PTPilotJournal of neurologic physical therapy : JNPT2024

Aerobic Exercise Improves Cortical Inhibitory Function After Stroke: A Preliminary Investigation.

Jacqueline A Palmer, Alicen A Whitaker, Aiden M Payne and 4 others

PMID 37436187

WHAT IT FOUND

In 12 people with chronic stroke, 4 weeks of supervised walking exercise did not improve 6-minute walk distance, but the extra time needed to suppress wrong responses decreased.

Key findings

01Functional walking capacity on the 6-minute walk test and VO2-peak did not change after training.

02The extra time needed to suppress wrong responses decreased after training, but accuracy did not change.

03Group-level brain-wave measures did not change, but a post-training association between a brain-wave measure and response inhibition emerged.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 12 participants were analysed, so the study is preliminary and may miss smaller effects. There was no non-exercise control group, so training, natural recovery, or repeated testing could have contributed. Follow-up was only 2 to 7 days after the last session, with no long-term testing. The lactate finding was strongly influenced by the two participants who reached >4.0 mmol/L, and most participants had lower lactate levels. Cognitive test practice effects cannot be fully ruled out, although the authors tried to reduce them.

Declared interests

The authors declared no commercial or financial conflicts of interest. The article is tagged as supported by non-U.S. government and NIH extramural research support.

The easy way to misread this

Do not conclude that aerobic exercise improves cortical inhibitory function after stroke. This was a small preliminary ancillary study with no non-exercise control, and group-level brain-wave measures did not change.

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