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Aerobic training in the first several weeks after a stroke does not improve walking speed or reduce functional disability, according to results from a randomized controlled trial.
Investigators evaluated the efficacy of aerobic treadmill-based training (25 minutes to a target heart rate of 50-60% of the individuals maximum heart rate, five times weekly over four weeks) in 200 adults with subacute stroke (5-45 days after the event), compared with similar-duration relaxation training as a control intervention. Maximal walking speed increased from baseline to three months after stroke by 0.4 m/s in the aerobic-training group versus 0.3 m/s in the relaxation group, a non-significant difference, the researchers reported in The BMJ.