Progressive resistance training after stroke: effects on muscle strength, muscle tone, gait performance and perceived participation.

Authors

  • Ulla-Britt Flansbjer
  • Michael Miller
  • David Downham
  • Jan Lexell

DOI:

https://doi.org/10.2340/16501977-0129

Keywords:

cerebrovascular accident, muscle, skeletal, strength training, gait.

Abstract

OBJECTIVE: To evaluate the effects of progressive resistance training on muscle strength, muscle tone, gait performance and perceived participation after stroke. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-four subjects (mean age 61 years (standard deviation 5)) 6-48 months post-stroke. METHODS: The training group (n = 15) participated in supervised progressive resistance training of the knee muscles (80% of maximum) twice weekly for 10 weeks, and the control group (n = 9) continued their usual daily activities. Both groups were assessed before and after the intervention and at follow-up after 5 months. Muscle strength was evaluated dynamically and isokinetically (60 degrees /sec) and muscle tone by the Modified Ashworth Scale. Gait performance was evaluated by Timed "Up & Go", Fast Gait Speed and 6-Minute Walk tests, and perceived participation by Stroke Impact Scale. RESULTS: Muscle strength increased significantly after progressive resistance training with no increase in muscle tone and improvements were maintained at follow-up. Both groups improved in gait performance, but at follow-up only Timed "Up & Go" and perceived participation were significantly better for the training group. CONCLUSIONS: Progressive resistance training is an effective intervention to improve muscle strength in chronic stroke. There appear to be long-term benefits, but further studies are needed to clarify the effects, specifically of progressive resistance training on gait performance and participation.

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Published

2007-10-02

How to Cite

Flansbjer, U.-B., Miller, M., Downham, D., & Lexell, J. (2007). Progressive resistance training after stroke: effects on muscle strength, muscle tone, gait performance and perceived participation. Journal of Rehabilitation Medicine, 40(1), 42–48. https://doi.org/10.2340/16501977-0129

Issue

Section

Original Report