Progressive resistance training increases strength after stroke but this may not carry over to activity: a systematic review

Journal article


Simone Dorsch, Louise Ada and Daniella Alloggia. (2018). Progressive resistance training increases strength after stroke but this may not carry over to activity: a systematic review. Journal of Physiotherapy. 64(2), pp. 84-90. https://doi.org/10.1016/j.jphys.2018.02.012
AuthorsSimone Dorsch, Louise Ada and Daniella Alloggia
Abstract

Question
Does progressive resistance training improve strength and activity after stroke? Does any increase in strength carry over to activity?

Design
Systematic review of randomised trials with meta-analysis.

Participants
Adults who have had a stroke.

Intervention
Progressive resistance training compared with no intervention or placebo.

Outcome measures
The primary outcome was change in strength. This measurement had to be of maximum voluntary force production and performed in muscles congruent with the muscles trained in the intervention. The secondary outcome was change in activity. This measurement had to be a direct measure of performance that produced continuous or ordinal data, or with scales that produced ordinal data.

Results
Eleven studies involving 370 participants were included in this systematic review. The overall effect of progressive resistance training on strength was examined by pooling change scores from six studies with a mean PEDro score of 5.8, representing medium quality. The effect size of progressive resistance training on strength was 0.98 (95% CI 0.67 to 1.29, I 2 = 0%). The overall effect of progressive resistance training on activity was examined by pooling change scores from the same six studies. The effect size of progressive resistance training on activity was 0.42 (95% CI –0.08 to 0.91, I 2 = 54%).

Conclusion
After stroke, progressive resistance training has a large effect on strength compared with no intervention or placebo. There is uncertainty about whether these large increases in strength carry over to improvements in activity.

Year2018
JournalJournal of Physiotherapy
Journal citation64 (2), pp. 84-90
PublisherAustralian Physiotherapy Association
ISSN1836-9553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jphys.2018.02.012
Scopus EID2-s2.0-85044348475
Publisher's version
File Access Level
Controlled
Publication process dates
Deposited12 May 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w075/progressive-resistance-training-increases-strength-after-stroke-but-this-may-not-carry-over-to-activity-a-systematic-review

Restricted files

Publisher's version

  • 4
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

An audit of physiotherapists’ documentation on physical activity assessment, promotion and prescription to older adults attending out-patient rehabilitation
Paim, Tatiana, Low-Choy, Nancy, Dorsch, Simone and Kuys, Suzanne. (2020). An audit of physiotherapists’ documentation on physical activity assessment, promotion and prescription to older adults attending out-patient rehabilitation. Disability and Rehabilitation. pp. 1-7. https://doi.org/10.1080/09638288.2020.1805644
Digitally enabled aged care and neurological rehabilitation to enhance outcomes with Activity and MObility UsiNg Technology (AMOUNT) in Australia : A randomised controlled trial
Hassett, Leanne, van den Berg, Maayken, Lindley, Richard I., Crotty, Maria, McCluskey, Annie, van der Ploeg, Hidde P., Smith, Stuart T., Schurr, Karl, Howard, Kirsten, Hackett, Maree L., Killington, Maggie, Bongers, Bert, Togher, Leanne, Treacy, Daniel, Dorsch, Simone, Wong, Siobhan, Scrivener, Katharine, Chagpar, Sakina, Weber, Heather, ... Sherrington, Catherine. (2020). Digitally enabled aged care and neurological rehabilitation to enhance outcomes with Activity and MObility UsiNg Technology (AMOUNT) in Australia : A randomised controlled trial. PLoS Medicine. 17(2), pp. 1-24. https://doi.org/10.1371/journal.pmed.1003029
Functional electrical stimulation+iPad-based music therapy for upper limb recovery after stroke : Study protocol for a mixed methods randomised controlled trial
Silveira, Tanya Marie, Dorsch, Simone, Thompson, Grace and Tamplin, Jeanette. (2020). Functional electrical stimulation+iPad-based music therapy for upper limb recovery after stroke : Study protocol for a mixed methods randomised controlled trial. Nordic Journal of Music Therapy. pp. 1-24. https://doi.org/10.1080/08098131.2020.1795704
Bobath therapy is inferior to task-specific training and not superior to other interventions in improving lower limb activities after stroke : A systematic review
Scrivener, Katharine, Dorsch, Simone, McCluskey, Annie, Schurr, Karl, Graham, Petra L., Cao, Zheng, Shepherd, Roberta and Tyson, Sarah. (2020). Bobath therapy is inferior to task-specific training and not superior to other interventions in improving lower limb activities after stroke : A systematic review. Journal of Physiotherapy. 66(4), pp. 225-235. https://doi.org/10.1016/j.jphys.2020.09.008
Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke : A randomised trial
de Sousa, Davide G., Harvey, Lisa A., Dorsch, Simone, Varettas, Bronwyn, Jamieson, Serena, Murphy, Abby and Giaccari, Sarah. (2019). Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke : A randomised trial. Journal of Physiotherapy. 65(3), pp. 152-158. https://doi.org/10.1016/j.jphys.2019.05.007
Goal-oriented instructions increase the intensity of practice in stroke rehabilitation compared with non-specific instructions : A within-participant, repeated measures experimental study
Hillig, Tessa Rose, Ma, Haotian and Dorsch, Simone. (2019). Goal-oriented instructions increase the intensity of practice in stroke rehabilitation compared with non-specific instructions : A within-participant, repeated measures experimental study. Journal of Physiotherapy. 65(2), pp. 95-98. https://doi.org/10.1016/j.jphys.2019.02.007
In inpatient rehabilitation, large amounts of practice can occur safely without direct therapist supervision : An observational study
Dorsch, Simone, Weeks, Kevin, King, Laura and Polman, Etesa. (2019). In inpatient rehabilitation, large amounts of practice can occur safely without direct therapist supervision : An observational study. Journal of Physiotherapy. 65(1), pp. 23-27. https://doi.org/10.1016/j.jphys.2018.11.004
Interventions involving repetitive practice improve strength after stroke: A systematic review
Davide G. de Sousa, Lisa A Harvey, Simone Dorsch and Joanne V Glinsky. (2018). Interventions involving repetitive practice improve strength after stroke: A systematic review. Journal of Physiotherapy. 64(4), pp. 210-221. https://doi.org/10.1016/j.jphys.2018.08.004
Feasibility of a nurse-led weekend group exercise program for people after stroke
Scrivener, Katharine, Tourany, Raymond, McNamara-Holmes, Mary, Schurr, Karl, Dorsch, Simone and Dean, Catherine. (2017). Feasibility of a nurse-led weekend group exercise program for people after stroke. Stroke Research and Treatment. 2017, pp. 1 - 7. https://doi.org/10.1155/2017/4574385
Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: A protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial
Hassett, Leanne, van den Berg, Maayken, Lindley, Richard I., Crotty, Maria, McCluskey, Annie, van der Ploeg, Hidde P., Smith, Stuart T., Schurr, Karl, Killington, Maggie, Bongers, Bert, Howard, Kirsten, Heritier, Stephane, Togher, Leanne, Hackett, Maree, Treacy, Daniel, Dorsch, Simone Lise, Wong, Siobhan, Scrivener, Katharine, Chagpar, Sakina, ... Sherrington, Catherine. (2016). Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: A protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial. BMJ Open. 6(6), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2016-012074
EMG-triggered electrical stimulation is a feasible intervention to apply to multiple arm muscles in people early after stroke, but does not improve strength and activity more than usual therapy: A randomized feasibility trial
Dorsch, Simone Lise, Ada, Louise and Canning, Colleen. (2014). EMG-triggered electrical stimulation is a feasible intervention to apply to multiple arm muscles in people early after stroke, but does not improve strength and activity more than usual therapy: A randomized feasibility trial. Clinical Rehabilitation. 28(5), pp. 482 - 490. https://doi.org/10.1177/0269215513510011
The strength of the ankle dorsiflexors has a significant contribution to walking speed in people who can walk independently after stroke : an observational study
Dorsch, Simone, Ada, Louise, Canning, Colleen, Al-Zharani, Matar and Dean, Catherine. (2012). The strength of the ankle dorsiflexors has a significant contribution to walking speed in people who can walk independently after stroke : an observational study. Archives of Physical Medicine and Rehabilitation. 93(6), pp. 1072 - 1076. https://doi.org/10.1016/j.apmr.2012.01.005
Group exercise can improve participants' mobility in an outpatient rehabilitation setting: A randomized controlled trial
Sherrington, Catherine, Pamphlett, Patricia I., Jacka, Jennifer A., Olivetti, Lynnette M., Nugent, Julie A., Hall, Jillian M., Dorsch, Simone Lise, Kwan, Marcella Mun-San and Lord, Stephen R.. (2008). Group exercise can improve participants' mobility in an outpatient rehabilitation setting: A randomized controlled trial. Clinical Rehabilitation. 22(6), pp. 493 - 502. https://doi.org/10.1177/0269215508087994
Strengthening interventions increase strength and improve activity after stroke: a systematic review
Ada, Louise, Dorsch, Simone Lise and Canning, Colleen G.. (2006). Strengthening interventions increase strength and improve activity after stroke: a systematic review. Australian Journal of Physiotherapy. 52(4), pp. 241 - 248. https://doi.org/10.1016/S0004-9514(06)70003-4