In this issue, Krawcyk and colleagues report one year follow up data from the High-Intensity
Training in Patients with Lacunar Stroke (HITPALS).
1
High-intensity interval training (HIIT) involves repeated intervals of high-intensity
activity interspersed with rest or active lower-intensity recovery intervals; HIIT
can achieve similar fitness benefits as continuous endurance workouts, but in shorter
periods of time.
2
Krawcyk et al had previously shown that HIIT performed at home, guided by weekly
motivational phone calls for three months, was feasible and safe in patients with
lacunar stroke, but that there was no effect on cardiorespiratory fitness.
2
The current paper demonstrates that by one year activity levels had declined to baseline
levels,
1
suggesting that barriers to activity maintenance need to be addressed.To read this article in full you will need to make a payment
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References
The paper
- Effect of 46 home-based high-intensity interval training in patients with lacunar stroke: a randomized controlled 47.Trial Front Neurol. 2019; 10: 664
Mead GE, Sposato L, Silva G, et al. Systematic review and synthesis of global stroke guidelines for the World Stroke Organization. International Journal of Stroke 2023 Mar 1;17474930231156753.
- Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American heart association/American stroke association.Stroke. 2014; 45: 2532-2553
- Physical fitness training for stroke patients.Cochrane Database Syst Rev. 2020; (Issue 3. Art. No.)CD003316https://doi.org/10.1002/14651858.CD003316.pub7
- Combining multiple approaches for the secondary prevention of vascular events after stroke: a quantitative modeling study.Stroke. 2007; 38 (JunEpub 2007 Apr 12. PMID: 17431209): 1881-1885https://doi.org/10.1161/STROKEAHA.106.475525
- A systematic review of perceived barriers and motivators to physical activity after stroke.Int J Stroke. 2013; 8 (JulEpub 2012 Sep 13. PMID: 22974010): 357-364https://doi.org/10.1111/j.1747-4949.2012.00880.x
- How to address physical activity participation after stroke in research and clinical practice.Stroke. 2021; 52 (JunEpub 2021 May 6. PMID: 33951930; PMCID: PMC8555581): e274-e277https://doi.org/10.1161/STROKEAHA.121.034557
Exercise and physical activity. International stroke recovery and rehabilitation alliance. Exercise and physical activity - ISRRA (strokerecoveryalliance.com). Accessed 6th January 2023
- Epidemiology of multimorbidity and implications for health care, research and medical education: a cross sectional study.Lancet. 2012; 380: 37-43https://doi.org/10.1016/S0140-6736(12)60240-2
- Physical fitness training after stroke, time to implement what we know: more research is needed.Int J Stroke. 2011; 6: 506-508https://doi.org/10.1111/j.1747-4949.2011.00679.x
Article info
Publication history
Published online: January 25, 2023
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.106991
Copyright
© 2023 Elsevier Inc. All rights reserved.
