Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

The effect of Strength Training on Normalizing the Tone and Strength of Spastic Elbow Flexors in Subjects with Stroke


Affiliations
1 College of Physiotherapy, SVIMS, Tirupati, India
     

   Subscribe/Renew Journal


Objectives: This study is designed to find out whether strength training can normalize the tone in spastic upper extremity muscles and improve the strength of the spastic upper extremity muscles.

Materials and Method: The study was conducted on 30 subjects with elbow flexors spasticity and were divided into experimental and control groups. Both the groups received conventional physiotherapy and Experimental group received strength training in addition. The parameters like strength and spasticity were measured isokinetically.

Result: The strength training program had no statistical significant effect on tone of the spastic elbow flexors between the two groups. t value 0.48 at p value 0.636(not significant) There is a statistically significant difference between two groups in the strength with the improvement in the experimental group. t value 6.03 at p value

Conclusion: This study concludes that strengthening program has minimal effect on spasticity & effective in improving the strength without deleterious effect on spasticity.


Keywords

Stroke, Spasticity, Strength, BIODEX, Active Torque, Passive Torque
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bath PMW (2005) Prostacyclin and analogues for acute ischaemic stroke [Systematic Review]. Cochrane Stroke Group Cochrane Database of Systematic Reviews 1.

  • Petrasovits A, Nair C. Epidemiology of stroke in Canada. Health Rep 1994;6:39-44. Comment in: Health Rep 1994;6:9-12.

  • Burke D (1988) Spasticity as an adaptation to pyramidal tractinjury. Advances in Neurology 47: 401–418.

  • Louise Ada, Simone Dorsch and Colleen G Canning, Strengthening interventions increase strength and improve activity after stroke: a systematic review Australian Journal of Physiotherapy 2006 Vol. 52 pg 241-248

  • Basmajian JV, Gowland C, Brandstater M, et al. EMG feedback treatment of upper limb in hemiplegic stroke patients: a pilot study. Arch phys Med Rehabil. 1982;63:613-615

  • CARR, J & SHEPERD, R (1998) Neurological Rehabilitation: Optimising Motor Performance Butterworth Heinemann, Oxford pp

  • M. Radlinger, Krafttraining, Stuttgart – N.Y. 1998, G-Thieme Verlag.

  • Haas, B.M., Bergstrom, E., Jamous, A. & Bennie, A. 1996. The inter rater reliability of the original and of the modified Ashworth scale for the assessment of spasticity in patients with spinal cord injury. Spinal Cord 34, 560–564.

  • Blackburn, M., van Vliet, P. & Mockett, S.P. 2002. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Phys Ther 82, 25–34.

  • Platz, T., Eickhof, C., Nuyens, G. & Vuadens, P. 2005. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disabil Rehabil 27, 7–18.

  • Knutsson & Martensson 1976, Action of dantrolele sodium in spasticity with low dependence on fusimotor drive. J Neurol Sci 29, 195-212

  • Burridge, J.H., Wood, D.E., Hermens, H.J. et al. 2005. Theoretical and methodological considerations in the measurement of spasticity. Disabil Rehabil 27, 69–80.

  • Luci Fuscaldi Teixeira-Salmela, Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors. J Rehab Med 2001; 33: 53–60

  • Inaba M, Edberg E, Montgomery J, Gillis MK. Effectiveness of functional training, active exercise and resistive exercise for patients with hemiplegia. Phys Ther 1973;53:28-30.

  • Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil 1997;78:1231-6.


Abstract Views: 570

PDF Views: 0




  • The effect of Strength Training on Normalizing the Tone and Strength of Spastic Elbow Flexors in Subjects with Stroke

Abstract Views: 570  |  PDF Views: 0

Authors

P. V. S. R. Bharath Kumar
College of Physiotherapy, SVIMS, Tirupati, India
V. Sri Kumari
College of Physiotherapy, SVIMS, Tirupati, India
K. Madhavi
College of Physiotherapy, SVIMS, Tirupati, India

Abstract


Objectives: This study is designed to find out whether strength training can normalize the tone in spastic upper extremity muscles and improve the strength of the spastic upper extremity muscles.

Materials and Method: The study was conducted on 30 subjects with elbow flexors spasticity and were divided into experimental and control groups. Both the groups received conventional physiotherapy and Experimental group received strength training in addition. The parameters like strength and spasticity were measured isokinetically.

Result: The strength training program had no statistical significant effect on tone of the spastic elbow flexors between the two groups. t value 0.48 at p value 0.636(not significant) There is a statistically significant difference between two groups in the strength with the improvement in the experimental group. t value 6.03 at p value

Conclusion: This study concludes that strengthening program has minimal effect on spasticity & effective in improving the strength without deleterious effect on spasticity.


Keywords


Stroke, Spasticity, Strength, BIODEX, Active Torque, Passive Torque

References