Strength Training for Stroke Recovery: The What, How, and Who?
Notice bibliographique
Résumé
People with stroke may experience losses of muscle strength and physical function. The two are related, whereby a threshold of strength is often needed to execute activities of daily living. Strength training (ST) is a potent stimulus to elicit gains in muscle mass, strength, and function. However, it is underutilized in clinical practice due to ambiguity around how to prescribe it. It is also unclear to which extent people with stroke are currently engaging in these activities. The purpose of this thesis was to advance the understanding and application of ST in stroke rehabilitation. Study 1 was a systematic review and meta-analysis of 39 trials (n=1,928), which found that ST improved both muscle strength, as well as outcomes rated as important by a community advisory group of adults with stroke, such as balance, walking capacity and speed. We also found that traditional ST programs using free weights and machines, power-focused intensities (i.e., exercises performed at lower external resistance and high speeds), and more frequent ST were more beneficial for some aspects of stroke recovery. Study 2 examined the feasibility and effects of a 10-week power-focused ST program on muscle strength, power, physical function, and health-related quality of life in 15 people living with mild to moderate chronic stroke. We found that the study was feasible with respect to participant recruitment, sex and gender distribution, attendance, attrition, safety, exercise tolerance, and satisfaction with the program. Moreover, the program showed potential for clinically important improvements in physical function and health-related quality of life. Finally, Study 3, was a cross-sectional study (n=2,094) using data from the Canadian Longitudinal Study on Aging which found that fewer than a quarter of Canadians with stroke engage in muscle strengthening activities and are not likely to meet moderate to vigorous physical activity (MVPA) guidelines. Moreover, people with lower intrinsic capacity, functional mobility, and negative environments had lower physical activity levels. These findings suggest that ST is effective and may be feasibly optimized through power-focused intensities. However, very few people with stroke reported engaging in ST, indicating that health promotion should be a key focus for future research and practice.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,028 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,003 | 0,002 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,003 | 0,004 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».