Strength of the lower limb and trunk muscles is associated with gait speed in individuals with sub-acute stroke: a cross-sectional study

Aguiar, Larissa Tavares; Camargo, Ludimylla Brennar Alves; Estarlino, Lorena Dasdores; Teixeira-Salmela, Luci Fuscaldi; Faria, Christina Danielli Coelho de Morais

doi:10.1016/j.bjpt.2018.03.001

Cited by 37 publications

(48 citation statements)

References 31 publications

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“…The participants and their body segments were standardized positioned, according to previous protocols [15,19,[29][30][31], as shown in Table 1. Immediately before the measurement of muscle strength, the procedures were performed for demonstration and familiarization [8]. Three trials of each assessed muscle groups were performed.…”

Section: Methodsmentioning

confidence: 99%

“…Muscular weakness is one of the main poststroke impairments [5,6] being an important factor for motor disability in these individuals [7,8]. Moreover, in post-stroke individuals, weakness of the lower limb muscles is associated with limited ability to perform daily living activities [8].…”

mentioning

confidence: 99%

“…Recovering the independence to perform important functional activities such as sit-to-stand/stand-to-sit tasks [9,10], walking up the stairs [6] and community gait [8,11,12] is a key goal, playing an important role in rehabilitation of post-stroke individuals. Thus, the measure of muscle strength is a relevant outcome that should be one of the pillars of the evaluation and rehabilitation process of these individuals.…”

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confidence: 99%

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Does grip strength predict lower limb global strength in subjects with stroke?

2020

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Introduction: Grip strength is an important clinical measure and has been used for several purposes in different populations, including those to predict the global strength of lower limbs (LL) and upper limbs. However, little is known about the association between grip strength and lower limb (LL) global strength in subjects with stroke. Objective: To investigate the relationship between grip strength and LL global strength in stroke with subjects at both subacute and chronic phases. Method: Measures of grip strength (handgrip dynamometer) and LL global strength (hand-held dynamometer) were obtained in 20 subjects in the subacute phase of the stroke and 18 in the chronic phase. Pearson correlation coefficient was used to investigate the correlation between grip strength and LL global strength (α = 0.05). Results: Subjects in the subacute phase showed a moderate statistically significant correlation between paretic grip strength and global strength of the non-paretic LL (r = 0.50; p < 0.05), but no correlation with the paretic LL was found (p = 0.25). The non-paretic grip strength showed no statistically significant correlation with global strength of the paretic LL (p = 0.93) and of the non-paretic LL (p = 0.64). In chronic subjects, no statistically significant correlation (0.50 ≤ p ≤ 0.97) was observed. Conclusion: Grip strength does not seem to be an adequate indicator to predict LL global strength of subjects with stroke. This conclusion is different from that obtained for other populations.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Does grip strength predict lower limb global strength in subjects with stroke?

2020

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“…Lee and Kang (2013) also examined the effects of resistance exercise on hip flexor and extensor muscles in stroke patients. Aguiar et al (2018) examined the correlation between hip strength and gait ability in stroke patients, and verified that hip strength was correlated with improvement in gait ability. Through various interventions, we reported that the results of hip abductor and hip extensor muscle strengthening, improved the balance and walking ability of stroke patients (Mercer et al, 2009).…”

Section: Introductionmentioning

confidence: 97%

The Effects of Pressure Biofeedback Unit in Clam Exercise on the Walking Ability of Stroke Patients

2020

jcr

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The purpose of this study was to compare the walking ability in stroke patients following either clam exercise with pressure biofeedback unit or clam exercise. Thereby identifying which element actually influences changes in walking ability. Methods: Fourteen patients diagnosed with strokes at the rehabilitation hospital in Korea. The subjects were divided into two groups: a feedback group (7 subjects) and a control group (7 subjects). They received 30 minutes of neuro-developmental therapy and clam exercise for 15 minutes, five times a week for three weeks. Walking ability were measured before and after the training period. Walking ability were measured by the Biodex Gait trainer 2 treadmill system. Results: After the training periods, the feedback group showed a significant improvement walking speed and step length of the unaffected side, time on each foot of the affected side (p<0.05). Conclusion: The results of this study showed that the clam exercise with pressure biofeedback unit was more effective at improving walking ability than the clam exercise without pressure biofeedback unit. Therefore, in order to improve walking ability of stroke patients, it is necessary to consider the trunk stability through the pressure biofeedback unit.

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“…Therefore, isometric exercise of the hip flexor and extensor is an important component of rehabilitation for improving the patient’s walking performance, activities of daily living, functioning, pain, and muscular dystrophy [ 7 ]. In addition, weakened lower-limb muscles reduce walking speed and balance, whereas balanced development of the anti-gravity muscles of the core and pelvis enables safe and efficient lower-limb movement [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of 4 Weeks of Anti-Gravity Treadmill Training on Isokinetic Muscle Strength and Muscle Activity in Adults Patients with a Femoral Fracture: A Randomized Controlled Trial

Kim

Lee

Choi

et al. 2020

IJERPH

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This study aimed to identify the effect of anti-gravity treadmill training on isokinetic lower-limb muscle strength and muscle activities in patients surgically treated for a hip fracture. A total of 34 participants were randomly assigned into two groups: anti-gravity treadmill training group (n = 17) and control group (n = 17). The isokinetic muscle strength and endurance of hip flexor and extensor and the activities of the vastus lateralis (VL), vastus medialis (VM), gluteus maximus (GM), and gluteus medialis (Gm) muscles were measured before and after 4 weeks of the interventions. Significant improvements were observed in isokinetic muscle strength and endurance of hip flexors and extensors in both groups (p < 0.05); however, no significant differences were observed between the groups (p > 0.05) except for muscle strength of the hip extensor (d = 0.78, p = 0029). Statistically significant increases in the muscle activity of VL, VM, GM, and Gm were found before and after the intervention (p < 0.05), and significant differences in muscle activities of GM (d = 2.64, p < 0.001) and Gm (d = 2.59, p < 0.001) were observed between the groups. Our results indicate that both groups showed improvement in muscle strength, endurance, and activities after the intervention. Additionally, anti-gravity treadmill training improved significantly more muscle strength at 60°/s of the hip extensor and gluteus muscle activities than conventional therapy, which may be appropriate for patients with hip fracture surgery.

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Strength of the lower limb and trunk muscles is associated with gait speed in individuals with sub-acute stroke: a cross-sectional study

Cited by 37 publications

References 31 publications

Does grip strength predict lower limb global strength in subjects with stroke?

Does grip strength predict lower limb global strength in subjects with stroke?

The Effects of Pressure Biofeedback Unit in Clam Exercise on the Walking Ability of Stroke Patients

Effect of 4 Weeks of Anti-Gravity Treadmill Training on Isokinetic Muscle Strength and Muscle Activity in Adults Patients with a Femoral Fracture: A Randomized Controlled Trial

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