scholarly journals Muscle power, contraction velocity and functional performance after stroke

2019 ◽  
Vol 9 (4) ◽  
pp. e01243 ◽  
Author(s):  
Joanna Kostka ◽  
Marta Niwald ◽  
Agnieszka Guligowska ◽  
Tomasz Kostka ◽  
Elżbieta Miller
2014 ◽  
Vol 41 (7) ◽  
pp. 1385-1394 ◽  
Author(s):  
Allan Villadsen ◽  
Søren Overgaard ◽  
Anders Holsgaard-Larsen ◽  
Robin Christensen ◽  
Ewa M. Roos

Objective.Knowledge about the effects of exercise in severe and endstage osteoarthritis (OA) is limited. The aim was to evaluate the efficacy of a neuromuscular exercise program in patients with clinically severe hip or knee OA.Methods.This was a randomized controlled assessor-blinded trial. Patients received an educational package (care-as-usual) only, or care-as-usual plus an 8-week neuromuscular exercise intervention (NEMEX-TJR). NEMEX-TJR was supervised by a physiotherapist, twice weekly for 1 h. The primary outcome was Activities of Daily Living (ADL) subscale from the Hip disability and Osteoarthritis Outcome Score (HOOS) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The secondary outcomes were the HOOS/KOOS subscales Pain, Symptoms, Sport and Recreation, and Joint-related Quality of Life. Exploratory outcomes were functional performance measures and lower limb muscle power.Results.Included were 165 patients, 56% female, average age 67 years (SD ± 8), and a body mass index of 30 (SD ± 5), who were scheduled for primary hip or knee replacement. The postintervention difference between mean changes in ADL was 7.2 points (95% CI 3.5 to 10.9, p = 0.0002) in favor of NEMEX-TJR compared with control. Second, there were statistically significant differences between groups in favor of NEMEX-TJR on all self-reported outcomes and most functional performance tests (walk, chair stands, and 1-leg knee bends). Stratified analyses according to joint revealed moderate effect size for ADL for hip patients (0.63, 95% CI 0.26 to 1.00). Corresponding effect size for knee patients was small (0.23 95% CI −0.14 to 0.60).Conclusion.Feasibility of neuromuscular exercise was confirmed in patients about to have total joint replacement. Self-reported activities of daily living and objective performance were improved and pain reduced immediately following 8 weeks of neuromuscular exercise. While the effects were moderate in hip OA, they were only small in knee OA.ClinicalTrials.govIdentifier:NCT01003756.


Author(s):  
Marko DM Stojanović ◽  
Patrik Drid ◽  
Dejan Madić ◽  
Sergej M Ostojić

The aging process is associated with loss of skeletal muscle mass and increase in intramuscular fat, the latter also defined as muscle attenuation. Muscle weakness, termed sarcopenia and dynapenia, is a normal age-related phenomenon, occurring at a rate of 1% to 5% annually from the age of 30. This rate means that given typical patterns of physical activity, a 70-year-old woman could have 50% to 70% less strength than she had at age 30.  Contrary to long held beliefs, the muscles of elderly women (i.e. aged 65 years and older) continue to be adaptable, even into the extremes of old age, particularly if their muscles are significantly overloaded during training. Therefore, effective strengthening practices must be employed to maintain the highest level of function and achieve optimal aging in elderly women. Done regularly (2-3 times a week), strength training preserve bone density, independence and vitality with age. In addition, strength training also has the ability to reduce the risk of osteoporosis and the signs and symptoms of numerous chronic diseases such as heart disease, arthritis and type 2 diabetes, while also improving sleep and reducing depression. Finally, though muscle strength has been recognized as an important predictor for reduced functional performance, emerging evidence suggests that muscle power (the product of force time velocity or the rate of performing work) is highly effective to elicit substantial improvements in maximal mechanical muscle function (rapid force generation, muscle power and muscle strength) and in functional performance in old and very old women.


Author(s):  
Rudolfo Hummel Gurgel Vieira ◽  
Ivan Daniel Bezerra Nogueira ◽  
Natércia Ferreira Queiroz ◽  
Tamara Martins Cunha ◽  
Zênia Trindade de Souto Araújo ◽  
...  

Chronic obstructive pulmonary disease (COPD) is a pulmonary pathology associated with numerous systemic manifestations, among them musculoskeletal dysfunction. The aim of the study was to evaluate and compare respiratory and peripheral muscle strength in patients with COPD and healthy individuals. This is a cross-sectional, analytical and observational study, in which 18 individuals were evaluated, nine of them with COPD and nine healthy. Femoral quadriceps neuromuscular performance (assessed by means of isokinetic dynamometry), handgrip strength (manual dynamometer) and maximum respiratory pressure (manovacuometry) were evaluated. Data were expressed by mean and standard deviation, analyzed in the SPSS 20.0 statistical package. Significance level of 5% and confidence interval of 95% for all measures were considered. Individuals with COPD had lower quadriceps femoral neuromuscular performance and lower respiratory pressures than healthy subjects; however, there was a statistically significant difference only for muscle power and MIP (p <0.05). Handgrip strength was higher in individuals with COPD (p <0.05). individuals with COPD have neuromuscular changes in peripheral and respiratory muscles that may possibly cause reduced functional performance.


2020 ◽  
Vol 52 (7S) ◽  
pp. 1103-1103
Author(s):  
Konstantina Katsoulis ◽  
Samantha Jeske ◽  
Rachel Goodman ◽  
Cristiane Cruz ◽  
Catherine E. Amara

Author(s):  
Cristian Jaque ◽  
Phillip Véliz ◽  
Rodrigo Ramirez-Campillo ◽  
Jason Moran ◽  
Paulo Gentil ◽  
...  

The authors compared the effects of bodyweight resistance training at moderate- or high-speed conditions on muscle power, velocity of movement, and functional performance in older females. In a randomized, single-blinded noncontrolled trial, participants completed 12 weeks (three sessions/week) of bodyweight resistance training at high (n = 14; age = 70.6 ± 4.3 years) or moderate (n = 12; age = 72.8 ± 4.2 years) speeds. Data were analyzed with an analysis of variance (Group × Time) with α level set at <.05. After the intervention, timed up and go test performance (p < .05) and the rising from a chair test mean (22.4%) and maximal velocity (28.5%), mean (24.4%) and maximal power (27.7%), normalized mean (25.1%), and normalized maximal power (28.5%) increased in the high-speed group (p < .05). However, the moderate-speed group achieved no improvements (Δ6.7–14.4%; p > .2). The authors conclude that high-speed bodyweight resistance training is an effective and economically practical strategy to improve the functional capacity of older women relevant to daily life activities.


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