Resistance Training Improves Hyperglycemia and Dyslipidemia, Highly Prevalent Among Nonelderly, Nondiabetic, Chronically Disabled Stroke Patients

Zou, Jingjing; Wang, Zun; Qu, Qingming; Wang, Lei

doi:10.1016/j.apmr.2015.03.008

Cited by 20 publications

(29 citation statements)

References 25 publications

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“…After the cerebrovascular event, stroke patients present an increased prevalence of cardiometabolic disorders, leading to an elevated risk of recurrent stroke or other cardiovascular events (e.g., myocardial infarction). In this sense, Zou et al [ 66 ] proposed a RT program based on three sets of 15 repetitions until muscle failure of the leg press, leg extension, and leg curl. This kind of RT training might be beneficial because of two factors: (a) a larger number of repetitions may elicit a larger translocation of glucose transporter 4 (GLUT4) to sarcolemma and, consequently, larger glucose uptake; (b) muscle contractions until failure might elicit a hypertrophic muscular signalization, inducing increase in muscle mass [ 57 ], the largest site of glucose uptake in the human organic system.…”

Section: Resultsmentioning

confidence: 99%

Resistance Training and Stroke: A Critical Analysis of Different Training Programs

Gambassi

Coelho-Júnior

Schwingel

et al. 2017

Stroke Research and Treatment

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The aim of this study was to carry out a literature review on the overall benefits of resistance training (RT) after stroke and undertake a critical analysis of the resistance exercise programs surveyed (rest interval between sets and exercises, number of sets, number of repetitions, intensity, duration of training, and weekly frequency). To obtain articles for the review, we searched PubMed, Google Scholar, and Physiotherapy Evidence Database (PEDro). Inclusion criteria were considered using the PICO (population, intervention, control/comparison, and outcome variables) model. The following characteristics were recorded for all articles: type of study, author, year of publication, participants (time after stroke, sample size, and age), benefits of RT, and structured resistance exercise programs. Positive effects of training were found on anxiety status, quality of life, muscle hypertrophy, cognitive function, strength, and muscle power. Only 5 studies described the main variables of RT in detail. Lack of control of some variables of RT may negatively affect the results of this practice. The findings of the present study may further inform health and physical conditioning professionals on the importance and necessity of using the main variables in the search for benefits for individuals with stroke.

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Section: Resultsmentioning

confidence: 99%

Resistance Training and Stroke: A Critical Analysis of Different Training Programs

Gambassi

Coelho-Júnior

Schwingel

et al. 2017

Stroke Research and Treatment

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“…Fifteen trials compared the effectiveness of resistance training with other interventions in stroke rehabilitation (Table 2, Figure 2). [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] (2) shoulder extension, (3) shoulder adduction, (4) shoulder abduction, (5) shoulder external rotation, Participants and interventions: A total of 581 patients were randomized between nine weeks and 5.8 years after incident. The probands received between six and 66 sessions of unilateral (affected side) 32,34,38,42,44 or bilateral (both sides) [35][36][37][41][42][43]45,46 resistance training.…”

Section: Resistance Training Versus Other Interventionmentioning

confidence: 99%

“…-Gait [35][36][37][38][39][40][41][42][43]45 35,37,38,[41][42][43]45,46 (Fugl-Meyer Assessment lower extremities, Sit-to-Stand Test, isometric force, concentric force, concentric endurance of diverse lower limb muscles (knee flexion and extension, ankle dorsiflexion and plantar flexion, leg-press). -Muscular force and motor function of upper limbs 31,32,34,35,42,44,46 41,42,45 (ergometer and treadmill test (physical cost index, oxygen cost, power output peak, heart rate peak, oxygen uptake peak, oxygen uptake at the ventilatory threshold, heart rate rest, systolic blood pressure peak, diastolic blood pressure peak, respiratory exchange ratio peak)). -Quality of life, independence and reintegration 31,41,43,44 40 (Berg Balance Scale).…”

Section: Resistance Training Versus Other Interventionmentioning

confidence: 99%

“…-Emotional status 34 (Intrinsic Motivation Inventory). -Other health-relevant physiological indicators 35,37,42,44,46 (glycosylated haemoglobin, total triglycerides, fasting insulin, fasting glucose, homeostasis model assessment of insulin resistance, two-hour blood glucose levels, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total body lean mass, total body percentage fat, Body Mass Index, EMG activity, heart rate, double product, heart rate variability, oxidative stress markers, systolic blood pressure, diastolic blood pressure).…”

Section: Resistance Training Versus Other Interventionmentioning

confidence: 99%

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Resistance training in stroke rehabilitation: systematic review and meta-analysis

Veldema

Jansen

2020

Clin Rehabil

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Objective: This systematic review and meta-analysis investigates the effects of resistance training in supporting the recovery in stroke patients. Data sources: PubMed, the Cochrane Central Register of Controlled Trials and the PEDro databases were reviewed up to 30 April 2020. Review methods: Randomized controlled trials were included, who compared: (i) resistance training with no intervention, (ii) resistance training with other interventions and (iii) different resistance training protocols in stroke rehabilitation. Results: Overall 30 trials ( n = 1051) were enrolled. The parameters evaluated were: (1) gait, (2) muscular force and motor function, (3) mobility, balance and postural control, (4) health related quality of life, independence and reintegration, (5) spasticity and hypertonia, (6) cardiorespiratory fitness, (7) cognitive abilities and emotional state and (8) other health-relevant physiological indicators. The data indicates that: (i) resistance training is beneficial for the majority of parameters observed, (ii) resistance training is superior to other therapies on muscular force and motor function of lower and upper limbs, health related quality of life, independence and reintegration and other health-relevant physiological indicators, not significantly different from other therapies on walking ability, mobility balance and postural control and spasticity and hypertonia, and inferior to ergometer training on cardiorespiratory fitness and (iii) the type of resistance training protocol significantly impacts its effect; leg press is more efficient than knee extension and high intensity training is superior than low intensity training. Conclusion: Current data indicates that resistance training may be beneficial in supporting the recovery of stroke patients. However, the current evidence is insufficient for evidence-based rehabilitation.

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“…Although resistance training is reportedly an effective prevention strategy for muscle atrophy after stroke, 7) it cannot be applied in patients with consciousness disturbance in the acute phase. Instead of resistance training, neuromuscular electrical stimulation (NMES) has been used to prevent muscle atrophy in patients with consciousness disturbance or hemiplegia.…”

Section: Introductionmentioning

confidence: 99%

Preventive Effects of Repetitive Peripheral Magnetic Stimulation on Muscle Atrophy in the Paretic Lower Limb of Acute Stroke Patients: A Pilot Study

Suzuki

Ito

Okada

et al. 2020

PRM

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The aim of this study was to investigate the effect of repetitive peripheral magnetic stimulation (rPMS) on muscle atrophy prevention in the rectus femoris muscle (RF) of the paretic limb in acute stroke patients. Methods: Twelve acute stroke patients with a National Institute of Health Stroke Scale score >5 and a motor score of the paretic lower limb >2 at admission were divided into an intervention group (rPMS: mean age, 75±6.4 years) and a conventional care group (non-rPMS: mean age, 62±11.8 years). Baseline measurements were performed within 4 days of stroke onset. In the rPMS group, treatment was applied to the paretic thigh only for 2 weeks, 5 days a week, in addition to conventional care. The cross-sectional area (CSA) of the RF was assessed in both limbs using ultrasound at baseline and 2 weeks later. Data on patient characteristics were collected from the clinical records to assess correlations with the CSA rate of change. Results: Patients in the rPMS group were significantly older. Although the CSA of the RF did not change significantly on either side in the rPMS group, there was a significant decrease in the CSA on the paretic side in the non-rPMS group. However, no significant difference was observed in the CSA rate of change in the rPMS and non-rPMS groups. The CSA rate of change on the paretic side correlated negatively with age in the rPMS group. Conclusions: Our results suggest that rPMS prevents muscle atrophy more effectively in patients in their 60s than in patients more than 70 years old.

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Resistance Training Improves Hyperglycemia and Dyslipidemia, Highly Prevalent Among Nonelderly, Nondiabetic, Chronically Disabled Stroke Patients

Cited by 20 publications

References 25 publications

Resistance Training and Stroke: A Critical Analysis of Different Training Programs

Resistance Training and Stroke: A Critical Analysis of Different Training Programs

Resistance training in stroke rehabilitation: systematic review and meta-analysis

Preventive Effects of Repetitive Peripheral Magnetic Stimulation on Muscle Atrophy in the Paretic Lower Limb of Acute Stroke Patients: A Pilot Study

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