Lower limb strength is significantly impaired in all muscle groups in ambulatory people with chronic stroke : A cross-sectional study

Journal article


Dorsch, Simone, Ada, Louise and Canning, Colleen Grace. (2016). Lower limb strength is significantly impaired in all muscle groups in ambulatory people with chronic stroke : A cross-sectional study. Archives of Physical Medicine and Rehabilitation. 97(4), pp. 522-527. https://doi.org/10.1016/j.apmr.2015.10.106
AuthorsDorsch, Simone, Ada, Louise and Canning, Colleen Grace
Abstract

Objective
To measure the strength of the major muscle groups of the affected and intact lower limbs in people with stroke compared with age-matched controls.

Design
Cross-sectional study.

Setting
University laboratory.

Participants
Ambulatory stroke survivors (n=60; mean age, 69±11y), who had had a stroke between 1 and 6 years previously, and age-matched controls (n=35; mean age, 65±9y) (N=95).

Interventions
Not applicable.

Main Outcome Measures
The maximum isometric strength of 12 muscle groups (hip flexors and extensors, hip adductors and abductors, hip internal rotators and external rotators, knee flexors and extensors, ankle dorsiflexors and plantarflexors, ankle invertors and evertors) of both lower limbs was measured using handheld dynamometry. All strength measurements were taken in standardized positions by 1 rater.

Results
The affected lower limb of the participants with stroke was significantly weaker than that of the control participants for all muscle groups (P<.01). Strength (adjusted for age, sex, and body weight) was 48% (range, 34%–62%) of that of the control participants. The most severely affected muscle groups were hip extensors (34% of controls), ankle dorsiflexors (35%), and hip adductors (38%), and the least severely affected muscle groups were ankle invertors (62%), ankle plantarflexors (57%), and hip flexors (55%). The intact lower limb of the participants with stroke was significantly weaker than that of the control participants for all muscle groups (P<.05) except for ankle invertors (P=.25). Strength (adjusted for age, sex, and body weight) was 66% (range, 44%–91%) of that of the control participants. The most severely affected muscle groups were hip extensors (44% of controls), ankle dorsiflexors (52%), and knee flexors (54%).

Conclusions
Ambulatory people with chronic stroke have a marked loss of strength in most of the major muscle groups of both lower limbs compared with age-matched controls.

Keywordsmuscle strength; rehabilitation; stroke
Year2016
JournalArchives of Physical Medicine and Rehabilitation
Journal citation97 (4), pp. 522-527
PublisherElsevier Inc.
ISSN0003-9993
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apmr.2015.10.106
Scopus EID2-s2.0-84964292287
Research or scholarlyResearch
Page range522-527
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online2011
Publication process dates
Deposited18 May 2022
Permalink -

https://acuresearchbank.acu.edu.au/item/8xwv8/lower-limb-strength-is-significantly-impaired-in-all-muscle-groups-in-ambulatory-people-with-chronic-stroke-a-cross-sectional-study

Restricted files

Publisher's version

  • 81
    total views
  • 0
    total downloads
  • 4
    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

Bobath therapy is inferior to task-specific training and not superior to other interventions in improving arm activity and arm strength outcomes after stroke : A systematic review
Dorsch, Simone, Carling, Cameron, Cao, Zheng, Fanayan, Emma, Graham, Petra L., McCluskey, Annie, Schurr, Karl, Scrivener, Katharine and Tyson, Sarah. (2023). Bobath therapy is inferior to task-specific training and not superior to other interventions in improving arm activity and arm strength outcomes after stroke : A systematic review. Journal of Physiotherapy. 69(1), pp. 15-22. https://doi.org/10.1016/j.jphys.2022.11.008
Telehealth for rehabilitation and recovery after stroke : State of the evidence and future directions
English, Carolie, Ceravolo, Maria Gabriella, Dorsch, Simone, Drummond, Avril, Gandhi, Dorcas BC, Halliday Green, Judith, Schelfaut, Ben, Verschure, Paul, Urimubenshi, Gerard and Savitz, Sean. (2022). Telehealth for rehabilitation and recovery after stroke : State of the evidence and future directions. International Journal of Stroke. 17(5), pp. 487-493. https://doi.org/10.1177/17474930211062480
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. (2022). An audit of physiotherapists’ documentation on physical activity assessment, promotion and prescription to older adults attending out-patient rehabilitation. Disability and Rehabilitation. 44(8), pp. 1537-1543. https://doi.org/10.1080/09638288.2020.1805644
The relationship between strength of the affected leg and walking speed after stroke varies according to the level of walking disability : A systematic review
Dorsch, Simone, Ada, Louise, Sorial, Tiffany and Fanayan, Emma. (2021). The relationship between strength of the affected leg and walking speed after stroke varies according to the level of walking disability : A systematic review. Physical Therapy. 101(12), pp. 1-8. https://doi.org/10.1093/ptj/pzab233
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. (2021). 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. 30(4), pp. 314-337. https://doi.org/10.1080/08098131.2020.1795704
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
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
Progressive resistance training increases strength after stroke but this may not carry over to activity: a systematic review
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
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