Outcomes of progressive resistance strength training following stroke: a systematic review

Morris, Susan; Dodd, Karen; Morris, Meg E.

doi:10.1191/0269215504cr699oa

Cited by 193 publications

(108 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are no guidelines yet, nor any scientific evidence that this method can reduce spasticity caused by neurological disorders [79]. Beside muscle stretching, muscle strength training is also used to recover functional motricity [80]. One of the most widely used approaches is the Progressive Resistance Strength Training, although, at this time, there is no gold standard for strengthening protocols [81].…”

Section: Physical Therapymentioning

confidence: 99%

Spasticity after stroke: Physiology, assessment and treatment

et al. 2013

View full text Add to dashboard Cite

Background: Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood. Method: This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of the most common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder. Results: The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes. Conclusions: Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis.

show abstract

Section: Physical Therapymentioning

confidence: 99%

Spasticity after stroke: Physiology, assessment and treatment

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Because brain plasticity is the basis of training exercises for patients with stroke, who are under limb function recovery. Exercise training promotes spontaneous neural functional recovery and restores brain function in patients with cerebrovascular disease to accelerate the process of functional recovery [18], which would help accelerate the rehabilitation process.domestic and foreign research has proven the benefits of exercise therapy in patients with cerebral apoplexy [16,19]. Literature has also reported positive effects observed in patients with cerebral apoplexy after traditional Chinese exercise is used as a type of exercise therapy [8,[20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Effect of traditional Chinese exercise on gait and balance for stroke: systematic review and meta-analysis

et al. 2015

View full text Add to dashboard Cite

Objective A systematic review is conducted to determine the effect of traditional Chinese exercise for patients with stroke. MethodsStudies are obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate the effects of traditional Chinese exercise for patients with stroke, and with no limits on study data or language. The primary outcome was the Berg balance score (BBS), Functional walking scale. And a random-effects model was used to calculate the pooled mean difference (MD) with 95% confidence interval (CI). ResultsA total of 9 studies on 820 participants conform to the inclusion criteria, whereas eight studies on 704 participants are used as data sources for the meta-analysis, all trials were published between 2004 and 2013. The BBS indicates that the efficacy of traditional Chinese exercise on balance of patients with stroke is better than that of other training or no training in short term [MD (95%CI) = 11. 85 [5.41, 18.30], P < 0.00001]. And the short physical performance battery, Functional walking scale, limit of stability were observed significant differences on balance (p<0.05) and gait (p<0.05) between traditional Chinese exercise and other exercises or no exercise. In addition, there is an article showed that some other form (physiotherapy exercises focused on balance) significantly improved balance ability for stroke patients compared to tai chi chuan practice (Berg test = 0.01, Romberg, and standing on one leg). ConclusionIn our meta analysis, the positive findings of this study suggest traditional Chinese exercise has beneficial effects on the balance ability in short term. However, we drew the conclusion according to the extreme heterogeneity, and evidence of better quality and from a larger sample size is required. Because of the inconsistent outcomes, there are short of enough good evidence for patients with stroke to prove the effects of traditional Chinese exercise on gait.

show abstract

“…One important point that needs to be discussed is that despite the positive effects of progressive resistance strength training following stroke in reducing musculoskeletal impairments (30) and in providing important improvements in the performance of functional activities, such as gait (31,32), only one study investigated the effects of this kind of intervention on the biomechanical outcomes in the sit-to-stand and stand-to-sit tasks with stroke subjects (Table 4). However, no definitive conclusions could be drawn due to the limitations associated with the applied training program, where only the knee muscles of the paretic leg were trained.…”

Section: Allocation Into Groups and Analyses Of The Content And Resulmentioning

confidence: 99%

Musculoskeletal biomechanics in sit-to-stand and stand-to-sit activities with stroke subjects: a systematic review

2010

View full text Add to dashboard Cite

show abstract

Outcomes of progressive resistance strength training following stroke: a systematic review

Abstract: There is preliminary evidence that progressive resistance strength training programmes reduce musculoskeletal impairment after stroke. Whether strengthening enhances the performance of functional activities or participation in societal roles remains unknown.

Cited by 193 publications

References 31 publications

Spasticity after stroke: Physiology, assessment and treatment

Spasticity after stroke: Physiology, assessment and treatment

Effect of traditional Chinese exercise on gait and balance for stroke: systematic review and meta-analysis

Musculoskeletal biomechanics in sit-to-stand and stand-to-sit activities with stroke subjects: a systematic review

Contact Info

Product

Resources

About