Effects of individualized lower limb isokinetic strengthening in clinical rehabilitation of older post-stroke patients: A retrospective study.

Autor:	Daumas L; University Côte d'Azur, Laboratory Human Motricity Expertise Sport and Health, France; University Côte d'Azur, Cognition Behaviour Technology, France. daumas.l@chu-nice.fr., Zory R; University Côte d'Azur, Laboratory Human Motricity Expertise Sport and Health, France; University Institute of France., Garcia A; University Côte d'Azur, University Hospital Center of Nice, France, Nice., Jaafar A; University Côte d'Azur, University Hospital Center of Nice, France, Nice., Ientile L; Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, France., Michel E; University Côte d'Azur, Laboratory Human Motricity Expertise Sport and Health, France; University Côte d'Azur, University Hospital Center of Nice, France, Nice., Sacco G; University Côte d'Azur, Cognition Behaviour Technology, France; University Côte d'Azur, University Hospital Center of Nice, France, Nice; UPRES EA 4638, University of Angers, France., Chorin F; University Côte d'Azur, Laboratory Human Motricity Expertise Sport and Health, France; University Côte d'Azur, University Hospital Center of Nice, France, Nice.
Jazyk:	angličtina
Zdroj:	Journal of rehabilitation medicine [J Rehabil Med] 2023 Aug 07; Vol. 55, pp. jrm7803. Date of Electronic Publication: 2023 Aug 07.
DOI:	10.2340/jrm.v55.7803
Abstrakt:	Objective: Muscle weakness in the lower limbs is a motor consequence of stroke that causes functional impairment. The aim of this study was to assess the effectiveness of an individualized isokinetic strengthening programme, using the moment-velocity profile, on functional recovery during post-stroke rehabilitation of older patients. A further objective was to describe the effects of the individualized isokinetic strengthening on muscular parameters. Design: Retrospective study. Patients: Older post-stroke patients. Methods: Using the Barthel Index, functional abilities in basic daily tasks were assessed and retrospectively analysed for 88 patients in a post-stroke rehabilitation unit. Of these, 44 patients received conventional rehabilitation (conventional group) and 44 received individualized isokinetic strengthening in addition to conventional rehabilitation (isokinetic group). A 2-Group (isokinetic, conventional) × 2-Time (before, after intervention) repeated measures analysis of variance (ANOVA) was conducted. For muscular parameters, Student t-tests and Wilcoxon tests were performed. Results: The Barthel Index score increased more in the isokinetic group (61.59 ± 26.34 to 88.18 ± 12.16) than in the conventional group (61.70 ± 26.5 to 76.93 ± 18.12). A significant Time × Group interaction was found (F(1,86) = 5.95, p = 0.02). In the isokinetic group all muscular parameters improved. Conclusion: This retrospective clinical study suggests that lower limb isokinetic strengthening, individualized using the moment-velocity profile, is clinically efficient for functional recovery during post-stroke rehabilitation of older patients. Intragroup effects of isokinetic strengthening also suggest benefits for muscular parameters.
Databáze:	MEDLINE
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