Effects of functional and analytical strength training on upper-extremity activity after stroke: a randomized controlled trial

Abstract

ObjectiveTo investigate the effects of functional strengthening (using functional movements) and analytical strengthening (using repetitive movements) on level of activity and muscular strength gain in patients with chronic hemiparesis after stroke.MethodA randomized, assessor-blinded trial was conducted in a therapist-supervised home rehabilitation program. Twenty-seven patients with chronic stroke were randomly allocated one of two groups: functional strengthening (FS) (n=13) and analytical strengthening (AS) (n=14). Each group received a five-week muscle strengthening protocol (30 minutes per day, three times per week) including functional movements or analytical movements, respectively. Pre-, post-, and ten-month follow-up outcomes included the Upper-Extremity Performance Test (primary outcome), Shoulder and Grip Strength, Active Shoulder Range of Motion (ROM), the Fugl-Meyer Assessment, and the Modified Ashworth Scale (MAS) (secondary outcomes).ResultsThere was significant improvement in the Upper-Extremity Performance Test for the combined unilateral and bilateral task scores in the FS Group (mean difference 2.4; 95% CI=0.14 to 4.6) in the 10-month follow-up. No significant difference was observed between groups in the other outcomes (p>0.05).ConclusionA five-week home-based functional muscle strengthening induced positive results for the upper-extremity level of activity of patients with moderate impairment after chronic stroke.

The Effect of Trunk Stability Training Based on Visual Feedback on Trunk Stability, Balance, and Upper Limb Function in Stroke Patients: A Randomized Control Trial

“…Regaining the optimal level of use of the damaged upper limbs is important, as upper limb function is essential for daily life activities [ 2 ]. Although strength exercises [ 3 ], task-oriented practice [ 4 ], and upper limb training using robots [ 5 ] have been used to address upper limb function problems in patients with stroke, these interventions do not provide the patient with instantaneous corrective information about movement errors during training [ 6 ]. Visual feedback-based upper extremity training is often used as a method for correcting movement errors [ 7 ].…”

Post-stroke shoulder pain subtypes classifying criteria: towards a more specific assessment and improved physical therapeutic care

“…Thus, to involve primary care departments by means of targeted protocols and predictive objective measures may improve PSSP identification and referral to rehabilitation services. They may not need an urgent rehabilitation approach, but a longer follow-up including detailed shoulder kinematic tests 45,46 and trunk muscle strength assessment. 47 Despite the importance reported by previous studies 43,48 on the intensity of the rehabilitation, physical therapy interventions could not be analyzed because we cannot guarantee that all participants with PSSP received the same approach and the data related to the procedures may be incomplete.…”

Pengaruh Latihan Kekuatan terhadap Restless Legs Syndrome Pasien Hemodialisis

“…Latihan kekuatan memberikan hasil pada penguatan otot rangka dan peningatan kekuatan maksimal (Schiffer, Schulte, Hollmann, Bloch, & Strüder, 2009). Latihan kekuatan juga telah terbukti memengaruhi fungsi kontrol motor (Graef, Michaelsen, Dadalt, Rodrigues, & Pereira, 2014). Selama latihan fisik terjadi peningkatan aliran darah otak (Carvalho et al, 2015).…”