PMID- 25023134 OWN - NLM STAT- MEDLINE DCOM- 20150915 LR - 20211021 IS - 1868-601X (Electronic) IS - 1868-4483 (Linking) VI - 6 IP - 1 DP - 2015 Feb TI - The effects of poststroke aerobic exercise on neuroplasticity: a systematic review of animal and clinical studies. PG - 13-28 LID - 10.1007/s12975-014-0357-7 [doi] AB - Aerobic exercise may be a catalyst to promote neuroplasticity and recovery following stroke; however, the optimal methods to measure neuroplasticity and the effects of training parameters have not been fully elucidated. We conducted a systematic review and synthesis of clinical trials and studies in animal models to determine (1) the extent to which aerobic exercise influences poststroke markers of neuroplasticity, (2) the optimal parameters of exercise required to induce beneficial effects, and (3) consistent outcomes in animal models that could help inform the design of future trials. Synthesized findings show that forced exercise at moderate to high intensity increases brain-derived neurotrophic factor (BDNF), insulin-like growth factor-I (IGF-I), nerve growth factor (NGF), and synaptogenesis in multiple brain regions. Dendritic branching was most responsive to moderate rather than intense training. Disparity between clinical stroke and stroke models (timing of initiation of exercise, age, gender) and clinically viable methods to measure neuroplasticity are some of the areas that should be addressed in future research. FAU - Ploughman, Michelle AU - Ploughman M AD - Recovery and Performance Laboratory, Rehabilitation Research Unit, Faculty of Medicine, Memorial University, Rm 400, L.A. Miller Centre, 100 Forest Rd., St. John's, NL, Canada, michelle.ploughman@med.mun.ca. FAU - Austin, Mark W AU - Austin MW FAU - Glynn, Lindsay AU - Glynn L FAU - Corbett, Dale AU - Corbett D LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20140715 PL - United States TA - Transl Stroke Res JT - Translational stroke research JID - 101517297 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Aged MH - Animals MH - Brain/metabolism/*physiopathology MH - Brain-Derived Neurotrophic Factor/metabolism MH - Clinical Trials as Topic MH - Dendrites/physiology MH - *Exercise Therapy MH - Female MH - Humans MH - Insulin-Like Growth Factor I/metabolism MH - Male MH - Middle Aged MH - Nerve Growth Factor/metabolism MH - *Neuronal Plasticity MH - Recovery of Function MH - Stroke/*physiopathology MH - *Stroke Rehabilitation MH - Synapses/physiology EDAT- 2014/07/16 06:00 MHDA- 2015/09/16 06:00 CRDT- 2014/07/16 06:00 PHST- 2014/04/16 00:00 [received] PHST- 2014/06/30 00:00 [accepted] PHST- 2014/06/02 00:00 [revised] PHST- 2014/07/16 06:00 [entrez] PHST- 2014/07/16 06:00 [pubmed] PHST- 2015/09/16 06:00 [medline] AID - 10.1007/s12975-014-0357-7 [doi] PST - ppublish SO - Transl Stroke Res. 2015 Feb;6(1):13-28. doi: 10.1007/s12975-014-0357-7. Epub 2014 Jul 15.