Post Stroke Exercise Training: Intensity, Dosage, and Timing of Therapy

Robert Teasell; Jamie L Fleet; Amber Harnett

doi:10.1016/j.pmr.2023.06.025

Post Stroke Exercise Training: Intensity, Dosage, and Timing of Therapy

Phys Med Rehabil Clin N Am. 2024 May;35(2):339-351. doi: 10.1016/j.pmr.2023.06.025. Epub 2023 Aug 12.

Authors

Robert Teasell¹, Jamie L Fleet², Amber Harnett³

Affiliations

¹ Parkwood Institute Research, Parkwood Institute, D4-101A, 550 Wellington Road, London, Canada; St. Joseph's Health Care London, London, Canada; Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada. Electronic address: Robert.Teasell@sjhc.london.on.ca.
² Parkwood Institute Research, Parkwood Institute, D4-101A, 550 Wellington Road, London, Canada; St. Joseph's Health Care London, London, Canada; Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada.
³ Parkwood Institute Research, Parkwood Institute, B3-123, 550 Wellington Road, London, Ontario N6C 0A7, Canada.

PMID: 38514222
DOI: 10.1016/j.pmr.2023.06.025

Abstract

More intense, earlier exercise in rehabilitation results in improved motor outcomes following stroke. Timing and intensity of therapy delivery vary from study to study. For more intensive therapies, there are practical challenges in implementation. However, there are also opportunities for high intensity treatment through innovative approaches and new technologies. Timing of rehabilitation is important. As time post stroke increases, the dosage of therapy required to improve motor recovery outcomes increases. Very early rehabilitation may improve motor outcomes but should be delayed for at least 24 hours post stroke.

Keywords: Dose; Exercise; Intensity; Recovery; Rehabilitation; Stroke; Therapy; Timing.

Publication types

Review

MeSH terms

Exercise
Exercise Therapy / methods
Humans
Recovery of Function
Stroke Rehabilitation* / methods
Stroke* / therapy