Objective:
This
systematic review and meta-analysis investigates the effects of
resistance training in supporting the recovery in stroke patients.
Data sources:
PubMed, the Cochrane Central Register of Controlled Trials and the PEDro databases were reviewed up to 30 April 2020.
Review methods:
Randomized
controlled trials were included, who compared: (i) resistance training
with no intervention, (ii) resistance training with other interventions
and (iii) different resistance training protocols in stroke
rehabilitation.
Results:
Overall 30 trials (
n = 1051)
were enrolled. The parameters evaluated were: (1) gait, (2) muscular
force and motor function, (3) mobility, balance and postural control,
(4) health related quality of life, independence and reintegration, (5)
spasticity and hypertonia, (6) cardiorespiratory fitness, (7) cognitive
abilities and emotional state and (8) other health-relevant
physiological indicators. The data indicates that: (i) resistance
training is beneficial for the majority of parameters observed, (ii)
resistance training is superior to other therapies on muscular force and
motor function of lower and upper limbs, health related quality of
life, independence and reintegration and other health-relevant
physiological indicators, not significantly different from other
therapies on walking ability, mobility balance and postural control and
spasticity and hypertonia, and inferior to ergometer training on
cardiorespiratory fitness and (iii) the type of resistance training
protocol significantly impacts its effect; leg press is more efficient
than knee extension and high intensity training is superior than low
intensity training.
Conclusion:
Current
data indicates that resistance training
may be beneficial in supporting
the recovery of stroke patients. However, the
current evidence is
insufficient for evidence-based rehabilitation.
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