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Muscle strength training, gait performance and physiotherapy after stroke.

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Author

Summary, in English

Hemiparesis after stroke, with muscle weakness and reduced gait performance, is a leading cause of long-term disability. To improve lower limb muscle strength and mobility post stroke, there is a need for effective training METHODS: This review summarises the effects of lower limb progressive resistance training ([PRT]; loads of 70% or more of the maximum strength) on muscle strength, muscle tone, gait performance and perceived participation after stroke. PRT is a safe and effective way to improve muscle strength post stroke, without negative effects on muscle tone. Furthermore, improvements in muscle strength positively influence gait performance and perceived participation. Current recommendations for stroke rehabilitation include strength training, which can also be an effective form of fitness training for subjects with minor weakness. Despite its proven effectiveness, further studies are needed to find the most appropriate time to start PRT post-stroke, to identify those stroke individuals that can benefit most from PRT and how to combined PRT with other physiotherapeutic stroke interventions.

Publishing year

2008

Language

English

Pages

353-368

Publication/Series

Minerva Medica

Volume

99

Issue

4

Document type

Journal article

Publisher

Edizioni Minerva Medica

Topic

  • Other Clinical Medicine

Status

Published

Research group

  • Rehabilitation medicine

ISBN/ISSN/Other

  • ISSN: 0026-4806