Effects of individualized lower limb isokinetic strengthening in clinical rehabilitation of older post-stroke patients : A retrospective study
OBJECTIVE: Muscle weakness in the lower limbs is a motor consequence of stroke that causes functional impairment. The aim of this study was to assess the effectiveness of an individualized isokinetic strengthening programme, using the moment-velocity profile, on functional recovery during post-stroke rehabilitation of older patients. A further objective was to describe the effects of the individualized isokinetic strengthening on muscular parameters.
DESIGN: Retrospective study.
PATIENTS: Older post-stroke patients.
METHODS: Using the Barthel Index, functional abilities in basic daily tasks were assessed and retrospectively analysed for 88 patients in a post-stroke rehabilitation unit. Of these, 44 patients received conventional rehabilitation (conventional group) and 44 received individualized isokinetic strengthening in addition to conventional rehabilitation (isokinetic group). A 2-Group (isokinetic, conventional) × 2-Time (before, after intervention) repeated measures analysis of variance (ANOVA) was conducted. For muscular parameters, Student t-tests and Wilcoxon tests were performed.
RESULTS: The Barthel Index score increased more in the isokinetic group (61.59 ± 26.34 to 88.18 ± 12.16) than in the conventional group (61.70 ± 26.5 to 76.93 ± 18.12). A significant Time × Group interaction was found (F(1,86) = 5.95, p = 0.02). In the isokinetic group all muscular parameters improved.
CONCLUSION: This retrospective clinical study suggests that lower limb isokinetic strengthening, individualized using the moment-velocity profile, is clinically efficient for functional recovery during post-stroke rehabilitation of older patients. Intragroup effects of isokinetic strengthening also suggest benefits for muscular parameters.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:55 |
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| Enthalten in: |
Journal of rehabilitation medicine - 55(2023) vom: 07. Aug., Seite jrm7803 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Daumas, Lyne [VerfasserIn] |
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| Anmerkungen: |
Date Completed 08.08.2023 Date Revised 16.08.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.2340/jrm.v55.7803 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM360480594 |
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| 100 | 1 | |a Daumas, Lyne |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effects of individualized lower limb isokinetic strengthening in clinical rehabilitation of older post-stroke patients |b A retrospective study |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 08.08.2023 | ||
| 500 | |a Date Revised 16.08.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: Muscle weakness in the lower limbs is a motor consequence of stroke that causes functional impairment. The aim of this study was to assess the effectiveness of an individualized isokinetic strengthening programme, using the moment-velocity profile, on functional recovery during post-stroke rehabilitation of older patients. A further objective was to describe the effects of the individualized isokinetic strengthening on muscular parameters | ||
| 520 | |a DESIGN: Retrospective study | ||
| 520 | |a PATIENTS: Older post-stroke patients | ||
| 520 | |a METHODS: Using the Barthel Index, functional abilities in basic daily tasks were assessed and retrospectively analysed for 88 patients in a post-stroke rehabilitation unit. Of these, 44 patients received conventional rehabilitation (conventional group) and 44 received individualized isokinetic strengthening in addition to conventional rehabilitation (isokinetic group). A 2-Group (isokinetic, conventional) × 2-Time (before, after intervention) repeated measures analysis of variance (ANOVA) was conducted. For muscular parameters, Student t-tests and Wilcoxon tests were performed | ||
| 520 | |a RESULTS: The Barthel Index score increased more in the isokinetic group (61.59 ± 26.34 to 88.18 ± 12.16) than in the conventional group (61.70 ± 26.5 to 76.93 ± 18.12). A significant Time × Group interaction was found (F(1,86) = 5.95, p = 0.02). In the isokinetic group all muscular parameters improved | ||
| 520 | |a CONCLUSION: This retrospective clinical study suggests that lower limb isokinetic strengthening, individualized using the moment-velocity profile, is clinically efficient for functional recovery during post-stroke rehabilitation of older patients. Intragroup effects of isokinetic strengthening also suggest benefits for muscular parameters | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Zory, Raphaël |e verfasserin |4 aut | |
| 700 | 1 | |a Garcia, Axelle |e verfasserin |4 aut | |
| 700 | 1 | |a Jaafar, Amyn |e verfasserin |4 aut | |
| 700 | 1 | |a Ientile, Luisa |e verfasserin |4 aut | |
| 700 | 1 | |a Michel, Emeline |e verfasserin |4 aut | |
| 700 | 1 | |a Sacco, Guillaume |e verfasserin |4 aut | |
| 700 | 1 | |a Chorin, Frédéric |e verfasserin |4 aut | |
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