Effectiveness and feasibility of eccentric and task-oriented strength training in individuals with stroke.

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.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Folkerts MA,Hijmans JM,Elsinghorst AL,Mulderij Y,Murgia A,Dekker R

doi

10.3233/NRE-171433

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

459-471

issue

4

eissn

1053-8135

issn

1878-6448

pii

NRE1433

journal_volume

40

pub_type

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