addition to usual care neurorehabilitation, participants performed 1) cardiorespiratory fitness training 3-days/week during inpatient rehabilitation (Phase 1), and/or 2) 2-days/week centre-based cardiorespiratory fitness training plus education and 1-day/week home-based cardiorespiratory fitness training for 6-weeks during outpatient rehabilitation (Phase 2). Safety was determined by the number of adverse and serious adverse events. Feasibility was determined by participant recruitment, retention, and attendance rates, adherence to exercise recommendations, and participant satisfaction. Results: There were no study-related adverse or serious adverse events. Of 117 eligible stroke admissions, 62 (53%) were recruited, while 10 (16.1%) participants withdrew. Participants attended 189 of 201 (94%) scheduled cardiorespiratory fitness training sessions in Phase 1 and 341/381 (89.5%) scheduled sessions in Phase 2. Only 220/381 (58%) scheduled education sessions were attended. The minimum recommended cardiorespiratory fitness training intensity (40% heart rate reserve) and duration (20 minutes) was achieved by 57% and 55% of participants respectively during Phase 1, and 60% and 92% respectively during Phase 2. All respondents strongly agreed (69%) or agreed (31%) they would recommend the stroke-integrated Cardiac Rehabilitation program to other people with stroke. Conclusion: Cardiorespiratory fitness training in line with multiple clinical practice guidelines included within a model of stroke-integrated Cardiac Rehabilitation appears to be safe and feasible in the early subacute phase post-stroke.
Keywords	Cerebrovascular disorders; Stroke; Cardiorespiratory fitness; Exercise; Cardiac rehabilitation
Year	01 Jan 2024
Journal	Journal of Stroke & Cerebrovascular Diseases
Journal citation	33 (2), pp. 1-10
Publisher	Elsevier Ltd. (UK)
ISSN	1052-3057
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.107493
Web address (URL)	https://www.sciencedirect.com/science/article/pii/S1052305723005141
Open access	Published as non-open access
Research or scholarly	Research
Page range	1-10
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	06 Dec 2023
Publication process dates
Accepted	15 Nov 2023
Deposited	22 May 2024
Additional information	© 2023 Elsevier Inc. All rights reserved.
Place of publication	United States

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