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Progressive resistance training increases strength after stroke but this may not carry over to activity: a systematic review
Simone Dorsch Louise Ada Daniella Alloggia
Simone Dorsch
Louise Ada
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.
Keywords
Date
2018
Type
Journal article
Journal
Journal of Physiotherapy
Book
Volume
64
Issue
2
Page Range
84-90
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled