Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy.

@article{Patten2004WeaknessAS,
  title={Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy.},
  author={Carolynn Patten and Jan Lexell and Heather Brown},
  journal={Journal of rehabilitation research and development},
  year={2004},
  volume={41 3A},
  pages={
          293-312
        }
}
Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contributing to weakness, and reports of early investigations involving high-resistance training targeted at improving strength and the transfer of strength to… Expand
Combined Functional Task Practice and Dynamic High Intensity Resistance Training Promotes Recovery of Upper‐extremity Motor Function in Post‐stroke Hemiparesis: A Case Study
TLDR
Improvements in strength and positive outcome effects at the physiological, clinical, and functional levels were observed in this subject following the experimental hybrid upper-extremity rehabilitation intervention described and no deleterious effects were observed including exacerbation of spasticity or musculoskeletal compromise. Expand
Strengthening to Promote Functional Recovery Poststroke: An Evidence-Based Review
TLDR
Despite limited long-term follow-up data, there is evidence that resistance training produces increased strength, gait speed, and functional outcomes and improved quality of life without exacerbation of spasticity. Expand
Effects of Intensive Physical Rehabilitation on Neuromuscular Adaptations in Adults with Poststroke Hemiparesis
TLDR
In conclusion, intensive physical rehabilitation after stroke leads to clinically relevant neuromuscular improvements, leading to increased voluntary strength during a wide range of contraction modes and velocities, and improved gait velocity. Expand
Effect of Strength Training, Functional Task Related Training and Combined Strength and Functional Task Related Training on Upper Extremity in Post Stroke Patients
TLDR
Combined strength and functional task related training improved both functional motor performance and strength and led to more effective rehabilitation in stroke patients. Expand
Muscle strengthening for hemiparesis after stroke: A meta-analysis.
TLDR
Progressive resistance training seemed to be the most effective treatment to improve strength in patients with chronic stroke when it is appropriately targeted, it significantly improves strength. Expand
Neural and muscular contribution to weakness in stroke patients: Setup of a research protocol
TLDR
The aim of this paper is to investigate the use of a methodology based on a protocol with kinematic tasks and on the assessment of the kinematics of the hand fingers’ phalanges for the determination of hand ability and disability. Expand
STRENGTH TRAINING AFTER STROKE: EFFECTS ON MUSCLE FUNCTION, GAIT PERFORMANCE AND PERCEIVED PARTICIPATION
The overall aim of this thesis was to evaluate the effects of strength training on muscle function, gait performance and perceived participation in subjects with chronic mild to moderate post-strokeExpand
Unilateral strength training and mirror therapy for enhancing lower limb motor function after stroke
TLDR
Findings present the first evidence that cross-education with MT can be applied post-stroke and may achieve lower limb rehabilitative outcomes. Expand
Weakness is the primary contributor to finger impairment in chronic stroke.
OBJECTIVE To assess the relative contributions of several neurologic and biomechanic impairment mechanisms to overall finger and hand impairment in chronic hemiparetic stroke survivors. DESIGNExpand
Progressive Shoulder Abduction Loading is a Crucial Element of Arm Rehabilitation in Chronic Stroke
TLDR
Progressive shoulder abduction loading can be utilized to ameliorate reaching range of motion against gravity to enhance real-world arm function in individuals with chronic hemiparetic stroke. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 128 REFERENCES
Weakness in patients with hemiparesis.
  • D. Bourbonnais, S. Vanden Noven
  • Medicine
  • The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 1989
TLDR
The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakness. Expand
Strength training in spastic hemiparesis: should it be avoided?
TLDR
The results of this study suggest that graded resistive exercise is not detrimental to post-stroke spastic muscle, and should be considered as a possible remediation for the deficits of muscle weakness and reduced function in post- stroke individuals. Expand
Isokinetic strength training of the hemiparetic knee: effects on function and spasticity.
  • S. Sharp, B. Brouwer
  • Psychology, Medicine
  • Archives of physical medicine and rehabilitation
  • 1997
TLDR
Gains in strength and gait velocity without concomitant increases in muscle tone are possible after a short-term strengthening program for stroke survivors and the psychological benefit associated with physical activity is significant. Expand
Preservation of directly stimulated muscle strength in hemiplegia due to stroke.
TLDR
M Modes of exercise therapy focused primarily on direct strengthening of striated musculature, as in resistive exercise training, are strategically questionable and other approaches may be more effective. Expand
The relationship between walking speed and muscle strength for knee extension in hemiparetic stroke patients: a follow-up study.
TLDR
Regression analyses revealed that the strength of the affected side was the primary determinant of the walking speed and the variance explained by it gradually increased with a period of the training. Expand
Systematic muscle building exercises in the rehabilitation of stroke patients.
TLDR
The results of this study showed that targeted strength training significantly increased muscle power in patients with muscle weakness of central origin without any negative effects on spasticity. Expand
Selected determinants of ambulatory capacity in patients with hemiplegia
This study was performed to investigate, in 33 stroke patients, the relationships between gait speed, cadence, distance, and independence, and to determine whether five nonstrength and selected lowerExpand
High intensity strength training improves strength and functional performance after stroke.
TLDR
Progressive resistance training in individuals 1 yr after stroke improves affected and intact side lower limb strength and was associated with gains in chair stand time, balance, and motor performance. Expand
The effect of quadriceps femoris muscle strengthening exercises on spasticity in children with cerebral palsy.
TLDR
These results do not support the premise that exercises with maximum efforts increase spasticity in people with cerebral palsy. Expand
Relationship of muscle strength for knee extension to walking capacity in patients with spastic hemiparesis.
TLDR
Reduction of muscle strength at rapid movements is an essential feature of spastic paresis and is primary cause of motor disabilities such as impaired locomotor function. Expand
...
1
2
3
4
5
...