Upper Limb Isokinetic Strengthening Versus Passive Mobilization in Patients With Chronic Stroke: A Randomized Controlled Trial

Coroian, F.; Jourdan, C.; Bakhti, Karima; Palayer, C.; Jaussent, Audrey; Picot, Marie‐Christine; Mottet, Denis; Julia, M.; Huey-Yune, Bonnin; Laffont, I.

doi:10.1016/j.apmr.2017.08.490

Cited by 19 publications

(32 citation statements)

References 33 publications

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“…Figure 1 shows the PRISMA flow diagram of studies in this review. The remaining 13 papers [12][13][14][15][16][17][18][19][20][21][22][23][24] involving 347 patients were fully analyzed and approved by both reviewers, and data were extracted. Each of the papers was scored using the PEDro scale methodology by both reviewers.…”

Section: Resultsmentioning

confidence: 99%

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

et al. 2018

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Objective: To investigate whether isokinetic muscle strengthening improves muscle strength, mobility, and gait in post-stroke patients. Methods: We searched for randomized controlled trials at PubMed/Medline, SciELO, PEDro, and Cochrane Central Register of Controlled Trials, from the earliest date available to June 2018. Randomized controlled trials that examined the effects of isokinetic muscle strengthening versus other rehabilitation interventions or control in post-stroke patients were included. Study quality was evaluated using the PEDro scale. Weighted mean difference (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I 2 test. Results: In total, 13 studies (347 patients) focusing on the use of isokinetic in rehabilitation following stroke were included. All trials were of low-to-moderate quality. Isokinetic muscle strengthening improved muscle strength WMD 0.8 (95% CI: 0.2, 1.4; N = 96), mobility WMD −2.03 seconds (95% CI: −2.9, −1.1; N = 111) and gait speed WMD 0.9 m/s (95% CI: 0.05, 1.8; N = 87). Conclusion: Isokinetic muscle strengthening seems to be a useful strategy for improving muscle strength, mobility, and gait in post-stroke patients.

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Section: Resultsmentioning

confidence: 99%

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

et al. 2018

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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%

“…Only five studies evaluated the effectiveness of upper body exercises. 31,32,34,40,45 Two studies used combined training of the upper and lower body. 35,42 Concentric exercises were applied in the major part of the trials.…”

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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“…A few articles reported torque normalized against body weight, the nonparetic side, or healthy controls [8,9,11,16,20,22,23,35,40,43,44,53,56,58,64,65,69,73], or measures of work, power, or velocity [13,40,45,63,68,69,79]. The speed of concentric and eccentric testing ranged from 15 to 240 • /s, but testing was most commonly reported to be at 60 • /s [11,12,14,[16][17][18][19][20][21][22][24][25][26][27][29][30][31][32][33][34]37,[42][43][44]…”

Section: Resultsmentioning

confidence: 99%

Isokinetic testing of muscle strength of older individuals post-stroke: An integrative review

Bohannon¹

2020

IES

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BACKGROUND: Muscle weakness is a common impairment accompanying stroke. OBJECTIVE: Describe isokinetic testing procedures and clinimetric findings associated with the testing of older individuals with weakness following stroke. METHODS: Relevant articles were identified by an electronic PubMed search using the search string "isokinet * AND stroke." RESULTS: Seventy-six relevant articles were found. The articles largely support the validity and reliability of isokinetic strength testing of older patients with stroke. Little data are available that provides specific information on the responsiveness for such measures. CONCLUSIONS: Isokinetic dynamometry is a valid and reliable measure of muscle strength after stroke. However, it is not particularly practical and information is lacking regarding its responsiveness.

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Upper Limb Isokinetic Strengthening Versus Passive Mobilization in Patients With Chronic Stroke: A Randomized Controlled Trial

Cited by 19 publications

References 33 publications

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

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

Isokinetic testing of muscle strength of older individuals post-stroke: An integrative review

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