Strength training protocols in hemiparetic individuals post stroke: a systematic review

Abstract

Introduction: Hemiparesis is one of the main sequels of stroke. Evidence suggests that muscle strength exercises are important in rehabilitation programs for hemiparetic patients, but wide variation in previously studied protocols makes the most suitable choice difficult in clinical practice. Objective: The aim of this study was to investigate strength training protocols for people with hemiparesis after stroke. Methods: A systematic review of literature was performed in the PubMed, PEDro (Physiotherapy Evidence Database), SciELO (Scientific Electronic Library Online), and LILACS (Latin American and Caribbean Literature in Health Science) databases. Only controlled clinical studies that contained strength training protocols for hemiparesis after stroke were selected. Results: In total, 562 articles were found. Of them, 12 were accepted for the systematic review. Although strength training protocols are effective in hemiparetic patients, we did not found a standard method for strength training. Conclusion: This systematic revision highlights the lack of a standard protocol for strength training, considering the following training parameters: volume, intensity, frequency, series, and repetitions. Isotonic exercises are most commonly used.

Serious game for locomotor rehabilitation of hemiparetic stroke patients

“…This may increase their frequency and ambulation distance, as well as in performing basic activities, such as sitting and rising, or climbing and descending stairs [28]. In a systematic review of twelve studies that emphasized strength training in hemiparetic patients, the authors noted that although this treatment strategy results in functional benefits, especially in the patients' lower limb, the main limitation of these studies was the lack of procedures standardization [8].…”

“…To regain locomotor capacity is one of the main goals in these patients' rehabilitation. In this sense, conventional rehabilitation techniques produce positive results over time [7], especially muscle strengthening programs that reduce strength deficits [8,9]. However, such strategies have as a limiting factor, monotony and boredom in exercise [10], which often generate motivational problems and reduce adherence to treatment programs [11].…”

Uso de prancha de baixo custo para avaliação do equilí­brio de indiví­duos hemiparéticos

“…A amostra caracteriza-se com predominância de indivíduos do sexo masculino, com média de 61 anos, e esse perfil epidemiológico corrobora Barbosa et al [15] que associa esse resultado a negligência masculina quanto ao autocuidado e aos fatores de risco. Além disso, Oliveira et al [16] afirmam que apesar de o AVE ocorrer em qualquer faixa etária, o declínio do funcionamento dos principais sistemas do corpo e a associação de comorbidades aumentam a suscetibilidade para desenvolver a patologia.…”

Open Versus Closed Kinetic Chain Exercise: a Comparison of Walking Capacity in Chronic Post-Stroke Phase

“…4 Many rehabilitation strategies for stroke have been suggested, though the choice of appropriate programs remains uncertain. [4][5][6] A major focus of stroke rehabilitation is to increase muscle strength and enhance proprioceptive function, thus improving walking function to a safe level for community ambulation. [7][8][9] Muscle strengthening for stroke generally consists of for benefits to accrue without exacerbating the spasticity after stroke.…”