Strength training for walking in neurologic rehabilitation is not task specific: a focused review.

Abstract:

:The aim of this systematic review was to investigate the task specificity of strength training programs for walking in neurologic rehabilitation. Nine electronic databases were searched from conception to October 2012 for randomized controlled trials that used strength training to improve walking in adult neurologic populations. The search identified 25 randomized controlled trials that investigated the efficacy of strength training to improve walking in people with a variety of neurologic conditions. The results revealed that despite significant strength gains, many studies failed to show a significant improvement in walking capacity. Most studies did not include exercises relating to all three main power events important for walking. Strength testing and strengthening exercises were prioritized for the knee extensors and flexors, despite their relatively minor role in human walking. Strengthening exercises performed in the neurologic population are not specific to the main muscle groups responsible for the power generation required for walking. There is a predisposition for strength testing and strengthening exercises to focus on the knee flexors and extensors despite their relatively minor role during walking. Further consideration of the specificity of strength training may provide greater translation of strength gains to improved walking outcomes.

journal_name

Am J Phys Med Rehabil

authors

Williams G,Kahn M,Randall A

doi

10.1097/PHM.0000000000000058

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

511-22

issue

6

eissn

0894-9115

issn

1537-7385

journal_volume

93

pub_type

杂志文章,评审
  • Measuring participation across impairment groups using the Craig Handicap Assessment Reporting Technique.

    abstract:OBJECTIVE:To assess the efficacy, across a range of disability groups, of the Craig Handicap Assessment and Reporting Technique (CHART), a measure of societal participation. DESIGN:Cross-sectional analysis survey methodology. A total of 1110 community-based, nonhospitalized Coloradans with spinal cord injury, traumati...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000098041.42394.9A

    authors: Walker N,Mellick D,Brooks CA,Whiteneck GG

    更新日期:2003-12-01 00:00:00

  • Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain.

    abstract:OBJECTIVE:We measured the surface electromyographic activities of vastus medialis obliquus and vastus lateralis in 16 subjects with patellofemoral joint pain syndrome. DESIGN:Each subject performed bilateral static knee extension exercises at 60% of his or her maximal voluntary effort under different combinations of h...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-200111000-00003

    authors: Lam PL,Ng GY

    更新日期:2001-11-01 00:00:00

  • Paucity of Clinical Practice Guidelines for the Rehabilitation of Burn Survivors.

    abstract::Clinical practice guidelines (CPGs) provide an efficient route from research to practice because they follow a prescribed, vetted process for evidence collection. CPGs offer underserved fields, such as burn rehabilitation, an accessible approach to reliable treatment. A literature search was performed using the terms ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001442

    authors: Gerber LH,Deshpande R,Prabhakar S,Cai C,Garfinkel S,Pomeroy JML,Esselman P,Schneider J

    更新日期:2020-08-01 00:00:00

  • Walker modification for ventilator-assisted individuals. Case report.

    abstract::A case is presented of a 53-yr-old ambulatory ventilator-dependent individual who demonstrated that functional ambulation could be possible with a modified rolling walker. The patient used intermittent positive pressure ventilation delivered by noninvasive methods 24 h a day. For potentially ambulatory ventilator user...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199210000-00011

    authors: Kirshblum SC,Bach JR

    更新日期:1992-10-01 00:00:00

  • Occlusive vascular disease of lower limbs: diagnosis, amputation surgery and rehabilitation. A review of the Burke experience.

    abstract::This review is concerned with the epidemiology of lower limb amputations, frequency and results of limbsaving procedures and the contemporary management of dysvascular amputees. National data showed no decline in the number and rates of amputations from 1981-1985, but the frequency of bypass surgery increased indicati...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-198808000-00003

    authors: Stern PH

    更新日期:1988-08-01 00:00:00

  • The Uniform Data System for Medical Rehabilitation report of patients discharged from comprehensive medical rehabilitation programs in 1999.

    abstract::This is the 10th annual report describing patients discharged from comprehensive medical rehabilitation programs in the United States that subscribe to the Uniform Data System for Medical Rehabilitation. The analysis included 298,973 complete records of first admission cases discharged alive from 676 facilities in 199...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200202000-00010

    authors: Deutsch A,Fiedler RC,Granger CV,Russell CF

    更新日期:2002-02-01 00:00:00

  • Pregnancy leads to lasting changes in foot structure.

    abstract:OBJECTIVE:Women are disproportionately affected by musculoskeletal disorders. Parous women seem to be at a particularly elevated risk for structural and functional changes in the lower limbs. The combination of increased weight on the joints with potentially greater laxity during pregnancy could lead to permanent struc...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31827443a9

    authors: Segal NA,Boyer ER,Teran-Yengle P,Glass NA,Hillstrom HJ,Yack HJ

    更新日期:2013-03-01 00:00:00

  • Neuroendocrine changes during functional electrical stimulation.

    abstract::This study examined the effects of a computerized functional electrical stimulation exercise program on plasma beta-endorphin-like immunoreactivity (BEP-ir), cortisol levels and depression parameters in spinal cord-injured individuals. Nine subjects from 1.2 to 33.5 yr postinjury with both motor and sensory complete l...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199206000-00006

    authors: Twist DJ,Culpepper-Morgan JA,Ragnarsson KT,Petrillo CR,Kreek MJ

    更新日期:1992-06-01 00:00:00

  • Paraplegia Following Lumbar Epidural Steroid Injection in a Patient With a Spinal Dural Arteriovenous Fistula.

    abstract::We report a patient with a previously undiagnosed spinal dural arteriovenous fistula (SDAVF) who became acutely paraplegic following a lumbar epidural steroid injection for lumbar spinal stenosis. Magnetic resonance imaging showed multiple flow voids and serpentine vessels on the cord surface with cord edema extending...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000645

    authors: Annaswamy TM,Worchel J

    更新日期:2017-08-01 00:00:00

  • Left-ventricular function and physical performance on the 6-min walk test in older patients after inpatient cardiac rehabilitation.

    abstract:OBJECTIVE:The 6-min walk test (6mWT) is widely used to assess physical performance in cardiac rehabilitation settings. Factors affecting the walked distance before starting physical training have been described, whereas information on factors affecting the increase of the walked distance after physical training is stil...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31815e67d8

    authors: Polcaro P,Lova RM,Guarducci L,Conti AA,Zipoli R,Papucci M,Garuglieri S,Raimo D,Fattirolli F,Macchi C,Gensini GF

    更新日期:2008-01-01 00:00:00

  • Physiological basis of fatigue.

    abstract::This work summarizes our knowledge of the physiological basis of fatigue and the effects of exercise and pharmacological interventions on fatigue. Fatigue may be defined as physical and/or mental weariness resulting from exertion, that is, an inability to continue exercise at the same intensity with a resultant deteri...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/phm.0b013e31802ba53c

    authors: Evans WJ,Lambert CP

    更新日期:2007-01-01 00:00:00

  • Effect of Exercise on Risk Factors of Diabetic Foot Ulcers: A Systematic Review and Meta-Analysis.

    abstract::The objectives of this study were to examine the effectiveness of different types of exercise on risk factors of diabetic foot ulcers, including glycated hemoglobin, peripheral arterial disease, and diabetic peripheral neuropathy, in people with type 2 diabetes mellitus. PubMed, Web of Science, Cochrane Library, Scopu...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,meta分析

    doi:10.1097/PHM.0000000000001002

    authors: Liao F,An R,Pu F,Burns S,Shen S,Jan YK

    更新日期:2019-02-01 00:00:00

  • The Uniform Data System for Medical Rehabilitation: report of follow-up information on patients discharged from inpatient rehabilitation programs in 2002-2010.

    abstract:OBJECTIVE:The aim of this study was to present yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower extremity fracture, lower extremity joint replacement, trau...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3182a92c58

    authors: Graham JE,Granger CV,Karmarkar AM,Deutsch A,Niewczyk P,Divita MA,Ottenbacher KJ

    更新日期:2014-03-01 00:00:00

  • Successful treatment of posttraumatic hemiballismus with intrathecal baclofen therapy.

    abstract::Intrathecal baclofen (ITB) therapy is widely used in the management of spastic hypertonia and dystonia resulting from a multitude of conditions that present with upper motor neuron syndrome signs, such as cerebral palsy, stroke, brain and spinal injuries, and multiple sclerosis. We report successful management of post...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000233173.32432.6f

    authors: Francisco GE

    更新日期:2006-09-01 00:00:00

  • SONOGRAPHIC THIGH ADJUSTMENT RATIO - STAR A Golden Formula for the Diagnosis of Sarcopenia.

    abstract:OBJECTIVES:To explore an individualized sonographic muscle thickness ratio and its cut-off values in the diagnosis of sarcopenia. DESIGN:A total of 326 community-dwelling adults were included in this cross-sectional study. Total skeletal muscle mass was evaluated by bioelectrical impedance analysis, and 9-site muscle ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001439

    authors: Kara M,Kaymak B,Ata AM,Özkal Ö,Kara Ö,Baki A,Ayçiçek GŞ,Topuz S,Karahan S,Soylu AR,Çakir B,Halil M,Özçakar L

    更新日期:2020-04-03 00:00:00

  • H reflex amplitude. Effect of leg muscle activity.

    abstract::The H reflex is a monosynaptic reflex whose latency can be used to evaluate pathology of the S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve physiology. A...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199705000-00003

    authors: McHugh DJ,Reeser JC,Johnson EW

    更新日期:1997-05-01 00:00:00

  • Sports-related knee injuries in female athletes: what gives?

    abstract::Knee injuries occur commonly in sports, limiting field and practice time and performance level. Although injury etiology relates primarily to sports specific activity, female athletes are at higher risk of knee injury than their male counterparts in jumping and cutting sports. Particular pain syndromes such as anterio...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000154183.40640.93

    authors: Dugan SA

    更新日期:2005-02-01 00:00:00

  • Dynamic implications of hip flexion contractures.

    abstract::Hip flexion contractures are a common complication in disabled patients. However, no previous study has examined reduced hip motion during gait. This retrospective analysis evaluates the relationship between the degree of hip flexion contracture found on static testing and the degree found during gait and also assesse...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199711000-00013

    authors: Lee LW,Kerrigan DC,Della Croce U

    更新日期:1997-11-01 00:00:00

  • Perioperative exercise programs improve early return of ambulatory function after total hip arthroplasty: a randomized, controlled trial.

    abstract:OBJECTIVE:Patients with endstage hip arthritis have poor ambulatory function. The aim of this study was to determine if perioperative exercise programs are well tolerated by these elderly patients and if a customized program can achieve an earlier recovery of normal ambulatory function after total hip arthroplasty. DE...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00002060-200211000-00001

    authors: Wang AW,Gilbey HJ,Ackland TR

    更新日期:2002-11-01 00:00:00

  • An occult presentation of appendicitis in a patient with tetraplegia.

    abstract::A 26-yr-old man with a C4 American Spinal Injury Association impairment scale B spinal cord injury was admitted due to a left calf pressure ulcer. The patient's initial laboratory results and physical examination findings were unremarkable, except for a stage IV pressure ulcer. On day 7, the patient developed fever an...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181c1ed30

    authors: Zaremski JL,Jayawardena V,Lew HL

    更新日期:2010-02-01 00:00:00

  • Recovery of life satisfaction in persons with spinal cord injury during inpatient rehabilitation.

    abstract:OBJECTIVE:To determine the course of life satisfaction of persons with spinal cord injury and its determinants during inpatient rehabilitation and up to 1 yr after discharge. DESIGN:Prospective cohort study of 222 persons with spinal cord injury. Measurements at the start of active rehabilitation, after 3 mos, at disc...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181b71afe

    authors: van Koppenhagen CF,Post MW,van der Woude LH,de Groot S,de Witte LP,van Asbeck FW,van den Heuvel W,Lindeman E

    更新日期:2009-11-01 00:00:00

  • Common questions asked by medical students about physiatry. Brief report.

    abstract::This article was prepared by physiatry residency training directors to provide the answer(s) to common questions asked by medical students with respect to the specialty. These responses should aid the student and their advisors in considering Physical Medicine and Rehabilitation as their career choice. ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: DeLisa JA,Leonard JA Jr,Smith BS,Kirshblum S

    更新日期:1995-03-01 00:00:00

  • Effects of acute joint effusion on balance in patients with knee osteoarthritis.

    abstract:OBJECTIVES:The purpose of this study was to assess the effects of acute joint effusion on balance in patients with knee osteoarthritis. DESIGN:Forty-four female subjects with painful knee osteoarthritis participated in this single-blind, randomized, controlled clinical trial. All subjects were randomly assigned to eit...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0b013e318269d78f

    authors: Hong BY,Lim SH,Im SA,Lee JI

    更新日期:2013-01-01 00:00:00

  • Bone mineral density in patients with stroke.

    abstract:OBJECTIVE:Stroke is an acute neurologic dysfunction of vascular origin, characterized by loss of voluntary movement, sensory disturbances, and neurologic findings in the contralateral half of the body. Acute and long-term complications because of immobilization are seen in all organ systems. The aim of this study was t...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-200108000-00009

    authors: Sahin L,Ozoran K,Gündüz OH,Uçan H,Yücel M

    更新日期:2001-08-01 00:00:00

  • Back and thigh pain of unusual etiology complicates rehabilitation after bilateral total knee arthroplasty.

    abstract::Total knee arthroplasty is frequently performed and usually associated with favorable results. A case is presented where persistent back and thigh pain limited rehabilitation progress following bilateral total knee arthroplasty procedures. The pain was found to be related to the presence of a symptomatic 5.24-cm infra...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31817c19e7

    authors: Schuchmann JA

    更新日期:2008-07-01 00:00:00

  • Diagnosing adductor muscle avulsion at the symphysis pubis with ultrasound.

    abstract::A 58-yr-old woman presented after experiencing left hip and groin pain for 1 mo. She denies any history of trauma, falls or any bruising, or history of sports injury or extreme physical exertion before her symptoms. On ultrasonography, she was found to have an avulsion tear at the origin of the adductor muscles, predo...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000000

    authors: Chen DJ,Caldera FE,Kim W

    更新日期:2014-04-01 00:00:00

  • Motor Unit Number Index in Evaluating Patients with Lumbar Spinal Stenosis.

    abstract:OBJECTIVE:Motor Unit Number Index (MUNIX) is a quantitative electrophysiological measure that provides an index of the number of motor neurons supplying a muscle. The aim of this exploratory study is to assess the utility of MUNIX in the evaluation of patients with lumbar spinal stenosis (LSS). DESIGN:Participants wer...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001681

    authors: Cai H,Kroll M,Annaswamy T

    更新日期:2021-01-08 00:00:00

  • Differences between poststroke drivers and nondrivers: demographic characteristics, medical status, and transportation use.

    abstract:OBJECTIVE:To determine the demographic, medical, and transportation use characteristics of stroke survivors wanting to drive who resumed or did not resume driving and compare the driving habits of those who drove with those of a nonstroke control group. DESIGN:One hundred and six stroke survivors who underwent a drivi...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181aa001e

    authors: Finestone HM,Marshall SC,Rozenberg D,Moussa RC,Hunt L,Greene-Finestone LS

    更新日期:2009-11-01 00:00:00

  • Dynamic postural control in patients with hemiparesis.

    abstract:OBJECTIVE:Decreased postural stability is a common problem associated with hemiparesis secondary to stroke. The purpose of this study was to evaluate dynamic postural control in patients with hemiparesis and in normal subjects matched for age. DESIGN:Quantitative posturography (EquiTest System) was performed to assess...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Ikai T,Kamikubo T,Takehara I,Nishi M,Miyano S

    更新日期:2003-06-01 00:00:00

  • Research in physical medicine and rehabilitation. XII. Measurement tools with application to brain injury.

    abstract::There are basic principles and techniques of measurement that are relevant across biomedical disciplines. The purpose of this article is to explain some of the most important of these for medical rehabilitation, to illustrate how to use them to choose assessment instruments and to describe the nature of measurement in...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199102000-00008

    authors: Johnston MV,Findley TW,DeLuca J,Katz RT

    更新日期:1991-02-01 00:00:00