دورية أكاديمية
أعرض في EDS

POWER training in chronic stroke individuals: differences between responders and nonresponders.

التفاصيل البيبلوغرافية
العنوان: POWER training in chronic stroke individuals: differences between responders and nonresponders.
المؤلفون: Aaron SE; a Department of Health Sciences and Research, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA., Hunnicutt JL; a Department of Health Sciences and Research, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA., Embry AE; a Department of Health Sciences and Research, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; b Division of Physical Therapy, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; c Ralph H. Johnson VA Medical Center , Charleston , SC , USA., Bowden MG; a Department of Health Sciences and Research, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; b Division of Physical Therapy, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; c Ralph H. Johnson VA Medical Center , Charleston , SC , USA., Gregory CM; a Department of Health Sciences and Research, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; b Division of Physical Therapy, College of Health Professions , Medical University of South Carolina , Charleston , SC , USA.; c Ralph H. Johnson VA Medical Center , Charleston , SC , USA.
المصدر: Topics in stroke rehabilitation [Top Stroke Rehabil] 2017 Oct; Vol. 24 (7), pp. 496-502. Date of Electronic Publication: 2017 May 08.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: England NLM ID: 9439750 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1945-5119 (Electronic) Linking ISSN: 10749357 NLM ISO Abbreviation: Top Stroke Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Abingdon : Taylor & Francis
Original Publication: Frederick, MD : Aspen Publishers, c1994-
مواضيع طبية MeSH: Muscle Strength* , Resistance Training*, Stroke/*therapy , Stroke Rehabilitation/*methods, Adult ; Aged ; Female ; Humans ; Knee Joint/physiopathology ; Lower Extremity/physiopathology ; Male ; Middle Aged ; Treatment Outcome ; Walking Speed ; Young Adult
مستخلص: Background: Lower extremity muscle weakness is a primary contributor to post-stroke dysfunction. Resistance training is an effective treatment for hemiparetic weakness and improves walking performance. Post-stroke subject characteristics that do or do not improve walking speed following resistance training are unknown.
Objective: The purpose of this paper was to describe baseline characteristics, as well as responses to training, associated with achieving a minimal clinically important difference (MCID) in walking speed (≥0.16 m/s) following Post-stroke Optimization of Walking Using Explosive Resistance (POWER) training.
Methods: Seventeen participants completed 24 sessions of POWER training, which included intensive progressive leg presses, jump training, calf raises, sit-to-stands, step-ups, and over ground fast walking. Outcomes included SSWS, FCWS, DGI, FMA-LE, 6-MWT, paretic knee power, non-paretic knee power, and paretic step ratio.
Results: Specific to those who reached MCID in SSWS (e.g. "responders"), significant improvements in SSWS, FCWS, 6-MWT, paretic knee power, and non-paretic knee power was realized. Paretic knee power and non-paretic knee power significantly improved in those who did not achieve MCID for gait speed (e.g. "non-responders").
Conclusion: The potential for POWER training to enhance general locomotor function was confirmed. Baseline paretic knee strength/power may be an important factor in how an individual responds to this style of training. The lack of change within the non-responders emphasizes the contribution of factors other than lower extremity muscle power improvement to locomotor dysfunction.
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معلومات مُعتمدة: I01 RX000844 United States RX RRD VA; P20 GM109040 United States GM NIGMS NIH HHS
فهرسة مساهمة: Keywords: 6-MWT: 6-min walk test; DGI: Dynamic Gait Index; FCWS: fastest comfortable walking speed; FMA-LE: Fugl-Myer Lower Extremity Assessment; MCID: minimal clinically important difference; MVIC: maximum voluntary isometric contraction; NPKP: non-paretic knee power; PKP: paretic knee power; POWER: Post-stroke Optimization of Walking using Explosive Resistance; PSR: paretic step ratio; SSWS: self-selected walking speed; Stroke; exercise; gait; power training; strength training
تواريخ الأحداث: Date Created: 20170510 Date Completed: 20180529 Latest Revision: 20181113
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5801689
DOI: 10.1080/10749357.2017.1322249
PMID: 28482762
قاعدة البيانات: MEDLINE
الوصف
تدمد:1945-5119
DOI:10.1080/10749357.2017.1322249