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Related Concept Videos

Cardiac Output II: Effect of Stroke Volume on Cardiac Output01:22

Cardiac Output II: Effect of Stroke Volume on Cardiac Output

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Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
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Related Experiment Video

Updated: Oct 9, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
07:35

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Associations Between Time After Stroke and Exercise Training Outcomes: A Meta-Regression Analysis.

Susan Marzolini1,2,3,4, Che-Yuan Wu5,6, Rowaida Hussein7

  • 1KITE Research Institute, Toronto Rehabilitation Institute - University Health Network Toronto ON Canada.

Journal of the American Heart Association
|December 16, 2021
PubMed
Summary

Starting exercise soon after stroke, within 3 to 6 months, significantly improves mobility outcomes like walking distance and speed. Early intervention is key for better post-stroke recovery and functional gains.

Keywords:
balancecardiorespiratory fitnessexercise trainingmobilityrehabilitationstroke recovery

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Knowledge gaps exist regarding the optimal timing of exercise interventions post-stroke.
  • This limits clinicians' ability to provide precise guidance on rehabilitation timelines.

Purpose of the Study:

  • To investigate the association between time elapsed after stroke and the effectiveness of exercise training interventions.
  • To determine how early initiation of exercise impacts mobility, cardiorespiratory fitness, and balance.

Main Methods:

  • A systematic review and meta-regression analysis of 148 studies in post-stroke populations.
  • Examined time after stroke (≤3 vs >3 months; ≤6 vs >6 months) and its impact on 6-minute walk distance, 10-meter walk time, cardiorespiratory fitness, and Berg Balance Scale score (BBS).
  • Analyses were adjusted for baseline values, age, sex, and exercise parameters.

Main Results:

  • Earlier exercise initiation (≤3 months post-stroke) was associated with greater improvements in 6-minute walk distance, 10-meter walk time (comfortable and fast).
  • No significant association was found with cardiorespiratory fitness, though a small improvement in BBS was noted for early initiation.
  • In controlled studies, early initiation (≤3 or ≤6 months) showed significant improvements in 6-minute walk distance.

Conclusions:

  • Initiating exercise within 3 to 6 months after stroke may offer clinically meaningful benefits for mobility outcomes.
  • Early exercise intervention appears particularly beneficial for improving walking ability post-stroke.