García-Soto Edurne, López de Munaín M Lourdes, Santibáñez Miguel
Universidad de Cantabria, 39011 Santander, Espana.
Rev Neurol. 2013 Dec 16;57(12):535-41.
Stroke is one of the main causes of disability. Physical activity has shown a benefit in the physical rehabilitation of these patients. However, its role improving cognitive function has not been studied by far.
To review studies that evaluate the impact of physical activity on cognitive recovery after stroke.
We searched in CENTRAL, Medline and ISI Web of Knowledge, for studies that analyzed the effect of a physical intervention (both aerobic or resistance exercise) on cognition following stroke.
Five studies were identified (93 patients). Studies show a wide heterogeneity in the tests used for cognitive assessment and also in exercise protocols. Identified studies support a positive impact of aerobic exercise on cognition. The two latest published studies (50 patients) have specifically evaluated the impact of combined aerobic and resistance training on cognition. The results suggest that the addition of resistance training may improve overall cognitive function and particularly executive function.
Physical activity constitutes a promising strategy to improve cognitive function following stroke. Larger clinical trials and homogeneity in both exercise protocols and cognitive assessment instruments are needed.
中风是导致残疾的主要原因之一。体育活动已被证明对这些患者的身体康复有益。然而，到目前为止，其对改善认知功能的作用尚未得到研究。
回顾评估体育活动对中风后认知恢复影响的研究。
我们在Cochrane系统评价数据库、医学期刊数据库和科学网中检索了分析体育干预（有氧运动或抗阻运动）对中风后认知影响的研究。
共识别出5项研究（93名患者）。研究表明，用于认知评估的测试以及运动方案存在很大差异。已识别的研究支持有氧运动对认知有积极影响。最近发表的两项研究（50名患者）专门评估了有氧运动和抗阻训练相结合对认知的影响。结果表明，增加抗阻训练可能会改善整体认知功能，尤其是执行功能。
体育活动是改善中风后认知功能的一种有前景的策略。需要开展更大规模的临床试验，并在运动方案和认知评估工具方面保持一致性。
