Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors

Teixeira-Salmela, Luci Fuscaldi; Olney, Sandra J.; Nadeau, Sylvie; Brouwer, Brenda

doi:10.1016/s0003-9993(99)90018-7

Cited by 402 publications

(366 citation statements)

References 42 publications

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“…Recent studies, however, have shown that strength training is not associated with increases in spasticity as measured by the H-reflex 10 , tendon reflex 10 , Modified Ashworth Scale 11 and pendulum test. [12][13] Correlational studies involving individuals who have had a stroke have demonstrated the importance of muscle strength for the performance of functional tasks. Significant correlations have been reported between lower extremity muscle strength and gait performance, [14][15][16][17][18] stair climbing ability, 19 standing balance, 19 and transfer capacity.…”

Section: Introductionmentioning

confidence: 99%

“…20 These correlational studies have fueled the hypothesis that interventions aimed at increasing muscle strength will result in improvements in functional performance for these individuals. Recent studies have demonstrated that lower extremity strengthening programs with individuals with chronic stroke can have positive effects on gait performance, 10,12,13 stair climbing ability, 13 rising from a chair, 21 and quality of life. 13 Muscle performance has been commonly measured by isokinetic dynamometers as their instrumentation accuracy has been established 22,23 .…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have demonstrated that lower extremity strengthening programs with individuals with chronic stroke can have positive effects on gait performance, 10,12,13 stair climbing ability, 13 rising from a chair, 21 and quality of life. 13 Muscle performance has been commonly measured by isokinetic dynamometers as their instrumentation accuracy has been established 22,23 . In addition, excellent test-retest reliability has been achieved for flexion and extension motions of the ankle, knee and hip when using healthy adult individuals without any known pathology.…”

Section: Introductionmentioning

confidence: 99%

“…It is important to also establish reliability of torques measured at the ankle and hip joints, in addition to the knee joint in order to evaluate strengthening treatment protocols which are often aimed at the major lower extremity joints for individuals with stroke. 10,13 Establishment of the reliability of the strength of the lower extremity motions would also allow one to examine relationships between strength outcome measures and the performance of functional mobility tasks which require multi-joint motions such as gait and rising from a chair.…”

Section: Introductionmentioning

confidence: 99%

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Reliability of lower extremity strength measures in persons with chronic stroke

Eng

Kim

MacIntyre

2002

Archives of Physical Medicine and Rehabilitation

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Objective-To determine the reliability of isokinetic concentric strength measures of both the hemiparetic and non-involved limbs for flexion and extension motions of the hip, knee, and ankle joints in individuals who have had a stroke.Design-Test-retest, repeated-measures intraobserver reliability design. Setting-Tertiary rehabilitation center.Participants-20 community-dwelling individuals who have had a stroke, with motor deficits ranging from 3 to 6 on the Chedoke-McMaster Stroke Assessment; volunteer sample. Interventions-Not applicable.Main Outcome Measures-Peak torque and average torque (ie, mean over the range of motion tested) from an ensemble-averaged (three trials) torque-angle curve during isokinetic concentric extension and flexion movements of the ankle, knee, and hip.Results-Although peak and average torque were significantly less for the hemiparetic limb compared with the non-involved limb, the intraclass correlation coefficients (ICCs) between the two test sessions were high (0.95-0.99 for peak torque, 0.88-0.98 for average torque) for both limbs for all 3 joints. However, there was a learning effect, as observed by the slightly greater values attained from the second test session.Conclusions-Peak and average isokinetic torque can be used to assess reliably lower extremity strength in persons with chronic stroke. Practice sessions may be required before the actual test to reduce the effect of learning.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reliability of lower extremity strength measures in persons with chronic stroke

Eng

Kim

MacIntyre

2002

Archives of Physical Medicine and Rehabilitation

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“…Desta forma, as evidências justificam a aplicação de programas de fortalecimento através de equipamentos isocinéticos para a população de sobreviventes de acidente vascular encefálico, mesmo na presença de espasticidade 20,42,51 . Entretanto, artigos científicos informando o nível de confiabilidade das medidas obtidas em testes do desempenho muscular em dinamometria isocinética do tronco de pessoas com deficiência do tipo hemiparesia não estão presentes na literatura, causando surpresa, uma vez que a dinamometria isocinética já está disponível para uso a muitos anos 1 .…”

Section: Discussionunclassified

Confiabilidade das medidas de dinamometria isocinética computadorizada para os movimentos do tronco em sobreviventes de acidente vascular encefálico com hemiparesia crônica

Rabelo¹

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DEDICATÓRIAGostaria de dedicar esta tese as pessoas mais importantes na minha vida: meus queridos pais Inar e Simeão Rabelo, que são os grandes responsáveis pela minha existência, pelo meu caráter e formação. Aos meus irmãos, Marco e Ricardo, meus grandes exemplos de harmonia e amor. Ao meu amado e querido esposo Halano, sempre paciente e generoso e quem me proporcionou a fantástica experiência de ser mãe de 2 filhos maravilhosos: Luana e Vittor. Te agradeço muito pela força nessa etapa da minha vida.Ao mesmo tempo, estendo essa dedicatória à família Cunha: Vera, Haroldo, Diana e Lyanna que estão sempre presentes e que me fazem continuamente uma pessoa melhor.Dedico este trabalho também ao meu amigo, professor e orientador, Emerson Fachin Martins que sempre confiou na minha capacidade e com sua extrema sabedoria e louvada paciência tem a grande competência de transformar alunos em pesquisadores. IV! ! AGRADECIMENTOSMeu principal agradecimento dedico a Deus, pela minha vida, saúde e paz que encontro para sempre prosseguir.Novamente aos meus pais, irmãos, amigos e demais familiares que sempre acreditaram e torceram por minha vitória.Aos meus amigos e companheiros do Programa de Pós -Graduação da UnB -Ceilândia, Franassis Oliveira e Juliana Rocha, sempre dispostos a ajudar a superar as distâncias.Da mesma forma, agradeço a Ricardo, Ariane, Larissa e família pelos momento maravilhosos em sua casa em Brasília. Pro was used at speeds of 60 and 120°/ sec. Data were presented as mean ± SD and analyzes were calculated using the intraclass correlation coefficient (ICC) with data plotted using the BlandAltman method. ICC for intertest and interposition reliabilities ranged from 0.52 to 0.97 indicating moderate to very high reliability and interrater ICC values ranged from 0.81 to 0.99 with high to very high reliability. Results showed increased muscle weakness in the hemiparesis group with greater variation for the trunk extensors. The lever in semi standing has more features near real use situation to perform the movements compared to the lever in compressed seated. It is concluded that this technology brings contributions to rehabilitation and related areas and enables objective measurements for muscle function in people with chronic hemiparesis. RELAÇÃO DE SIGLAS E ABREVIATURAS KEY WORDS

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Preservation of Directly Stimulated Muscle Strength in Hemiplegia Due to Stroke

Landau

Sahrmann²

2002

Arch Neurol

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Modes of exercise therapy focused primarily on direct strengthening of striated musculature, as in resistive exercise training, are strategically questionable. Whether other approaches may be more effective remains to be proved. The central disability of the upper motor neuron syndrome is failure of rapid coordinated adjustment of graded high-frequency motoneuron firing in purposeful complex synergies.

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Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors

Cited by 402 publications

References 42 publications

Reliability of lower extremity strength measures in persons with chronic stroke

Reliability of lower extremity strength measures in persons with chronic stroke

Confiabilidade das medidas de dinamometria isocinética computadorizada para os movimentos do tronco em sobreviventes de acidente vascular encefálico com hemiparesia crônica

Preservation of Directly Stimulated Muscle Strength in Hemiplegia Due to Stroke

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