Effects of resistance training on muscle strength and functional capacity in stroke survivors: a systematic review

Authors

  • Taynah Souza Ribeiro Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Ivan de Araújo Ferreira Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Joana Beatriz Midões Mariano Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Leandro Lanchotti Cavalcante Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Vitor Loureiro da Silva Serviço de Reabilitação Lucy Montoro Botucatu
  • Flavio Rodrigo Cichon Instituto de Medicina Física e Reabilitação, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Cristiane Gonçalves Mota Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.11606/issn.2317-0190.v31i1a205911

Keywords:

Stroke, Muscle Strength, Resistance Training, Physical Functional Performance

Abstract

Objective: The objectives of this systematic review are to verify the effects of strength training on muscular strength and functional capacity in adults with stroke sequelae. Method: Systematic review study, carried out with published articles on strength training, applied to adults with sequelae of acute or chronic stroke, indexed in the PubMed, SciELO, PEDro and LILACS databases. Descriptors in Portuguese and English were used (Stroke and Strength Training; Stroke and Exercise; Stroke and Physical Fitness; Stroke and Exercise), published between January/2014 and January/2023. Results: 11 clinical trials were included. The studies used different strength training methods. The studies observed an increase in maximum dynamic and isometric strength and in functional capacity tests in all groups that performed strength training. Conclusion: Strength exercise can contribute to increasing muscle strength and improving the functional capacity of people with stroke sequelae, but studies with a larger number of participants are necessary.

Downloads

Download data is not yet available.

References

Oliveira GMM, Brant LCC, Polanczyk CA, Biolo A, Nascimento BR, Malta DC, et al. Estatística Cardiovascular – Brasil 2020. Arquivos Brasileiros de Cardiologia. 2020;115(3):308-439. Doi: https://doi.org/10.36660/abc.20200812

Fernandez-Gonzalo R, Fernandez-Gonzalo S, Turon M, Prieto C, Tesch PA, García-Carreira MDC. Muscle, functional and cognitive adaptations after flywheel resistance training in stroke patients: a pilot randomized controlled trial. J Neuroeng Rehabil. 2016;(13)37 1-11. Doi: https://doi.org/10.1186/s12984-016-0144-7

Thomaz A, Brito CMM. Condicionamento físico pós acidente vascular encefálico. In: Yazbek Junior P, Sabbag LMS, Battistella LR, editors. Tratado de reabilitação: diretrizes nas afecções cardiovasculares, neuromusculares e musculoesqueléticas. São Paulo; Phorte; 2010. p. 565–78.

Yoon DH, Kang D, Kim HJ, Kim JS, Song HS, Song W. Effect of elastic band-based high-speed power training on cognitive function, physical performance and muscle strength in older women with mild cognitive impairment. Geriatr Gerontol Int. 2017;17(5):765-772. Doi: https://doi.org/10.1111/ggi.12784

Park SY, Kim JK, Lee SA. The effects of a community-centered muscle strengthening exercise program using an elastic band on the physical abilities and quality of life of the rural elderly. J Phys Ther Sci. 2015;27(7):2061-3. Doi: https://doi.org/10.1589/jpts.27.2061

Rose DK, Nadeau SE, Wu SS, Tilson JK, Dobkin BH, Pei Q, et al. Locomotor training and strength and balance exercises for walking recovery after stroke: response to number of training sessions. Phys Ther. 2017;97(11):1066-1074. Doi: https://doi.org/10.1093/ptj/pzx079

Rosenfeldt AB, Linder SM, Davidson S, Clark C, Zimmerman NM, Lee JJ, et al. Combined aerobic exercise and task practice improve health-related quality of life poststroke: a pre-liminary analysis. Arch Phys Med Rehabil. 2019;100(5):923-930. Doi: https://doi.org/10.1016/j.apmr.2018.11.011

Lamberti N, Straudi S, Malagoni AM, Argirò M, Felisatti M, Nardini E, et al. Effects of low-intensity endurance and resistance training on mobility in chronic stroke survivors: a pilot randomized controlled study. Eur J Phys Rehabil Med. 2017;53(2):228-39. Doi: https://doi.org/10.23736/s1973-9087.16.04322-7

Aidar FJ, Oliveira RJ, Matos DG, Mazini Filho ML, Moreira OC, Oliveira CE, et al. A randomized trial investigating the influence of strength training on quality of life in ischemic stroke. Top Stroke Rehabil. 2016;23(2):84-9. Doi: https://doi.org/10.1080/10749357.2015.1110307

Folkerts MA, Hijmans JM, Elsinghorst AL, Mulderij Y, Murgia A, Dekker R. Effectiveness and feasibility of eccentric and task-oriented strength training in individuals with stroke. NeuroRehabilitation. 2017;40(4):459-71. Doi: https://doi.org/10.3233/nre-171433

Graef P, Michaelsen SM, Dadalt ML, Rodrigues DA, Pereira F, Pagnussat AS. Effects of functional and analytical strength training on upper-extremity activity after stroke: a random-ized controlled trial. Braz J Phys Ther. 2016;20(6):543-52. Doi: https://doi.org/10.1590/bjpt-rbf.2014.0187

Hendrey G, Clark RA, Holland AE, Mentiplay BF, Davis C, Windfeld-Lund C, et al. Feasibility of ballistic strength training in subacute stroke: a randomized, controlled, assessor-blinded pilot study. Arch Phys Med Rehabil. 2018;99(12):2430-2446. Doi: https://doi.org/10.1016/j.apmr.2018.04.032

Ivey FM, Prior SJ, Hafer-Macko CE, Katzel LI, Macko RF, Ryan AS. Strength training for skeletal muscle endurance after stroke. J Stroke Cerebrovasc Dis. 2017;26(4):787-94. Doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.10.018

Lund C, Dalgas U, Grønborg TK, Andersen H, Severinsen K, Riemenschneider M, et al. Balance and walking performance are improved after resistance and aerobic training in persons with chronic stroke. Disabil Rehabil. 2018;40(20)2408-2415. Doi: https://doi.org/10.1080/09638288.2017.1336646

Milot MH, Léonard G, Corriveau H, Desrosiers J. Using the Borg rating of perceived exertion scale to grade the intensity of a functional training program of the affected upper limb after a stroke: a feasibility study. Clin Interv Aging. 2018;14:9-16. Doi: https://doi.org/10.2147/cia.s179691

Severinsen K, Jakobsen JK, Pedersen AR, Overgaard K, An-dersen H. Effects of resistance training and aerobic training on ambulation in chronic stroke. Am J Phys Med Rehabil. 2014;93(1):29-42. Doi: https://doi.org/10.1097/phm.0b013e3182a518e1

Högg S, Holzgraefe M, Drüge C, Hauschild F, Herrmann C, Obermann M, et al. High-intensity arm resistance training does not lead to better outcomes than low-intensity resistance training in patients after subacute stroke: a randomized controlled trial. J Rehabil Med. 2020;52(6):1-10. Doi: https://doi.org/10.2340/16501977-2686

Lee J, Stone AJ. Combined aerobic and resistance training for cardiorespiratory fitness, muscle strength, and walking capacity after stroke: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2020;29(1). Doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104498

Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: a recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335-42. Doi: 10.5123/S1679-49742015000200017

Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, Oliveira LVF. PEDro: a base de dados de evidências em fisioterapia. Fisioter Mov. 2011;24(3):523-33. Doi: https://doi.org/10.1590/S0103-51502011000300017

PEDro: Physiotherapy Evidence Database [database on the Internet] Sydney: PEDro, c2023 [cited 2023 aug 6]. Available from: https://pedro.org.au/portuguese

Carvalho APV, Silva V, Grande AJ. Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagn Tratamento. 2013;18(1):38-44.

Shao C, Wang Y, Gou H, Xiao H, Chen T. Strength Training of the Nonhemiplegic Side Promotes Motor Function recovery in patients with stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2023;104(2):188-94. Doi: https://doi.org/10.1016/j.apmr.2022.09.012

Bernaldino ES, Silva FD. Os benefícios do treinamento resistido para a terceira idade. Saber Científico. 2021;10(1):1-9.

Castilho FP. A influência do treinamento resistido na qualidade corporal de idosos praticantes: uma revisão de literatura [Trabalho de Conclusão de Curso]. Goiânia: Pontifícia Universidade Católica de Goiás; 2014.

Kostka J, Niwald M, Guligowska A, Kostka T, Miller E. Muscle power, contraction velocity and functional performance after stroke. Brain Behav. 2019;9(4):1-7. Doi: https://doi.org/10.1002/brb3.1243

Dias RMR, Avelar A, Menêses AL, Salvador EP, Silva DRP, Cyrino ES. Segurança, reprodutibilidade, fatores intervenientes e aplicabilidade de testes de 1-RM. Motriz Rev Educ Fís. 2013;19(1):231-242. Doi: https://doi.org/10.1590/S1980-65742013000100024

Petridis L, Utczás K, Tróznai Z, Kalabiska I, Pálinkás G, Szabó T. Vertical jump performance in hungarian male elite junior soccer players. Res Q Exerc Sport. 2019;90(2):251-7. Doi: https://doi.org/10.1080/02701367.2019.1588934

Barker LA, Harry JR, Mercer JA. Relationships Between Countermovement Jump Ground Reaction Forces and Jump Height, Reactive Strength Index, and Jump Time. J Strength Cond Res. 2018;32(1):248-54. Doi: https://doi.org/10.1519/jsc.0000000000002160

Li J, Zhong D, Ye J, He M, Liu X, Zheng H, et al. Rehabilitation for balance impairment in patients after stroke: a protocol of a systematic review and network meta-analysis. BMJ Open. 2019;9(7)1-5. Doi: https://doi.org/10.1136/bmjopen-2018-026844

Campoy FAS. Efeitos do treinamento resistido concêntrico versus excêntrico sobre parâmetros clínicos e funcionais [Dissertação]. Presidente Prudente: Universidade Estadual Paulista; 2011.

Kim WS, Cho S, Ku J, Kim Y, Lee K, Hwang HJ, et al. Clinical Application of Virtual Reality for Upper Limb Motor Rehabilitation in stroke: review of technologies and clinical evidence. J Clin Med. 2020;9(10):1-20. Doi: https://doi.org/10.3390/jcm9103369

Arya KN, Pandian S, Puri V. Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review. Top Stroke Rehabil. 2018;25(1):68-81. Doi: https://doi.org/10.1080/10749357.2017.1383712

Norrving B, Barrick J, Davalos A, Dichgans M, Cordonnier C, Guekht A, et al. Action Plan for Stroke in Europe 2018-2030. Eur Stroke J. 2018;3(4):309-336. Doi: https://doi.org/10.1177/2396987318808719

Published

2024-03-31

Issue

Section

Review Article

How to Cite

1.
Ribeiro TS, Ferreira I de A, Mariano JBM, Cavalcante LL, Silva VL da, Cichon FR, et al. Effects of resistance training on muscle strength and functional capacity in stroke survivors: a systematic review. Acta Fisiátr. [Internet]. 2024 Mar. 31 [cited 2024 Jun. 27];31(1):55-62. Available from: https://revistas.usp.br/actafisiatrica/article/view/205911