Progressive resistance training improving gait performance and mobility in acute and chronic stroke patients

Author(s):  
Qurat ul ain Ilyas ◽  
Muhammad Imran ◽  
Ayesha Bashir ◽  
Arshad Nawaz Malik

Abstract Stroke, a neurological disorder, leads to long-term disability thereby greatly affecting gait and mobility. The purpose of the current study was to investigate the effects of progressive resistance training in both acute and chronic stroke patients. A quasi interventional study was designed and 46 stroke patients were recruited through convenience sampling technique. Sample size was calculated using epi-tool. Patients who had cognitive problems, balance impairments and contractures were excluded from the study. The study was conducted from January to June 2018, at Rafsan Rehab & Research Centre, Peshawar. Progressive resistance exercises starting at 50 % of one repetition maximum (RM) were performed three days/week and for a total duration of nine weeks. Blind assessor measured readings at baseline and after nine weeks. Gait dynamic index (GDI), Six-Meter Walk Test (SMWT) and Five Times Sit-to-Stand (FTSTS) tools were used to collect the required data. Continuous....

2010 ◽  
Vol 42 (1) ◽  
pp. 23-34 ◽  
Author(s):  
MI-JOUNG LEE ◽  
SHARON L. KILBREATH ◽  
MARIA FIATARONE SINGH ◽  
BRIAN ZEMAN ◽  
GLEN M. DAVIS

2019 ◽  
Vol 31 (4) ◽  
pp. 416-424 ◽  
Author(s):  
Simona Bar-Haim ◽  
Ronit Aviram ◽  
Anat Shkedy Rabani ◽  
Akram Amro ◽  
Ibtisam Nammourah ◽  
...  

Purpose:Exercise interventions have been shown to increase motor capacities in adolescents with cerebral palsy; however, how they affect habitual physical activity (HPA) and sedentary behavior is unclear. The main objective was to correlate changes in HPA with changes in mobility capacity following exercise interventions.Methods:A total of 54 participants (aged 12–20 y) with bilateral spastic cerebral palsy at Gross Motor Function Classification System (GMFCS) levels II and III received 4 months of group progressive resistance training or treadmill training. Mobility measurements and HPA (averaged over 96 h) were made before and after interventions.Results:Averaged baseline mobility and HPA measures and improvements in each after both interventions were positively correlated in all participants. Percentage of sedentary/awake time decreased 2%, with significant increases in HPA measures of step count (16%), walk time (14%), and upright time (9%). Mobility measures and HPA changes were quite similar between Gross Motor Function Classification System levels, but improvement in HPA after group progressive resistance training was greater than after treadmill training (12% vs 4%) and correlated with mobility improvement.Conclusions:Mobility capacity improved after these interventions and was clearly associated with improved HPA. The group progressive resistance training intervention seems preferable to improve HPA, perhaps related to greater social interaction and motivation provided by group training.


1999 ◽  
Vol 9 (6) ◽  
pp. 379-384 ◽  
Author(s):  
Eline Lindeman ◽  
Frank Spaans ◽  
Jos Reulen ◽  
Pieter Leffers ◽  
Jan Drukker

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