Re. Alcantara et al. Cryotherapy reduces muscle hypertonia, but does not affect lower limb strength or gait kinematics post-stroke: a randomized controlled crossover study. Top Stroke Rehabil 2019; 26(4): 267-280

2020 ◽  
pp. 1-2
Author(s):  
Moisés Costa do Couto
Keyword(s):  
Crossover Study ◽  
Lower Limb ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Gait Kinematics ◽  
Lower Limb Strength ◽  
Muscle Hypertonia

Cryotherapy reduces muscle hypertonia, but does not affect lower limb strength or gait kinematics post-stroke: a randomized controlled crossover study

2019 ◽  
Vol 26 (4) ◽  
pp. 267-280
Author(s):  
Carolina Carmona Alcantara ◽  
Julia Blanco ◽  
Lucilene Maria De Oliveira ◽  
Paula Fernanda Sávio Ribeiro ◽  
Esperanza Herrera ◽  
...  
Keyword(s):  
Crossover Study ◽  
Lower Limb ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Gait Kinematics ◽  
Lower Limb Strength ◽  
Muscle Hypertonia

scholarly journals Long-Term Efficacy of Extracorporeal Shock Wave Therapy on Lower Limb Post-Stroke Spasticity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 10 (1) ◽  
pp. 86
Author(s):  
Emanuela Elena Mihai ◽  
Luminita Dumitru ◽  
Ilie Valentin Mihai ◽  
Mihai Berteanu
Keyword(s):  
Systematic Review ◽  
Lower Limb ◽  
Meta Analysis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Term Efficacy ◽  
Extracorporeal Shock Wave

The purpose of this systematic review and meta-analysis is to evaluate the long-term efficacy of Extracorporeal Shock Wave Therapy (ESWT) on reducing lower limb post-stroke spasticity in adults. A systematic electronic search of PubMed/ MEDLINE, Physiotherapy Evidence Database (PEDro), Scopus, Ovid MEDLINE(R), and search engine of Google Scholar was performed. Publications that ranged from January 2010 to August 2020, published in English, French, Spanish, Portuguese, and Italian language and available as full texts were eligible for inclusion and they were searched without any restrictions of country. The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. Two authors screened the references, extracted data, and assessed the risk of bias. The primary outcome was spasticity grade mainly assessed by the Modified Ashworth Scale (MAS). Secondary outcomes were passive range of motion (PROM), pain intensity, electrophysiological parameters, gait assessment, and adverse events. A total of seven recent randomized controlled trials (RCTs) were included in the systematic review and meta-analysis, and a beneficial effect on spasticity was found. The high level of evidence presented in this paper showed that ESWT ameliorates spasticity considering the parameters: MAS: standardized mean difference (SMD) = 0.53; 95% confidence interval (95% CI): (0.07–0.99); Modified Tardieu Scale (MTS): SMD = 0.56; 95% CI: (0.01–1.12); Visual Analogue Scale (VAS): SMD = 0.35; 95% CI: (−0.21–0.91); PROM: SMD = 0.69; 95% CI: (0.20–1.19). ESWT presented long-term efficacy on lower limb post-stroke spasticity, reduced pain intensity, and increased range of motion. The effect of this novel and non-invasive therapy was significant and the intervention did not present adverse events, proving a satisfactory safety profile.

scholarly journals Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

2019 ◽  
Vol 17 (1) ◽  
pp. 161 ◽  
Author(s):  
Santos Villafaina ◽  
Yolanda Borrega-Mouquinho ◽  
Juan Pedro Fuentes-García ◽  
Daniel Collado-Mateo ◽  
Narcis Gusi
Keyword(s):  
Randomized Controlled Trial ◽  
Cardiorespiratory Fitness ◽  
Lower Limb ◽  
Controlled Trial ◽  
Lower Body ◽  
Randomized Controlled ◽  
Body Strength ◽  
Lower Limb Strength ◽  
Lower Body Strength

The aim of this study was to analyze the effects of a 24 week exergame intervention and 24 weeks of detraining on lower-limb strength, agility, and cardiorespiratory fitness in women with fibromyalgia (FM). It was performed as a single-blinded randomized controlled trial of 55 women with FM. University facilities were used. The 24 week exergame intervention was focused on mobility, postural control, upper- and lower-limb coordination, aerobic fitness, and strength. Participants performed 120 min of exergaming per week, which was divided into two sessions. Twenty-four weeks after the end of the intervention, participants were re-evaluated. A chair–stand test, 10 step stair test, and six-minute walk test were conducted to assess lower-body strength, agility, and cardiorespiratory fitness, respectively. The exergame intervention significantly improved lower-limb strength and cardiorespiratory fitness. However, no significant effects on agility were observed. After the detraining period, lower-limb strength and agility returned to their baseline level, but improvements in cardiorespiratory fitness were sustained over time. Exergaming was therefore shown to be beneficial for physical fitness in people with FM. However, exergames had to be played regularly to maintain the benefits. This long-term intervention (24 weeks) may have changed the lifestyle of women with FM, which could explain why cardiorespiratory fitness improvements remained after the detraining period. Future research should focus on lifestyle changes after long-term interventions.

scholarly journals Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia

2015 ◽  
Vol 27 (9) ◽  
pp. 2947-2950 ◽  
Author(s):  
Kenji Kawakami ◽  
Hiroyuki Miyasaka ◽  
Sayaka Nonoyama ◽  
Kazuya Hayashi ◽  
Yusuke Tonogai ◽  
...  
Keyword(s):  
Comparative Study ◽  
Lower Limb ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Motor Paralysis

scholarly journals Do Peers Increase Older Adults’ Participation in Strength Training? Pilot Randomized Trial

2020 ◽  
Vol 28 (5) ◽  
pp. 714-722
Author(s):  
Elissa Burton ◽  
Karen Levit ◽  
Jim Codde ◽  
Keith D. Hill ◽  
Anne-Marie Hill
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Strength Training ◽  
Lower Limb ◽  
Controlled Trial ◽  
Older Person ◽  
Randomized Controlled ◽  
Lower Limb Strength ◽  
Pilot Randomized Controlled Trial ◽  
Over Time

Fewer than 20% of older adults participate in strength training (ST). Barriers to ST participation include not knowing where to go or not having someone to go with. To address these barriers, the authors provided older adults with a peer (older person already participating in ST) to support their engagement. The aim of this pilot randomized controlled trial was to determine whether older adults who were provided with a peer when participating in ST were more likely to be participating in ST 4 weeks postintervention, compared with those receiving ST alone. Fifty-one ST participants were recruited; 40 completed the intervention and postintervention data collection (78.4%). Providing peer support with ST did not significantly increase ST participation (p = .775). However, both groups made significant improvements over time in lower-limb strength and mobility. Participants in either group who continued the ST program (55%) had made additional significant improvements in lower-limb strength and mobility.

scholarly journals Immediate Effects of a Single Spinal Manipulation on Lower-Limb Strength in Healthy Individuals: A Critically Appraised Topic

2021 ◽  
Vol 30 (1) ◽  
pp. 161-165
Author(s):  
Christopher Kevin Wong ◽  
Lizbeth Conway ◽  
Grant Fleming ◽  
Caitlin Gopie ◽  
Dara Liebeskind ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Muscle Strength ◽  
Randomized Controlled Trials ◽  
Lower Limb ◽  
Spinal Manipulation ◽  
Controlled Trials ◽  
Healthy Individuals ◽  
Large Effect Size ◽  
Randomized Controlled ◽  
Lower Limb Strength

Clinical Scenario: Many people with lower quarter musculoskeletal dysfunction present with muscle weakness. Strength training hypertrophies muscle and increases strength, but often requires periods over 6 weeks, which can exceed the episode of care. Weakness can persist despite muscle hypertrophy, particularly in the early stages of joint pathology or in the presence of limb or spinal joint hypomobility, which may inhibit muscle activation. Emerging evidence suggests spinal manipulation can increase short-term strength. Screening for specific muscle weakness that could benefit from manipulation to particular spinal segments could facilitate efficient clinical intervention. Although the neuromuscular mechanisms through which manipulation can increase strength remains a topic of investigation, immediate gains can benefit patients by jump-starting an exercise program to train new muscle function gained and enhancing the motivation to continue strengthening. Evidence from randomized controlled trials would provide support for using manipulation to increase muscle strength, while studying healthy people would eliminate confounding factors, such as pain and pathology. Clinical Question: Does randomized controlled trial-level evidence support the concept that a single lumbar spine manipulation session can increase lower-limb strength in healthy individuals? Summary of Key Findings: Level 1b evidence of moderate quality from 3 randomized controlled trials showed immediate small to large effect size muscle strength increases immediately after lumbar spine manipulation. Clinical Bottom Line: Lumbar spine manipulation can result in immediate lower-limb isometric strength increases. While healthy people with normal muscle strength may improve minimally, joint manipulation for people with knee and hip weakness who are otherwise healthy can result in large effect size strength gains. Strength of Recommendation: Moderate quality level 1b evidence from randomized controlled trials with small samples support the use of spinal manipulation to immediately increase lower-limb strength. Additional studies investigating impact on strength and function immediately in people with musculoskeletal pathology are warranted.

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