Muscle Strength and Balance in Post-stroke Patients

1982 ◽  
Vol 87 (1) ◽  
pp. 11-26 ◽  
Author(s):  
Elisabeth Hamrin ◽  
Göran Eklund ◽  
Ann-Kristin Hillgren ◽  
Octavia Borges ◽  
Jan Hall ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Multi-Fingered Grasping and Manipulation in Virtual Environments Using an Isometric Finger Device

2007 ◽  
Vol 16 (3) ◽  
pp. 293-306 ◽  
Author(s):  
Gregorij Kurillo ◽  
Matjaž Mihelj ◽  
Marko Munih ◽  
Tadej Bajd
Keyword(s):  
Virtual Reality ◽  
Muscle Strength ◽  
Virtual Environments ◽  
Healthy Subjects ◽  
Haptic Feedback ◽  
Virtual Object ◽  
Input Device ◽  
Haptic Information ◽  
Stroke Patients ◽  
Post Stroke

In this article we present a new isometric input device for multi-fingered grasping in virtual environments. The device was designed to simultaneously assess forces applied by the thumb, index, and middle finger. A mathematical model of grasping, adopted from the analysis of multi-fingered robot hands, was applied to achieve multi-fingered interaction with virtual objects. We used the concept of visual haptic feedback where the user was presented with visual cues to acquire haptic information from the virtual environment. The virtual object corresponded dynamically to the forces and torques applied by the three fingers. The application of the isometric finger device for multi-fingered interaction is demonstrated in four tasks aimed at the rehabilitation of hand function in stroke patients. The tasks include opening the combination lock on a safe, filling and pouring water from a glass, muscle strength training with an elastic torus, and a force tracking task. The training tasks were designed to train patients' grip force coordination and increase muscle strength through repetitive exercises. The presented virtual reality system was evaluated in a group of healthy subjects and two post-stroke patients (early post-stroke and chronic) to obtain overall performance results. The healthy subjects demonstrated consistent performance with the finger device after the first few trials. The two post-stroke patients completed all four tasks, however, with much lower performance scores as compared to healthy subjects. The results of the preliminary assessment suggest that the patients could further improve their performance through virtual reality training.

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

2018 ◽  
Vol 33 (3) ◽  
pp. 381-394 ◽  
Author(s):  
Sarah Souza Pontes ◽  
Ana Louise Reis de Carvalho ◽  
Katna de Oliveira Almeida ◽  
Murilo Pires Neves ◽  
Ingara Fernanda Silva Ribeiro Schindler ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Randomized Controlled Trials ◽  
Weighted Mean Difference ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Stroke Patients ◽  
Muscle Strengthening ◽  
Post Stroke ◽  
Randomized Controlled

Objective: To investigate whether isokinetic muscle strengthening improves muscle strength, mobility, and gait in post-stroke patients. Methods: We searched for randomized controlled trials at PubMed/Medline, SciELO, PEDro, and Cochrane Central Register of Controlled Trials, from the earliest date available to June 2018. Randomized controlled trials that examined the effects of isokinetic muscle strengthening versus other rehabilitation interventions or control in post-stroke patients were included. Study quality was evaluated using the PEDro scale. Weighted mean difference (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test. Results: In total, 13 studies (347 patients) focusing on the use of isokinetic in rehabilitation following stroke were included. All trials were of low-to-moderate quality. Isokinetic muscle strengthening improved muscle strength WMD 0.8 (95% CI: 0.2, 1.4; N = 96), mobility WMD −2.03 seconds (95% CI: −2.9, −1.1; N = 111) and gait speed WMD 0.9 m/s (95% CI: 0.05, 1.8; N = 87). Conclusion: Isokinetic muscle strengthening seems to be a useful strategy for improving muscle strength, mobility, and gait in post-stroke patients.

scholarly journals Effects of Cognitive Sensory Motor Training on Lower Extremity Muscle Strength and Balance in Post Stroke Patients: A Randomized Controlled Study

2021 ◽  
Vol 11 (3) ◽  
pp. 640-649
Author(s):  
Kyung-Hun Kim ◽  
Sang-Hun Jang
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Controlled Study ◽  
Control Group ◽  
Motor Training ◽  
Stroke Patients ◽  
Post Stroke ◽  
Lower Extremity Muscle ◽  
Sensory Motor ◽  
Balance Ability

Background: Sensory motor impairment, the most common neuromuscular condition in stroke patients, often contributes to muscle weakness and imbalance. Objective: The purpose of this research was to investigate the effects of cognitive sensory-motor training (CSMT) on the muscle strength and balance ability in post-stroke patients. Methods: Thirty-five participants after stroke were randomly assigned to the CSMT (n = 17) or control group (n = 18). All participants received 30 min of training each time, five times per week, for six weeks. Lower extremity muscle strength of tibialis anterior (LEMTA) was evaluated using a digital muscular dynamometer. The Medical Research Council (MRC) scale was used to evaluate muscle strengths of the hip joint, knee joint, and ankle joint. For balance ability test, the center of pressure (COP) movement distance and limited of stability (LOS) were measured using BioRescue. Results: LEMTA, MRC scale, balance ability were significantly more improved in the CSMT group than in the control group (p < 0.05). Conclusions: Our findings indicate that CSMT is beneficial and effective for improving muscle strength of the lower extremity and balance ability of post-stroke patients.

PERBEDAAN LATIHAN KEKUATAN OTOT PASIEN PASCA STROKE YANG MEMPEROLEH BERBAGAI DUKUNGAN KELUARGA

2019 ◽  
Vol 9 (3) ◽  
pp. 249-258
Author(s):  
Nur Wakhidah ◽  
Ahmad Asyrofi ◽  
Hendra Adi Prasetya
Keyword(s):  
Muscle Strength ◽  
Strength Training ◽  
Family Support ◽  
Sampling Technique ◽  
P Value ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Consecutive Sampling ◽  
Support Family

Masalah fisik yang muncul pada pasien stroke yaitu hilangnya kesadaran selama stroke, inkontinensia, kelumpuhan atau kelemahan otot, sehingga pasien mengalami gangguan gerak karena adanya kerusakan susunan saraf pada otak dan kekakuan pada otot dan sendi. Penelitian bertujuan untuk mengetahui perbedaan latihan kekuatan otot pasien pasca stroke yang memperoleh berbagai dukungan keluarga. Desain penelitian ini adalah study komparatif adalah menggunakan metode Cross-Sectional. Sampel dalam penelitian ini sebanyak 54 responden dan menngunakan teknik consecutive sampling. Alat yang digunakan pada penelitian ini adalah kuesioner Perceived Social Support-Family Scale (PSS-Fa) dan kuesioner latihan kekuatan otot. Pengambilan data dilakukan di ruang Poli Syaraf RSUD Dr. H. Soewondo Kendal pada 15 responden menggunakan teknik consecutive sampling. Tidak ada perbedaan antara latihan kekuatan otot pasien pasca stroke yang memperoleh dukungan keluarga baik dan dukungan kurang dengan nilai p value 0,727.   Kata kunci : dukungan keluarga, latihan kekuatan otot, pasca stroke   DIFFERENCE OF EXERCISE STRENGTHS OF THE MUSCLE OF POST-STROKE PATIENTS THAT GET VARIOUS FAMILY SUPPORT   ABSTRACT Physical problems that arise in stroke patients are loss of consciousness during stroke, incontinence, paralysis or muscle weakness, so that patients experience movement disorders due to damage to the nervous system in the brain and stiffness in the muscles and joints. The study aimed to determine the differences in muscle strength training of post-stroke patients who received various family support. The design of this study is a comparative study using the Cross-Sectional method. The sample in this study were 54 respondents and used consecutive sampling technique. The tool used in this study was the Perceived Social Support-Family Scale (PSS-Fa) questionnaire and muscle strength training questionnaire. Data collection was carried out in the Neurology Room of the RSUD Dr. H. Soewondo Kendal for 15 respondents using consecutive sampling technique. There was no difference between muscle strength training in post-stroke patients who received good family support and less support with a p value of 0.727.   Keywords: family support, muscle strength training, post stroke

Development of Supportive-Educative Range of Motion Exercise for Post-stroke Patients: A Pilot Study

2021 ◽  
pp. 108482232110357
Author(s):  
Elly Lilianty Sjattar ◽  
Irna Megawati ◽  
Andi Masyitha Irwan ◽  
Sintawati Majid
Keyword(s):  
Pilot Study ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Intervention Group ◽  
Control Group ◽  
Willingness To Participate ◽  
Stroke Patients ◽  
Test Analysis ◽  
Post Stroke ◽  
A Value

The purpose of this pilot study was to assess of home care intervention on post-stroke related outcome of range of motion and muscle strength. Sample in 40 participants were divided into the intervention group and control group and included in this study according to the following criteria: post-stroke period of <12 months with hemiparesis, age of ≥18 years, and willingness to participate in the study. The intervention was carried out by nurses by providing education for 2 consecutive days and mentoring for 5 consecutive days, while the control group was given standard care and measured using a grip track, handheld dynamometer, and goniometer examination on June to September 2019. For the intervention group, paired t-test analysis confirmed a significant increase in the mean upper extremity muscle strength before (35.770 ± 46.063) and after (51.073 ± 50.866) the 7 day intervention ( p = .002), whereas the control group showed a value 36.570 ± 33.684 and then 31.400 ± 31.760 p = .256 and lower extremity strength before (3.627 ± 1.585) and after (4.365 ± 1.698) the 7-days intervention ( p = .000), whereas the control group showed a value 3.657 ± 1.671 and then 4.043 ± 1.849 p = .013. Almost all the items assessed from Range of Motion (ROM) in the upper and lower extremities showed a significant increase ( p < .05). Supportive-educative ROM exercise significantly contributed to an increase in the average muscle strength and ROM in post-stroke patients.

scholarly journals ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review

2021 ◽  
Vol 3 (1) ◽  
pp. 43-50
Author(s):  
Muliyani Yamlean ◽  
Chandra Bagus Ropyanto ◽  
Fitria Handayani
Keyword(s):  
Muscle Strength ◽  
Scoping Review ◽  
Motor Deficits ◽  
Methodological Framework ◽  
Full Text Article ◽  
Stroke Patients ◽  
Permanent Disability ◽  
Post Stroke ◽  
Before And After ◽  
Improve Muscle Strength

Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.

Association of affected lower limb flexor muscle strength with swing phase duration and gait speed in elderly post-stroke patients

2020 ◽  
Vol 47 (4) ◽  
pp. 443-450
Author(s):  
Emad Moftah ◽  
Vishal Vennu ◽  
Tariq A. Abdulrahman ◽  
Ali H. Alnahdi ◽  
Hashim Balubaid ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Gait Speed ◽  
The Elderly ◽  
Swing Phase ◽  
Flexor Muscle ◽  
Stroke Patients ◽  
Phase Duration ◽  
Post Stroke ◽  
Hip Flexor ◽  
Ankle Dorsiflexor

BACKGROUND: Although several studies have shown an association of muscle weakness with gait speed (GS), no study has explored the relationship of muscle strength with swing phase duration and GS after stroke among the elderly in Saudi Arabia. OBJECTIVE: To examine the association of affected ankle dorsiflexor and hip flexor muscle strength with swing phase duration and GS in the elderly with different stroke chronicity. METHODS: In this cross-sectional study, we included a total of 60 post-stroke patients aged ≥55 years who were admitted in neurorehabilitation units between May 2017 and August 2018. Linear regression was employed to examine the association of muscle strength (measured using a handheld dynamometer) with swing phase duration and GS (both measured using the computerized Zebris–Mat). RESULTS: The chronicity of the stroke was negatively associated (p < 0.05) with swing phase duration. The ankle dorsiflexor muscle strength was significantly associated with GS (β= 0.656, p = 0.041). In contrast, hip flexor muscle strength was significantly associated with GS (β= 0.574, p < 0.0001) even after adjusting for stroke chronicity (β= 0.561, p < 0.0001). CONCLUSIONS: Stroke chronicity was the predictor that reduced swing phase duration. The ankle dorsiflexor muscle strength was associated with GS. However, the hip flexor muscle strength was associated with GS even after adjusting for stroke chronicity.

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