Effects of resistance training on muscle strength and functional capacity in stroke survivors: a systematic review
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i1a205911Keywords:
Stroke, Muscle Strength, Resistance Training, Physical Functional PerformanceAbstract
Objective: The objectives of this systematic review are to verify the effects of strength training on muscular strength and functional capacity in adults with stroke sequelae. Method: Systematic review study, carried out with published articles on strength training, applied to adults with sequelae of acute or chronic stroke, indexed in the PubMed, SciELO, PEDro and LILACS databases. Descriptors in Portuguese and English were used (Stroke and Strength Training; Stroke and Exercise; Stroke and Physical Fitness; Stroke and Exercise), published between January/2014 and January/2023. Results: 11 clinical trials were included. The studies used different strength training methods. The studies observed an increase in maximum dynamic and isometric strength and in functional capacity tests in all groups that performed strength training. Conclusion: Strength exercise can contribute to increasing muscle strength and improving the functional capacity of people with stroke sequelae, but studies with a larger number of participants are necessary.
Downloads
References
Oliveira GMM, Brant LCC, Polanczyk CA, Biolo A, Nascimento BR, Malta DC, et al. Estatística Cardiovascular – Brasil 2020. Arquivos Brasileiros de Cardiologia. 2020;115(3):308-439. Doi: https://doi.org/10.36660/abc.20200812
Fernandez-Gonzalo R, Fernandez-Gonzalo S, Turon M, Prieto C, Tesch PA, García-Carreira MDC. Muscle, functional and cognitive adaptations after flywheel resistance training in stroke patients: a pilot randomized controlled trial. J Neuroeng Rehabil. 2016;(13)37 1-11. Doi: https://doi.org/10.1186/s12984-016-0144-7
Thomaz A, Brito CMM. Condicionamento físico pós acidente vascular encefálico. In: Yazbek Junior P, Sabbag LMS, Battistella LR, editors. Tratado de reabilitação: diretrizes nas afecções cardiovasculares, neuromusculares e musculoesqueléticas. São Paulo; Phorte; 2010. p. 565–78.
Yoon DH, Kang D, Kim HJ, Kim JS, Song HS, Song W. Effect of elastic band-based high-speed power training on cognitive function, physical performance and muscle strength in older women with mild cognitive impairment. Geriatr Gerontol Int. 2017;17(5):765-772. Doi: https://doi.org/10.1111/ggi.12784
Park SY, Kim JK, Lee SA. The effects of a community-centered muscle strengthening exercise program using an elastic band on the physical abilities and quality of life of the rural elderly. J Phys Ther Sci. 2015;27(7):2061-3. Doi: https://doi.org/10.1589/jpts.27.2061
Rose DK, Nadeau SE, Wu SS, Tilson JK, Dobkin BH, Pei Q, et al. Locomotor training and strength and balance exercises for walking recovery after stroke: response to number of training sessions. Phys Ther. 2017;97(11):1066-1074. Doi: https://doi.org/10.1093/ptj/pzx079
Rosenfeldt AB, Linder SM, Davidson S, Clark C, Zimmerman NM, Lee JJ, et al. Combined aerobic exercise and task practice improve health-related quality of life poststroke: a pre-liminary analysis. Arch Phys Med Rehabil. 2019;100(5):923-930. Doi: https://doi.org/10.1016/j.apmr.2018.11.011
Lamberti N, Straudi S, Malagoni AM, Argirò M, Felisatti M, Nardini E, et al. Effects of low-intensity endurance and resistance training on mobility in chronic stroke survivors: a pilot randomized controlled study. Eur J Phys Rehabil Med. 2017;53(2):228-39. Doi: https://doi.org/10.23736/s1973-9087.16.04322-7
Aidar FJ, Oliveira RJ, Matos DG, Mazini Filho ML, Moreira OC, Oliveira CE, et al. A randomized trial investigating the influence of strength training on quality of life in ischemic stroke. Top Stroke Rehabil. 2016;23(2):84-9. Doi: https://doi.org/10.1080/10749357.2015.1110307
Folkerts MA, Hijmans JM, Elsinghorst AL, Mulderij Y, Murgia A, Dekker R. Effectiveness and feasibility of eccentric and task-oriented strength training in individuals with stroke. NeuroRehabilitation. 2017;40(4):459-71. Doi: https://doi.org/10.3233/nre-171433
Graef P, Michaelsen SM, Dadalt ML, Rodrigues DA, Pereira F, Pagnussat AS. Effects of functional and analytical strength training on upper-extremity activity after stroke: a random-ized controlled trial. Braz J Phys Ther. 2016;20(6):543-52. Doi: https://doi.org/10.1590/bjpt-rbf.2014.0187
Hendrey G, Clark RA, Holland AE, Mentiplay BF, Davis C, Windfeld-Lund C, et al. Feasibility of ballistic strength training in subacute stroke: a randomized, controlled, assessor-blinded pilot study. Arch Phys Med Rehabil. 2018;99(12):2430-2446. Doi: https://doi.org/10.1016/j.apmr.2018.04.032
Ivey FM, Prior SJ, Hafer-Macko CE, Katzel LI, Macko RF, Ryan AS. Strength training for skeletal muscle endurance after stroke. J Stroke Cerebrovasc Dis. 2017;26(4):787-94. Doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.10.018
Lund C, Dalgas U, Grønborg TK, Andersen H, Severinsen K, Riemenschneider M, et al. Balance and walking performance are improved after resistance and aerobic training in persons with chronic stroke. Disabil Rehabil. 2018;40(20)2408-2415. Doi: https://doi.org/10.1080/09638288.2017.1336646
Milot MH, Léonard G, Corriveau H, Desrosiers J. Using the Borg rating of perceived exertion scale to grade the intensity of a functional training program of the affected upper limb after a stroke: a feasibility study. Clin Interv Aging. 2018;14:9-16. Doi: https://doi.org/10.2147/cia.s179691
Severinsen K, Jakobsen JK, Pedersen AR, Overgaard K, An-dersen H. Effects of resistance training and aerobic training on ambulation in chronic stroke. Am J Phys Med Rehabil. 2014;93(1):29-42. Doi: https://doi.org/10.1097/phm.0b013e3182a518e1
Högg S, Holzgraefe M, Drüge C, Hauschild F, Herrmann C, Obermann M, et al. High-intensity arm resistance training does not lead to better outcomes than low-intensity resistance training in patients after subacute stroke: a randomized controlled trial. J Rehabil Med. 2020;52(6):1-10. Doi: https://doi.org/10.2340/16501977-2686
Lee J, Stone AJ. Combined aerobic and resistance training for cardiorespiratory fitness, muscle strength, and walking capacity after stroke: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2020;29(1). Doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104498
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: a recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335-42. Doi: 10.5123/S1679-49742015000200017
Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, Oliveira LVF. PEDro: a base de dados de evidências em fisioterapia. Fisioter Mov. 2011;24(3):523-33. Doi: https://doi.org/10.1590/S0103-51502011000300017
PEDro: Physiotherapy Evidence Database [database on the Internet] Sydney: PEDro, c2023 [cited 2023 aug 6]. Available from: https://pedro.org.au/portuguese
Carvalho APV, Silva V, Grande AJ. Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagn Tratamento. 2013;18(1):38-44.
Shao C, Wang Y, Gou H, Xiao H, Chen T. Strength Training of the Nonhemiplegic Side Promotes Motor Function recovery in patients with stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2023;104(2):188-94. Doi: https://doi.org/10.1016/j.apmr.2022.09.012
Bernaldino ES, Silva FD. Os benefícios do treinamento resistido para a terceira idade. Saber Científico. 2021;10(1):1-9.
Castilho FP. A influência do treinamento resistido na qualidade corporal de idosos praticantes: uma revisão de literatura [Trabalho de Conclusão de Curso]. Goiânia: Pontifícia Universidade Católica de Goiás; 2014.
Kostka J, Niwald M, Guligowska A, Kostka T, Miller E. Muscle power, contraction velocity and functional performance after stroke. Brain Behav. 2019;9(4):1-7. Doi: https://doi.org/10.1002/brb3.1243
Dias RMR, Avelar A, Menêses AL, Salvador EP, Silva DRP, Cyrino ES. Segurança, reprodutibilidade, fatores intervenientes e aplicabilidade de testes de 1-RM. Motriz Rev Educ Fís. 2013;19(1):231-242. Doi: https://doi.org/10.1590/S1980-65742013000100024
Petridis L, Utczás K, Tróznai Z, Kalabiska I, Pálinkás G, Szabó T. Vertical jump performance in hungarian male elite junior soccer players. Res Q Exerc Sport. 2019;90(2):251-7. Doi: https://doi.org/10.1080/02701367.2019.1588934
Barker LA, Harry JR, Mercer JA. Relationships Between Countermovement Jump Ground Reaction Forces and Jump Height, Reactive Strength Index, and Jump Time. J Strength Cond Res. 2018;32(1):248-54. Doi: https://doi.org/10.1519/jsc.0000000000002160
Li J, Zhong D, Ye J, He M, Liu X, Zheng H, et al. Rehabilitation for balance impairment in patients after stroke: a protocol of a systematic review and network meta-analysis. BMJ Open. 2019;9(7)1-5. Doi: https://doi.org/10.1136/bmjopen-2018-026844
Campoy FAS. Efeitos do treinamento resistido concêntrico versus excêntrico sobre parâmetros clínicos e funcionais [Dissertação]. Presidente Prudente: Universidade Estadual Paulista; 2011.
Kim WS, Cho S, Ku J, Kim Y, Lee K, Hwang HJ, et al. Clinical Application of Virtual Reality for Upper Limb Motor Rehabilitation in stroke: review of technologies and clinical evidence. J Clin Med. 2020;9(10):1-20. Doi: https://doi.org/10.3390/jcm9103369
Arya KN, Pandian S, Puri V. Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review. Top Stroke Rehabil. 2018;25(1):68-81. Doi: https://doi.org/10.1080/10749357.2017.1383712
Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018-2030. Eur Stroke J. 2018;3(4):309-336. Doi: https://doi.org/10.1177/2396987318808719
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Acta Fisiátrica

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.