Strength Training in Neurological Rehabilitation: Difference between revisions
No edit summary |
No edit summary |
||
| Line 5: | Line 5: | ||
</div> | </div> | ||
Evidence for Muscle Weakness | |||
reduced Motor control, dextrity deficits, paresis(muscle weakness) and slowness of movment are well known charectristics of upper motor neurone syndorme. is a feature for upper motor neurone syndrome. | |||
Muscle weakness is a key physical impairement in neurological conditions limiting mobility. | |||
Feasibility studies started 15 years ago to improve mobility by introducing strength training to neurological rehabilitation. | |||
A study by Cooke et al in 2010<ref>Cooke EV, Tallis RC, Clark A, Pomeroy VM. Efficacy of functional strength training on restoration of lower-limb motor function early after stroke: phase I randomized controlled trial. Neurorehabilitation and Neural Repair. 2010 Jan;24(1):88-96.</ref> compared the effect of functional strength training and conventional physiotherapy improve walking speed, distance and mechanics. | |||
Resistance training was found to improve muscle strength<ref>Royal College of Physicians Intercollegiate Stroke Working Party. ''National Clinical Guidelines for Stroke''. 3rd ed. London,UK: Royal College of Physicians; 2008. | |||
</ref> and was found to improve functional performance if resistance training was added to functional exercises<ref>Olivetti L, Schurr K, Sherrington C, et al. A novel weightbearing strengthening program during rehabilitation of older people is feasible and improves standing up more than a nonweight-bearing strengthening program: a randomised trial.''Aust J Physiother.'' 2007:53:147-153. | |||
</ref>. | |||
Another systematic review by Kjølhede in 2012 reported strong evidence regarding progressive resistance training on muscle strength for people with MS but the mechanism of how strength training affecting strength needs more studies in the future<ref>Kjølhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review. Multiple Sclerosis Journal. 2012 Sep;18(9):1215-28.</ref>. | |||
Progressuve resistance exercises were strongly recommended by the Australian Stroke Foundation guidelines (2017) and the AHA guidelines (2010), however, the optimal strengthening approach is still unknown<ref>Gavin Williams, Strength Training in Neurological Rehabilitation Course, Physioplus 2019 </ref>. | |||
Despite being effective in musle strengthening but most of the applied studies failed to show improvement in walking capacity<ref>Williams G, Kahn M, Randall A. Strength training for walking in neurologic rehabilitation is not task specific: a focused review. American journal of physical medicine & rehabilitation. 2014 Jun 1;93(6):511-22.</ref>. | |||
== References == | == References == | ||
Revision as of 22:12, 27 December 2019
Original Editor - Mariam Hashem
Top Contributors - Mariam Hashem, Jess Bell, Kim Jackson, Tony Lowe, Lucinda hampton, Admin and Tarina van der Stockt
Evidence for Muscle Weakness
reduced Motor control, dextrity deficits, paresis(muscle weakness) and slowness of movment are well known charectristics of upper motor neurone syndorme. is a feature for upper motor neurone syndrome.
Muscle weakness is a key physical impairement in neurological conditions limiting mobility.
Feasibility studies started 15 years ago to improve mobility by introducing strength training to neurological rehabilitation.
A study by Cooke et al in 2010[1] compared the effect of functional strength training and conventional physiotherapy improve walking speed, distance and mechanics.
Resistance training was found to improve muscle strength[2] and was found to improve functional performance if resistance training was added to functional exercises[3].
Another systematic review by Kjølhede in 2012 reported strong evidence regarding progressive resistance training on muscle strength for people with MS but the mechanism of how strength training affecting strength needs more studies in the future[4].
Progressuve resistance exercises were strongly recommended by the Australian Stroke Foundation guidelines (2017) and the AHA guidelines (2010), however, the optimal strengthening approach is still unknown[5].
Despite being effective in musle strengthening but most of the applied studies failed to show improvement in walking capacity[6].
References[edit | edit source]
- ↑ Cooke EV, Tallis RC, Clark A, Pomeroy VM. Efficacy of functional strength training on restoration of lower-limb motor function early after stroke: phase I randomized controlled trial. Neurorehabilitation and Neural Repair. 2010 Jan;24(1):88-96.
- ↑ Royal College of Physicians Intercollegiate Stroke Working Party. National Clinical Guidelines for Stroke. 3rd ed. London,UK: Royal College of Physicians; 2008.
- ↑ Olivetti L, Schurr K, Sherrington C, et al. A novel weightbearing strengthening program during rehabilitation of older people is feasible and improves standing up more than a nonweight-bearing strengthening program: a randomised trial.Aust J Physiother. 2007:53:147-153.
- ↑ Kjølhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review. Multiple Sclerosis Journal. 2012 Sep;18(9):1215-28.
- ↑ Gavin Williams, Strength Training in Neurological Rehabilitation Course, Physioplus 2019
- ↑ Williams G, Kahn M, Randall A. Strength training for walking in neurologic rehabilitation is not task specific: a focused review. American journal of physical medicine & rehabilitation. 2014 Jun 1;93(6):511-22.
