The influence of muscle strengthening on upper limb motor performance in stroke subjects
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i4a103003Keywords:
Stroke, Paresis, Upper Extremity, Muscle DevelopmentAbstract
After a stroke, more than 80% of the survivors experience hemiparesis and muscle weakness is described as an important impairment, responsible for the decrease in the functional use of the hemiparetic upper limb. In this context, scientific evidence suggests resistive training as an important component of the rehabilitation program. Related studies about the recovery of stroke subjects support the principles of resistive training aiming at the functional recovery of the paretic upper limb. However, this training program may not benefit all hemiparetic subjects and their effects would depend on the initial degree of impairment of each subject. There are no conclusive results about the influence of muscle strengthening on motor performance of the paretic upper limb, prompting therapists to combine the resistive training with the functional rehabilitation program. The aim of this study was to analyze, through a literature review, the influence of muscle strengthening on motor performance of the upper limbs in hemiparetic subjects with residual impairment after stroke.
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References
Kaiser E. Aspectos epidemiológicos nas doenças coronariana e cerebrovascular. SOCERJ 2004;17(1):11-8.
Harris J, Eng J. Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther. 2007;87(1):88-97.
Winstein C, Rose D, Tan S, Lewthwaite R, Chui H, Azen S. A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: a pilot study of immediate and long-term outcomes. Arch Phys Med Rehabil. 2004;85(4):620-8.
Le Brausser N, Sayers S, Ouellette, M, Fielding R. Muscle impairments and behavioral factors mediate functional limitations and disability following stroke. Phys Ther. 2006;86(10):1342-50.
Nakayama H, Jorgensen H, Raaschou H, Olsen T. Compensation in recovery of upper extremity function after stroke: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 1994;75(8):852-7.
Lincoln NB, Parry RH, Vass CD. Randomized, controlled trial to evaluate increased intensity of physiotherapy treatment of arm function after stroke. Stroke. 1999;30(3):573-9.
Adams RW, Gandevia SC, Skuse NF. The distribution of muscle weakness in upper motoneuron lesions affecting the lower limb. Brain. 1990;113( Pt 5):1459-76.
Canning CG, Ada L, O'Dwyer N. Slowness to develop force contributes to weakness after stroke. Arch Phys Med Rehabil. 1999;80(1):66-70.
Bohannon, R. Walking after stroke: confortable versus maximum safe speed. Int J Rehabil Res. 1992;15(3):246-248.
Ingles JL, Eskes GA, Phillips SJ. Fatigue after stroke. Arch Phys Med Rehabil. 1999;80(2):173-8.
Beer R, Given J, Dewald J. Task-dependent weakness at the elbow in patients with hemiparesis. Arch Phys Med Rehabil. 1999;80(7):766-72.
Patten C, Lexell J, Brown HE. Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy. J Rehabil Res Dev. 2004;41(3A):293-312.
Vaz DV, Brício RS, Aquino CF, Viana SO, Mancini MC, Fonseca ST. Alterações musculares em indivíduos com lesão do neurônio motor superior. Rev Fisioter Pesq. 2006;13(2):58-66.
Ouellette MM, LeBrasseur NK, Bean JF, Phillips E, Stein J, Frontera WR, et al. High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors. Stroke. 2004;35(6):1404-9.
Wade DT. Measuring arm impairment and disability after stroke. Int Disabil Stud. 1989;11(2):89-92.
Duncan P, Studenski S, Richards L, Gollub S, Lai SM, Reker D, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34(9):2173-80.
Canning C, Ada L, O'Dwyer N. Abnormal muscle activation characteristics associated with loss of dexterity after stroke. J Neurol Sci. 2000;76(1):45-46.
Nadeau S, Arsenault AB, Gravel D, Bourbonnais D. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Am J Phys Med Rehabil. 1999;78(2):123-30.
Pang MY, Harris JE, Eng JJ. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2006;87(1):1-9.
Thielman G, Dean C, Gentile A. Rehabilitation of reaching after stroke: task-related training versus progressive resistive exercise. Arch Phys Med Rehabil. 2004;85(10):1613-8.
Bonaiuti D, Rebasti L, Sioli P. The constraint induced movement therapy: a systematic review of randomised controlled trials on the adult stroke patients. Eura Medicophys. 2007;43(2):139-46.
Morris SL, Dodd KJ, Morris ME. Outcomes of progressive resistance strength training following stroke: a systematic review. Clin Rehabil. 2004;18(1):27-39.
Kraemer WJ, Adams K, Cafarelli E, Dudley GA, Dooly C, Feigenbaum MS, et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-80.
Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: a systematic review. Aust J Physiother. 2006;52(4):241-8.
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