Stroke
Conditions
Keywords
Stroke, Strength training, exercise therapy
Brief summary
The study aims to investigate the effects of strength training on maximal strength, walking ability and neural function in chronic stroke patients. The strength training intervention in this study is different to all previous interventions for stroke patients. Maximal Strength Training (MST) involves weights of up to 90% of the participants 1 repetition maximum and has a focus on the explosive development of force. This study will use these principles for unilateral leg press and plantarflexion exercises. Only 2 previous studies have investigated high intensity strength training for stroke patients and they used intensities of 80% 1RM. Previous MST interventions have shown large increases in strength, rate of force development and this has transferred to improved walking economy. The investigators predict that MST will give large increases in strength, improved rate of force development (RFD) and walking economy. The investigators expect that better neural function will account for the improvements. This study could provide evidence for the adoption of a completely different method of strength rehabilitation for stroke survivors.
Interventions
BEHAVIORALMaximal strength training
Training will be carried out 3 times a week for 8 weeks. Each session will include a warm up, strength training and warm down. The total time will be approximately 1 hour. The training will consist 2 exercises (leg press and plantarflexion). Participants will train each leg individually with 4 sets of 4 repetitions at 90% of the 1 repetition maximum.
Sponsors
Norwegian University of Science and Technology
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* Under 67 years old * Suffered from a stroke at least 6 months previously * Living in the Trondheim area such that travel costs can be covered by 1500 NOK * Must be able to walk, although use of aids is permitted
Exclusion criteria
* Participants must not have cognitive, visuospatial or comprehension deficits to magnitude such that it interferes with the ability to perform testing and training * Participants must be medically unstable (e.g. uncontrollably high blood pressure (140/90), arrythmia, other heart instabilities or other known comorbid diseases) * Participants must not be known to be pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Unilateral 1 repetition maximum for leg press and plantarflexion | November 2009-March 2010 |
Secondary
| Measure | Time frame |
|---|---|
| SF-36 Quality of life questionnaire, Norwegian version | November 2009 - March 2010 |
| V-Wave (using sEMG equipment) of soleus during static plantarflexion | November 2009 - March 2010 |
| Blood lipid profile | November 2009 - March 2010 |
| 6 Minute Walk Test | November 2009 - March 2010 |
| Jump Height of a countermovement jump | November 2009 - March 2010 |
| Maximal oxygen uptake and walking economy | November 2009 - March 2010 |
| Timed Up and Go Test | November 2009 - March 2010 |
| 4 Step Balance Test | November 2009 - March 2010 |
| Rate of force development in unilateral leg press and plantarflexion | November 2009 - March 2010 |
Countries
Norway
Outcome results
None listed