Abstract
Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contri-buting to weakness, and reports of early investigations involving high-resistance training targeted at improving strength and the transfer of strength to improvements in functional capacity. Based on this information, we describe some unsolved problems and indicate some likely lines of development to increase our knowledge regarding how resistance training can be included in effective stroke rehabilitation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 293-312 |
| Number of pages | 20 |
| Journal | Journal of Rehabilitation Research and Development |
| Volume | 41 |
| Issue number | 3 A |
| DOIs | |
| State | Published - Jan 1 2004 |
| Externally published | Yes |
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Keywords
- Adaptation, physiological
- Cerebrovascular accident
- Evidence-based medicine
- Hemiplegia
- Muscle weakness
- Muscles, skeletal
- Recovery of function
- Rehabilitation
- Treatment outcome
ASJC Scopus subject areas
- Rehabilitation
Cite this
Weakness and strength training in persons with poststroke hemiplegia : Rationale, method, and efficacy. / Patten, Carolynn; Lexell, Jan; Brown, Heather E.
In: Journal of Rehabilitation Research and Development, Vol. 41, No. 3 A, 01.01.2004, p. 293-312.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Weakness and strength training in persons with poststroke hemiplegia
T2 - Rationale, method, and efficacy
AU - Patten, Carolynn
AU - Lexell, Jan
AU - Brown, Heather E.
PY - 2004/1/1
Y1 - 2004/1/1
N2 - Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contri-buting to weakness, and reports of early investigations involving high-resistance training targeted at improving strength and the transfer of strength to improvements in functional capacity. Based on this information, we describe some unsolved problems and indicate some likely lines of development to increase our knowledge regarding how resistance training can be included in effective stroke rehabilitation.
AB - Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contri-buting to weakness, and reports of early investigations involving high-resistance training targeted at improving strength and the transfer of strength to improvements in functional capacity. Based on this information, we describe some unsolved problems and indicate some likely lines of development to increase our knowledge regarding how resistance training can be included in effective stroke rehabilitation.
KW - Adaptation, physiological
KW - Cerebrovascular accident
KW - Evidence-based medicine
KW - Hemiplegia
KW - Muscle weakness
KW - Muscles, skeletal
KW - Recovery of function
KW - Rehabilitation
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=3543014343&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=3543014343&partnerID=8YFLogxK
U2 - 10.1682/JRRD.2004.03.0293
DO - 10.1682/JRRD.2004.03.0293
M3 - Review article
C2 - 15543447
AN - SCOPUS:3543014343
VL - 41
SP - 293
EP - 312
JO - Journal of rehabilitation R&D
JF - Journal of rehabilitation R&D
SN - 0007-506X
IS - 3 A
ER -