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Weakness in patients with stroke : implications for strength training in neurorehabilitation

NG SSM; SHEPHERD RB
PHYS THER REV , 2000, vol. 5, n° 4, p. 227-238
Doc n°: 98893
Localisation : Documentation IRR
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Muscle weakness is a significant consequences of stroke. Reduction of muscle strength is due to the combined effects of the upper motor neuron lesion and secondary adaptations due to denervation, disuses and inactivity and, in some individuals, the effects of aging. Strength training is not applied in stroke rehabilitation where it is believed that resisted activities will increase spasticity and therefore interfere with motor control. However, recent research provide evidence that muscle strength directly relates to functional performance and intensive strength training has been shown to be beneficial for improving strength and aspects of functional performance without exacerbating abnormal muscle activation. The research literature suggests that task-specific training including resisted strengthening exercises is an appropriate intervention to optimize the performance of functional activities following stroke by both increasing the force-generating capacity of muscles and by increasing skill.

Langue : ANGLAIS

Identifiant basis : 2001214825

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