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Updated: Jan 27, 2026
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A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
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Effectiveness of High-Intensity Interval Training for Fitness and Mobility Post Stroke: A Systematic Review
Joshua Wiener1, Amanda McIntyre1, Scott Janssen1
1Parkwood Institute Research, Lawson Health Research Institute, London, ON, Canada.
PM & R : the Journal of Injury, Function, and Rehabilitation
|March 13, 2019
Summary
High-intensity interval training (HIIT) shows promise for improving post-stroke fitness and mobility. While it significantly enhances measures like walking speed and balance, its benefits compared to moderate-intensity continuous exercise (MICE) require further investigation.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Stroke survivors often experience impaired cardiorespiratory fitness and mobility.
- Rehabilitation strategies aim to improve functional outcomes and quality of life post-stroke.
Purpose of the Study:
- To systematically review the evidence on the effectiveness of high-intensity interval training (HIIT) for improving fitness and mobility in adult stroke survivors.
- To synthesize findings from randomized controlled trials and pre-post studies evaluating HIIT interventions.
Main Methods:
- A systematic literature search was conducted across Medline, Embase, CINAHL, PsycINFO, and Scopus up to January 2018.
- Included studies involved adult human participants with stroke, a minimum sample size of 3, and more than one HIIT session.
- Data extracted included study and participant characteristics, HIIT protocols, and outcome measures.
Main Results:
- Six studies (140 participants) met inclusion criteria, utilizing HIIT protocols of 20-30 minutes, 2-5 times/week for 2-8 weeks, primarily on treadmills.
- HIIT significantly improved peak oxygen consumption compared to baseline, but not significantly more than moderate-intensity continuous exercise (MICE).
- Significant improvements were observed in various mobility measures, including the 10-Meter Walk Test (10MWT) and Berg Balance Scale (BBS), with HIIT showing advantages over MICE in 10MWT and Functional Ambulation Categories (FAC).
Conclusions:
- Preliminary evidence suggests HIIT is a potentially effective rehabilitation intervention for enhancing specific aspects of cardiorespiratory fitness and mobility post-stroke.
- Further research is warranted to fully elucidate the comparative effectiveness of HIIT versus MICE for different functional outcomes.
- HIIT may offer a viable alternative or adjunct to traditional exercise protocols in stroke rehabilitation programs.
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