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초록보기
The purpose of this study was to determine the effects of concentric isokinetic knee strength training on muscle strength, pattern of muscle weakness and gait in chronic ambulatory stroke patients.
Fifteen patients with chronic ambulatory stroke were participated in this study. All subjects were community ambulators and trained using Biodex System 3 isokinetic dynamometer 3 times a week for 6 weeks program consisting of reciprocal knee extension and flexion concentric isokinetic strength training on both knee. Peak isokinetic quadriceps and hamstring torque, walking performance (temporospatial parameter of gait, timed stair climb) were evaluated from before and after training period.
Muscle strength improved significantly after training. Hamstring/quadriceps muscle strength ratio in paretic limb at 30˚/sec and 60˚/sec decreased significantly than that in non-paretic limb. Paretic/non-paretic strength ratio (%) in hamstring muscle at 30˚/sec and 60˚/sec decreased significantly than that in quadriceps muscle. After training, hamstring/quadriceps muscle strength ratio and paretic/non-paretic strength ratio (%) increased, but not significant. Speed, stride length among temporospatial parameters and timed stair climb improved significantly after training (p<0.05).
Significant gains in muscle strength and walking performance were possible after short-term isokinetic resistance training program for chronic ambulatory stroke patients. Improvement in muscle strength, but not pattern of muscle weakness, appeared to transfer to functional improvements. So isokinetic resistance training program would be a effective rehabilitation program for chronic stroke survivors & further investigations in long-term effect and development of strength-specific resistance training program may be indicated.권호기사
참고문헌 (20건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | Recovery of walking function in stroke patients: The copenhagen stroke study  |
미소장 |
| 2 | Effect of Ankle Foot Orthosis on Hemiplegic Gait | 소장 |
| 3 | Adult Hemiplegia: Evaluation and treatment. 2nd ed. London, William Heinemann Medical Books Ltd, 1978. | 미소장 |
| 4 | Dynamic muscle strength training in stroke patients: Effects on knee extension torque, electromyographic activity, and motor function |
미소장 |
| 5 | Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity |
미소장 |
| 6 | Effects of isokinetic strength training on walking in persons with stroke: A double-blind controlled pilot study |
미소장 |
| 7 | High intensity strength training improves strength and functional performance after stroke. |
미소장 |
| 8 | Effects of isokinetic training on the rate of movement during ambulation in hemiparetic patients. |
미소장 |
| 9 | High-Intensity Resistance Training Improves Muscle Strength, Self-Reported Function, and Disability in Long-Term Stroke Survivors |
미소장 |
| 10 | Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors |
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| 11 | Low intensity strength training for ambulatory stroke patients |
미소장 |
| 12 | Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy. |
미소장 |
| 13 | Objective quantification of spastic hypertonia: correlation with clinical findings. |
미소장 |
| 14 | A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: A pilot study of immediate and long-term outcomes. |
미소장 |
| 15 | Effect of Isokinetic Eccentric Knee Extensor and Fiexor Strengthening Exercise in Patients with Chronic Hemiplegia | 소장 |
| 16 | Contribution of neural and muscular factors to the short duration tension- developing capacity of skeletal muscle. |
미소장 |
| 17 | The role of learning and coordination in strength training. Eur J Appl Physiol, 55:100-105,1986 | 미소장 |
| 18 | Distribution of muscle strength impairments following stroke. |
미소장 |
| 19 | The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. |
미소장 |
| 20 | Isokinetic dynamometry. Applications and limitations. |
미소장 |
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