Walking Performance and Muscle Strength in the Later Stage Poststroke: A Nonlinear Relationship

2013 ◽  
Vol 94 (5) ◽  
pp. 845-850 ◽  
Author(s):  
Cristiane Carvalho ◽  
Katharina S. Sunnerhagen ◽  
Carin Willén
2018 ◽  
Vol 31 (6) ◽  
pp. 1201-1209
Author(s):  
N. Ekin Akalan ◽  
Shavkat Kuchimov ◽  
Adnan Apti ◽  
Yener Temelli ◽  
Merve Ören ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Mark G. Bowden ◽  
Aaron E. Embry ◽  
Chris M. Gregory

Stroke commonly results in substantial and persistent deficits in locomotor function. The majority of scientific inquiries have focused on singular intervention approaches, with recent attention given to task specific therapies. We propose that measurement should indicate the most critical limiting factor(s) to be addressed and that a combination of adjuvant treatments individualized to target accompanying impairment(s) will result in the greatest improvements in locomotor function. We explore training to improve walking performance by addressing a combination of: (1) walking specific motor control; (2) dynamic balance; (3) cardiorespiratory fitness and (4) muscle strength and put forward a theoretical framework to maximize the functional benefits of these strategies as physical adjuvants. The extent to which any of these impairments contribute to locomotor dysfunction is dependent on the individual and will undoubtedly change throughout the rehabilitation intervention. Thus, the ability to identify and measure the relative contributions of these elements will allow for identification of a primary intervention as well as prescription of additional adjuvant approaches. Importantly, we highlight the need for future studies as appropriate dosing of each of these elements is contingent on improving the capacity to measure each element and to titrate the contribution of each to optimal walking performance.


2006 ◽  
Vol 86 (7) ◽  
pp. 912-923 ◽  
Author(s):  
Tuula-Maria Asikainen ◽  
Jaana H Suni ◽  
Matti E Pasanen ◽  
Pekka Oja ◽  
Marjo B Rinne ◽  
...  

Abstract Background and Purpose. Menopause may induce a phase of rapid decreases in bone mineral density, aerobic fitness, muscle strength, and balance, especially in sedentary women. The purpose of this study was to examine the effects and feasibility of an exercise program of 1 or 2 bouts of walking and resistance training on lower-extremity muscle strength (the force-generating capacity of muscle), balance, and walking performance in women who recently went through menopause. Subjects and Methods. The subjects were 134 women who recently went through menopause. The study was a 15-week, randomized, controlled trial with continuous and fractionated exercise groups. The outcomes assessed were lower-extremity muscle strength, balance, and walking time over 2 km. Feasibility was assessed by questionnaires, interviews, and training logs. Results. One hundred twenty-eight women completed the study. Adherence to the study protocol was 92%. Both continuous and fractionated exercise groups improved equally in lower-extremity muscle strength and walking time but not in balance. Almost 70% of the subjects considered the program to be feasible. Two daily walking sessions caused fewer lower-extremity problems than did continuous walking. Discussion and Conclusion. Brisk walking combined with moderate resistance training is feasible and effective. Fractionating the walking into 2 daily sessions is more feasible than continuous walking.


2018 ◽  
Vol 98 (11) ◽  
pp. 925-931
Author(s):  
Marein M Favejee ◽  
Jan C van der Meijden ◽  
Michelle E Kruijshaar ◽  
Dimitris Rizopoulos ◽  
Ans T van der Ploeg ◽  
...  

Aging Cell ◽  
2017 ◽  
Vol 16 (3) ◽  
pp. 461-468 ◽  
Author(s):  
Ariel C. Zane ◽  
David A. Reiter ◽  
Michelle Shardell ◽  
Donnie Cameron ◽  
Eleanor M. Simonsick ◽  
...  

Author(s):  
Xiyao Shan ◽  
Pavlos Evangelidis ◽  
Takaki Yamagishi ◽  
Shun Otsuka ◽  
Fumiko Tanaka ◽  
...  

This study investigated (a) site- and direction-dependent variations of passive triceps surae aponeurosis stiffness and (b) the relationships between aponeurosis stiffness and muscle strength and walking performance in older individuals. Seventy-nine healthy older adults participated in this study. Shear wave velocities of the triceps surae aponeuroses at different sites and in two orthogonal directions were obtained in a prone position at rest using supersonic shear imaging. The maximal voluntary isometric contraction torque of the plantar flexors and normal (preferred) and fast (fastest possible) walking speeds (5-m distance) were also measured. The shear wave velocities of the adjoining aponeuroses were weakly associated with plantar flexion torque (r = .23–.34), normal (r = .26), and fast walking speed (r = .25). The results show clear spatial variations and anisotropy of the triceps surae aponeuroses stiffness in vivo, and the aponeurosis stiffness was associated with physical ability in older adults.


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