Abstract
BACKGROUND: Strength training can increase function in individuals with stroke. However it is unclear which type of strength training is most effective and feasible.
OBJECTIVE: To assess the effect and feasibility of an intervention combining eccentric and task-oriented strength training in individuals with chronic stroke.
METHODS: Eleven participants were randomly assigned to a group first receiving four weeks of eccentric strength training and then four weeks of task-oriented strength training (EST-TOST) or vice versa (TOST-EST). Strength and upper limb function were administered with a hand-held dynamometer (HHD) and the Action Research Arm Test (ARAT) respectively. Feasibility was evaluated with the Intrinsic Motivation Inventory (IMI), the adherence and drop-out rate.
RESULTS: Significant increases were found in ARAT score (mean difference 7.3; p <0.05) and in shoulder and elbow strength (mean difference respectively 23.96 N; p <0.001 and 27.41 N; p <0.003). Participants rated both EST and TOST with 81% on the IMI, the adherence rate was high and there was one drop-out.
CONCLUSION: The results of this study show that a combination of eccentric and task-oriented strength training is an effective and feasible training method to increase function and strength in individuals with chronic stroke.
| Original language | English |
|---|---|
| Pages (from-to) | 459-471 |
| Number of pages | 13 |
| Journal | Neurorehabilitation |
| Volume | 40 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 9-Jun-2017 |
Keywords
- Stroke
- strength training
- eccentric
- task-oriented
- effectiveness
- feasibility
- UPPER EXTREMITY FUNCTION
- RESEARCH ARM TEST
- HAND-HELD DYNAMOMETER
- UPPER-LIMB
- MUSCLE STRENGTH
- PSYCHOMETRIC PROPERTIES
- PATIENT MOTIVATION
- MOTOR FUNCTION
- RELIABILITY
- REHABILITATION