Task-oriented progressive resistance strength training improves muscle                 strength and functional performance in individuals with stroke

Yang, Yea Ru; Wang, Ray Yau; Lin, Kuei Han; Chu, Mou Yu; Chan, Rai-Chi

doi:10.1177/0269215506070701

Cited by 213 publications

(201 citation statements)

References 25 publications

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“…However, several researchers have described implementation of circuit class therapy with a one staff member to one participant ratio (Salbach et al, 2004;Yang et al, 2006;Rose et al, 2010). In these cases participants rotated through a program of progressive, task-specific exercises, but rather than performing the exercises independently or under distant supervision, participants were under the constant supervision of a therapist.…”

Section: Does Include Variety In Practicementioning

confidence: 99%

See 1 more Smart Citation

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

English¹,

Port²,

Lynch³

2012

Physical Therapy Perspectives in the 21st Century - Challenges and Possibilities

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Section: Does Include Variety In Practicementioning

confidence: 99%

“…In total nine trials were included in these two reviews (Salbach et al, 2004;Pang et al, 2005;Marigold et al, 2006;Pang et al, 2006;Yang et al, 2006;Mead et al, 2007;Mudge et al, 2009). One trial was reported in two papers (Pang et al, 2005;Pang et al, 2006).…”

Section: What Is the Evidence For The Effectiveness Of Circuit Class mentioning

confidence: 99%

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

English¹,

Port²,

Lynch³

2012

Physical Therapy Perspectives in the 21st Century - Challenges and Possibilities

View full text Add to dashboard Cite

“…The effects of muscular power reinforcement and gait function improvement by task-oriented training and combined functional training, which comprehensively and inclusively executes muscle strength training, postural balance training, and gait training, have been investigated by randomized-controlled trials [8][9][10][11][12][13] , and the beneficial effects of the training on gait function and gait-related ADL have been confirmed 14,15) . Most of these studies were performed to explore the effects of exercise intervention with a frequency of three times or more per week for 4-10 weeks.…”

Section: Introductionmentioning

confidence: 99%

Effects of 3-month Combined Functional Training at an Adult Day-care Facility on Lower Extremity Muscle Strength and Gait Performance in Community-dwelling People with Chronic Hemiplegia

Hashidate

Shiomi

Sasamoto³

2011

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to examine the effects of low-frequency combined functional training over a 3-month period on lower extremity muscle strength and gait performance in community-dwelling people with chronic post-stroke hemiplegia.[Subjects] The subjects were 23 individuals with chronic post-stroke hemiplegia, utilizing the services of an adult day-care facility.[Methods] All subjects performed functional training programs consisting of stretching, strengthening, postural balance training, and gait training once or twice a week for 3 months. Leg muscle strength measured using a leg press machine at one repetition maximum (1RM), comfortable gait speed (CGS), maximal gait speed (MGS), and the difference between MGS and CGS (ΔGS) were assessed before and after intervention.[Results] Comparison of each outcome before and after intervention revealed significant increases in 1RM, CGS, MGS, and ΔGS. The change rate of ΔGS was correlated only with that of MGS.[Conclusion] Three-month combined functional training was effective at enhancing lower extremity muscle strength and gait performance, and ΔGS was increased by enhancement of MGS in community-dwelling people with chronic post-stroke hemiplegia.

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“…Passive, energy-dissipating actuators have the advantages of inherent safety while still providing powerful force-coordination training [177,230,84,53,138,145,234,1,100,108]. With active, energy-providing actuators, assist-as-needed can be given [168,107,31,24,231], movement disorders quantified [217,47,153], and more realistic virtual environments created [86,143,194].…”

Section: -How Do the New Devices Improve Upon Existing Designs?mentioning

confidence: 99%

“…Other groups of intervention with support in literature with less focus on activities of daily living are the targeted movement-coordination training [108], progressive resistance strength training, and force-coordination training [177,230,84,53,138,145,234,1,100]. Yet, on the latter two approaches, the evidence is not conclusive [14].…”

Section: Introductionmentioning

confidence: 99%

Development of novel devices for upper-extremity rehabilitation

Stienen¹

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S U M M A R YThe goal of this dissertation was to improve rehabilitation robots by developing new patient-friendly devices which can assist therapists in the rehabilitation of neurological movement disorders of the upper extremities, such as hemiparetic stroke. In all, three novel rehabilitation devices were developed. Given the changing demographics of developed nations, over the next two decades fewer therapists will be available to treat an increasing number of stroke patients. With patient-friendly robots assisting therapists, proven therapeutic exercises can be automated and new and better targeted interventions developed and tested. In addition to facilitating therapy sessions, robots can provide objective measurement of impairment. Overall, robots can make therapy more productive for patients and less labor-intensive for therapists, and provide physicians, therapists and the scientific community with more objective data.To handle the wide range of impairments found in hemiparetic stroke patients, multiple devices are needed. Mildly impaired patients may have a near-normal range of motion, but have problems with fine motor control or moving heavier objects. Severely affected patients may not be able to even lift the weight of their own arm. Despite these differences, certain general strategies appear to work best. First and foremost, rehabilitation therapy works best when the patient is actively and intensively involved. Exercises should use repetitive movements that closely resemble those used in daily living for best results in reshaping the recovering brain.Studying motor learning in healthy subjects supported the need for active patient involvement. Given the artificial motor relearning task of moving in a visuomotor-rotated field, the healthy subject fully adapted when he could freely make, and correct, errors in their movement execution. On the other hand, active delivery of a passive hand to the targets resulted in much less and much slower adaptation. In between lay the adaptation achieved with hard and soft guidance of the hand over virtual tracks. The conclusion is that both minimization of execution errors and control effort drive kinematical adaptation in a novel visuomotor task, but the latter occurs at a much slower rate.Should the patient not be assisted at all? Perhaps the type of assistance is important. For instance, weight support of the arm facilitates movement, but movement initialization and control are left unchanged. Most rehabilitation devices for upper extremities include some form of weight support. An analysis of these devices concluded that weight support is most easily realized through a cablesuspension system that supports the arm via slings. However, the best possible solution for weight support depends on the primary design of the device. Careful upfront consideration of various design options will lead to better choices.The first rehabilitation device was designed using this knowledge. The Freebal is a dedicated weight-support system that is less complex and has less movem...

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Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke

Abstract: The task-oriented progressive resistance strength training programme could improve lower extremity muscle strength in individuals with chronic stroke and could carry over into improvement in functional abilities.

Cited by 213 publications

References 25 publications

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

Effects of 3-month Combined Functional Training at an Adult Day-care Facility on Lower Extremity Muscle Strength and Gait Performance in Community-dwelling People with Chronic Hemiplegia

Development of novel devices for upper-extremity rehabilitation

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