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Exercise and Cardiovascular Response01:20

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Correction: High-Intensity Interval Training Enhances Cardiovascular and Functional Outcomes Compared With Moderate-Intensity Continuous Training in Higher-Functioning Chronic Stroke.

Annals of rehabilitation medicine·2026
Same author

High-Intensity Interval Training Enhances Cardiovascular and Functional Outcomes Compared With Moderate-Intensity Continuous Training in Higher-Functioning Chronic Stroke.

Annals of rehabilitation medicine·2026
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High-intensity interval training after stroke: evidence & practice.

Hyun-Min Moon1

  • 1Cardiopulmonary Rehabilitation Clinic, Department of Rehabilitation Medicine, Bundang Jesaeng Hospital, Republic of Korea.

Physical Activity and Nutrition
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PubMed
Summary

Supervised high-intensity interval training (HIIT) is safe and effective for improving walking and aerobic function post-stroke. It may also enhance executive functions, complementing standard rehabilitation.

Keywords:
aerobic capacityexecutive functiongait speedhigh-intensity interval trainingneuroplasticitystroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Physiology

Background:

  • Stroke rehabilitation often focuses on task-specific training.
  • High-intensity interval training (HIIT) shows promise for improving functional outcomes.
  • Evidence synthesis is needed to guide HIIT implementation post-stroke.

Purpose of the Study:

  • To review clinical, cognitive, safety, and mechanistic data on supervised HIIT in stroke survivors.
  • To translate findings into practical recommendations for clinical use.
  • To assess the feasibility and efficacy of HIIT for post-stroke recovery.

Main Methods:

  • Narrative review of supervised HIIT interventions in adults post-stroke.
  • Searched PubMed and Web of Science (2014-2025).
  • Qualitative synthesis of feasibility, safety, and neurofunctional outcomes (walking, gait, aerobic capacity, cognition).

Main Results:

  • HIIT is feasible and safe with proper screening and monitoring.
  • Consistent improvements in aerobic capacity, walking endurance, and gait speed.
  • Mixed effects on activities/participation; domain-specific cognitive benefits, particularly for executive functions.
  • Mechanistic evidence (BDNF, frontal oxygenation) supports biological plausibility.

Conclusions:

  • Supervised HIIT is safe and beneficial for locomotor and aerobic recovery post-stroke.
  • HIIT may specifically enhance executive cognition.
  • Integrate HIIT with task-specific therapy, following standard protocols; refine protocols for optimal functional gains.