Intervention Review

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Non-pharmacological interventions for preventing secondary vascular events after stroke or transient ischemic attack

  1. Marilyn MacKay-Lyons1,*,
  2. Marianne Thornton2,
  3. Tim Ruggles3,
  4. Marion Che1

Editorial Group: Cochrane Stroke Group

Published Online: 28 MAR 2013

Assessed as up-to-date: 11 DEC 2012

DOI: 10.1002/14651858.CD008656.pub2


How to Cite

MacKay-Lyons M, Thornton M, Ruggles T, Che M. Non-pharmacological interventions for preventing secondary vascular events after stroke or transient ischemic attack. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD008656. DOI: 10.1002/14651858.CD008656.pub2.

Author Information

  1. 1

    School of Physiotherapy - Dalhousie University, Halifax, Nova Scotia, Canada

  2. 2

    Ottawa Hospital Rehabilitation Centre, Department of Physiotherapy, Ottawa, Ontario, Canada

  3. 3

    Dalhousie University, W.K. Kellog Health Sciences Library, Halifax, Nova Scotia, Canada

*Marilyn MacKay-Lyons, School of Physiotherapy - Dalhousie University, 4th Floor, Forrest Building, 5869 University Avenue, Halifax, Nova Scotia, B3H 3J5, Canada. M.MacKay-Lyons@Dal.Ca.

Publication History

  1. Publication Status: New
  2. Published Online: 28 MAR 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Lennon 2008 {published data only}
  • Lennon O, Carey A, Gaffney N, Stephenson J. A pilot randomized controlled trial to evaluate the benefit of the cardiac rehabilitation paradigm for the non-acute ischaemic stroke population. Clinical Rehabilitation 2008;22:125-33.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Allen 2002 {published data only}
  • Allen KR, Hazelett S, Jarjoura D, Wickstrom GC, Hua K, Weinhardt J, et al. Effectiveness of a postdischarge care management model for stroke and transient ischemic attack: a randomized trial. Journal of Stroke and Cerebrovascular Disease 2002;11:88-98.
Battersby 2009 {published data only}
  • Battersby M, Hoffmann S, Cadilhac D, Osborne R, Lalor E, Lindley R. 'Getting your life back on track after stroke': a Phase II multi-centered, single-blind, randomized, controlled trial of the Stroke Self-Management Program vs. the Stanford Chronic Condition Self-Management Program or standard care in stroke survivors. International Journal of Stroke 2009;4:137-44.
Boysen 2009 {published data only}
  • Boysen G, Krarup LH, Zeng X, Oskedra A, Kırv J, Andersen G, et al. ExStroke pilot trial of the effect of repeated instructions to improve physical activity after ischaemic stroke: a multinational randomised controlled clinical trial. BMJ 2009;339:b2810.
Brazzelli 2011 {published data only}
Ellis 2005 {published data only}
  • Ellis G, Rodger J, McAlpine C, Langhorne P. The impact of a stroke nurse specialist input on risk factor modification: a randomised controlled trial. Clinical Rehabilitation 2005;23:99-105.
Gillham 2010 {published data only}
  • Gillham S, Endacott R. Impact of enhanced secondary prevention on health behaviour in patients following minor stroke and transient ischaemic attack: a randomized controlled trial. Clinical Rehabilitation 2010;24:822-30.
Harrington 2010 {published data only}
  • Harrington R, Taylor G, Hollinghurst S, Reed M, Kay H, Wood VA. A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation. Clinical Rehabilitation 2010;24:3-15.
Holmgren 2010 {published data only}
  • Holmgren E, Gosman-Hedström G, Lindström B, Wester P. What is the benefit of a high-intensive exercise program on health-related quality of life and depression after stroke? A randomized controlled trial. Advanced Physiotherapy 2010;12:125-33.
Marsden 2010 {published data only}
  • Marsden D, Quinn R, Pond N, Goledge R, Neilson C, White J, et al. A multidisciplinary group programme in rural settings for community-dwelling chronic stroke survivors and their carers: a pilot randomized controlled trial. Clinical Rehabilitation 2010;24:328-41.
Ovbiagele 2004 {published data only}
  • Ovbiagele B, Saver JL, Fredieu A, Suzuki S, McNair N, Dandekar A, et al. Protect: a coordinated stroke treatment program to prevent recurrent thromboembolic events. Neurology 2004;63:1217-22.
Prior 2011 {published data only}
  • Prior PL, Hachinski V, Unsworth K, Chan R, Mytka S, O'Callaghan C, et al. Comprehensive cardiac rehabilitation for secondary prevention after transient ischemic attack or mild stroke: I: feasibility and risk factors. Stroke 2011;42(11):3207-13.
Robinson 2005 {published data only}
  • Robinson JR, Maheshwari N. A "poly-portfolio" for secondary prevention: a strategy to reduce subsequent events by up to 97% over five years. American Journal of Cardiology 2005;95:373-8.
Strandberg 2006 {published data only}
  • Strandberg T, Pitkala K, Berglind S, Nieminen M, Tilvis R. Multifactorial intervention to prevent recurrent cardiovascular events in patients 75 years or older: The Drugs and Evidence-Based Medicine in the Elderly (DEBATE) study: a randomized, controlled trial. American Heart Journal 2006;152:585-92.
Tang 2010 {published data only}

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Kirk ongoing {unpublished data only}
  • Kirk H. Is the cardiac model of rehabilitation is more effective than standard care in reducing cerebrovascular risk factors post-transient ischaemic attack?. www.suht.nhs.uk/home.aspx (accessed 24 January 2013).
Lennon 2009 {unpublished data only}
MacKay-Lyons 2010 {unpublished data only}
  • MacKay-Lyons M, Gubitz G, Giacomantonio N, Wightman H, Marsters D, Thompson K, et al. Program of Rehabilitative Exercise and education to avert Vascular Events after Non-disabling stroke or TIA: a multi-site, RCT (PREVENT). BMC Neurology 2010;10:122.
NCT00536562 {unpublished data only}
  • Suskin N. Comprehensive cardiac rehabilitation programming for patients following transient ischemic attack. www.clinicaltrials.gov/ct2/show/NCT00536562 (accessed 24 January 2013).
NCT00929994 {unpublished data only}
  • Brooks D, Oh Paul, Black S, McIllroy WE. Effects of cardiac rehabilitation for individuals with transient ischemic attack. www.clinicaltrials.gov/ct2/show/NCT00929994 (accessed 24 January 2013).

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Balady 2007
  • Balady GJ, Williams MA, Ades PA, Bittner V, Comoss P, Foody JM, et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update. A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2007;115:2675-82.
Boulé 2001
  • Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus. A meta-analysis of controlled clinical trials. JAMA 2001;286:1218-27.
Brunner 2007
Clark 2005
  • Clark AM, Hartling L, Vandermeer B, McAlister FA. Meta-analysis: secondary prevention programs for patients with coronary artery disease. Annals of Internal Medicine 2005;143:659-72.
Dansinger 2007
  • Dansinger M, Tatsioni A, Wong JB, Chung M, Balk EM. Meta-analysis: the effect of dietary counselling for weight loss. Annals of Internal Medicine 2007;147:41-50.
Deakin 2005
Deeks 2011
  • Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Fagard 2007
Garner 2005
  • Garner C, Page S. Applying the transtheoretical model to exercise behaviors of stroke patients. Topics in Stroke Rehabilitation 2005;12:69-75.
Gordon 2004
  • Gordon NF, Gulanick M, Costa F, Fletcher GF, Franklin BA, Roth EJ, et al. Physical activity and exercise recommendations for stroke survivors. An American Heart Association Scientific Statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation 2004;109:2031-41.
Gordon 2009
Hackam 2007
Hankey 2005
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Houston 2009
  • Houston MC, Fazio S, Chilton FH, Wise DE, Jones KB, Barringer TA, et al. Nonpharmacologic treatment of dyslipidemia. Progress in Cardiovascular Diseases 2009;52:61-94.
Jolliffe 2001
  • Jolliffe JA, Rees K, Taylor RS, Thompson D, Oldridge N, Ebrahim S. Exercise-based rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews 2001, Issue 1. [DOI: 10.1002/14651858.CD001800]
Kelley 2008
Kodama 2007
  • Kodama S, Tanaka S, Saito, K, Shu M, Sone Y, Onitake F, et al. Effect of aerobic exercise training on serum levels of high-density lipoprotein cholesterol. A meta-analysis. Archives of Internal Medicine 2007;167:999-1008.
Koenig 2007
  • Koenig KL, Whyte EM, Munin MC, O'Donnell L, Skidmore ER, Penrod LE, et al. Stroke-related knowledge and health behaviors among poststroke patients in inpatient rehabilitation. Archives of Physical Medicine and Rehabilitation 2007;88:1214-6.
Lee 2003
Lindsay 2008
  • Lindsay P, Bayley M, Hellings C, Hill MD, Woodbury E, Philips S. Canadian best practice recommendations for stroke care (updated 2008). Canadian Medical Association Journal 2008;179:S1-S25.
Lopez 2006
  • Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 2006;367:1747-57.
Mouradian 2002
  • Mouradian MS, Majumdar SR, Senthilselvan A, Khan K, Shuaib A. How well are hypertension, hyperlipidemia, diabetes, and smoking managed after a stroke or transient ischemic attack?. Stroke 2002;33:1656-9.
Muntner 2006
  • Muntner P, DeSalvo KB, Wildman RP, Raggi P, He J, Whelton P. Trends in the prevalence, awareness, treatment, and control of cardiovascular disease risk factors among noninstitutionalized patients with a history of myocardial infarction and stroke. American Journal of Epidemiology 2006;163:913-20.
Myint 2009
  • Myint PK, Luben RN, Wareham NJ, Bingham SA, Khaw K-T. Combined effect of health behaviours and risk of first ever stroke in 20 040 men and women over 11 years' follow-up in Norfolk cohort of European Prospective Investigation of Cancer (EPIC Norfolk): prospective population study. BMJ 2009;338:b349.
Orzano 2004
  • Orzano AJ, Scott JG. Diagnosis and treatment of obesity in adults: an applied evidence-based review. Journal of the American Board of Family Practice 2004;17:359-69.
Sacco 2006
  • Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Circulation 2006;113:e409-49.
Shaw 2006
Spieler 2003
Taylor 2004
  • Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. America Journal of Medicine 2004;116:682-92.
Touze 2005
  • Touze E, Varenne O, Chatellier G, Peyrard S, Rothwell PM, Mas JL. Risk of myocardial infarction and vascular death after transient ischemic attack and ischemic stroke: a systematic review and meta-analysis. Stroke 2005;36:2748-55.
Whelton 2002
  • Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Annals of Internal Medicine 2002;136:493-503.
Yamaoka 2005
  • Yamaoka K, Tango T. Efficacy of lifestyle education to prevent type 2 diabetes. A meta-analysis of randomized controlled trials. Diabetes 2005;28:2780-6.