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Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gait performance and perceived participation.

Flansbjer, Ulla-Britt LU ; Miller, Michael LU ; Downham, David and Lexell, Jan LU (2008) In Journal of Rehabilitation Medicine 40(1). p.42-48
Abstract
OBJECTIVE: To evaluate the effects of progressive resistance training on muscle strength, muscle tone, gait performance and perceived participation after stroke. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-four subjects (mean age 61 years (standard deviation 5)) 6-48 months post-stroke. METHODS: The training group (n = 15) participated in supervised progressive resistance training of the knee muscles (80% of maximum) twice weekly for 10 weeks, and the control group (n = 9) continued their usual daily activities. Both groups were assessed before and after the intervention and at follow-up after 5 months. Muscle strength was evaluated dynamically and isokinetically (60 degrees /sec) and muscle tone by the Modified Ashworth Scale.... (More)
OBJECTIVE: To evaluate the effects of progressive resistance training on muscle strength, muscle tone, gait performance and perceived participation after stroke. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-four subjects (mean age 61 years (standard deviation 5)) 6-48 months post-stroke. METHODS: The training group (n = 15) participated in supervised progressive resistance training of the knee muscles (80% of maximum) twice weekly for 10 weeks, and the control group (n = 9) continued their usual daily activities. Both groups were assessed before and after the intervention and at follow-up after 5 months. Muscle strength was evaluated dynamically and isokinetically (60 degrees /sec) and muscle tone by the Modified Ashworth Scale. Gait performance was evaluated by Timed "Up & Go", Fast Gait Speed and 6-Minute Walk tests, and perceived participation by Stroke Impact Scale. RESULTS: Muscle strength increased significantly after progressive resistance training with no increase in muscle tone and improvements were maintained at follow-up. Both groups improved in gait performance, but at follow-up only Timed "Up & Go" and perceived participation were significantly better for the training group. CONCLUSIONS: Progressive resistance training is an effective intervention to improve muscle strength in chronic stroke. There appear to be long-term benefits, but further studies are needed to clarify the effects, specifically of progressive resistance training on gait performance and participation. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Rehabilitation Medicine
volume
40
issue
1
pages
42 - 48
publisher
Taylor & Francis
external identifiers
  • pmid:18176736
  • wos:000252744500007
  • scopus:38849199741
ISSN
1651-2081
DOI
10.2340/16501977-0129
language
English
LU publication?
yes
id
962092e3-7528-43b3-9a8c-fb1537fe3ada (old id 1021620)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18176736?dopt=Abstract
date added to LUP
2016-04-04 09:14:17
date last changed
2022-04-15 22:17:04
@article{962092e3-7528-43b3-9a8c-fb1537fe3ada,
  abstract     = {{OBJECTIVE: To evaluate the effects of progressive resistance training on muscle strength, muscle tone, gait performance and perceived participation after stroke. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-four subjects (mean age 61 years (standard deviation 5)) 6-48 months post-stroke. METHODS: The training group (n = 15) participated in supervised progressive resistance training of the knee muscles (80% of maximum) twice weekly for 10 weeks, and the control group (n = 9) continued their usual daily activities. Both groups were assessed before and after the intervention and at follow-up after 5 months. Muscle strength was evaluated dynamically and isokinetically (60 degrees /sec) and muscle tone by the Modified Ashworth Scale. Gait performance was evaluated by Timed "Up & Go", Fast Gait Speed and 6-Minute Walk tests, and perceived participation by Stroke Impact Scale. RESULTS: Muscle strength increased significantly after progressive resistance training with no increase in muscle tone and improvements were maintained at follow-up. Both groups improved in gait performance, but at follow-up only Timed "Up & Go" and perceived participation were significantly better for the training group. CONCLUSIONS: Progressive resistance training is an effective intervention to improve muscle strength in chronic stroke. There appear to be long-term benefits, but further studies are needed to clarify the effects, specifically of progressive resistance training on gait performance and participation.}},
  author       = {{Flansbjer, Ulla-Britt and Miller, Michael and Downham, David and Lexell, Jan}},
  issn         = {{1651-2081}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{42--48}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gait performance and perceived participation.}},
  url          = {{http://dx.doi.org/10.2340/16501977-0129}},
  doi          = {{10.2340/16501977-0129}},
  volume       = {{40}},
  year         = {{2008}},
}