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FocusReview

Exercise may improve thinking after a stroke

HelpedThe short version

Across 5 studies, exercise helped attention and thinking speed more than other groups did.

A man in a striped jumper stands on a wobble board, arms out to steady himself, as the board rocks gently.
5
studies pooled
153
adult stroke survivors

The review

  1. Who took part

    736 stroke survivors took part in 14 trials in 9 countries. They were adults, with an average age of about 62, and about 6 in 10 were men.

  2. What they did

    The exercise groups did cardio, strength, balance, or stretching and toning, usually two or three times a week. Programmes lasted about 12 weeks on average. The other groups got usual care, stretching, relaxation, social contact, or a wait before any training.

  3. What happened

    Overall, the exercise groups did better on thinking tests than the other groups, by a small to moderate amount. Attention and processing speed improved most clearly. Planning and switching did not clearly improve, and neither did working memory. Programmes that mixed cardio and strength training looked best, but the paper found no clear gap between programme types.

What the review found

  1. Helped

    Across 5 studies, exercise helped attention and thinking speed more than other groups did.

    Pooled analysis of 5 studies with 153 people · vs usual care, stretching, relaxation or social contact · ⚠ whole programmes were tested, so no single part can be credited

How solid is this?

  • Summary claims more than the results show
  • Whole programmes were tested, so no single part can be credited

Source

Effects of Physical Activity on Poststroke Cognitive Function: A Meta-Analysis of Randomized Controlled Trials (2017)

DOI: 10.1161/STROKEAHA.117.017319 (opens in a new tab)

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