Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/169
Title: Strength training for mobility in neurologic rehabilitation is not task specific: a systematic review
Epworth Authors: Williams, Gavin
Kahn, Michelle
Other Authors: Randall, Alana
Keywords: Gait
Exercise Test
Gait Disorders, Neurologic/physiopathology
Gait Disorders, Neurologic/rehabilitation
Lower Extremity/physiopathology
Muscle Strength/physiology
Nervous System Diseases/physiopathology
Nervous System Diseases/rehabilitation
Resistance Training
Walking/physiology
Physiotherapy Department, Epworth Healthcare, Melbourne, Australia
Issue Date: Jun-2014
Citation: June 2014 - Volume 93 - Issue 6 - p 511-522
Abstract: The aim of this systematic review was to investigate the task specificity of strength training programs for walking in neurologic rehabilitation. Nine electronic databases were searched from conception to October 2012 for randomized controlled trials that used strength training to improve walking in adult neurologic populations. The search identified 25 randomized controlled trials that investigated the efficacy of strength training to improve walking in people with a variety of neurologic conditions. The results revealed that despite significant strength gains, many studies failed to show a significant improvement in walking capacity. Most studies did not include exercises relating to all three main power events important for walking. Strength testing and strengthening exercises were prioritized for the knee extensors and flexors, despite their relatively minor role in human walking. Strengthening exercises performed in the neurologic population are not specific to the main muscle groups responsible for the power generation required for walking. There is a predisposition for strength testing and strengthening exercises to focus on the knee flexors and extensors despite their relatively minor role during walking. Further consideration of the specificity of strength training may provide greater translation of strength gains to improved walking outcomes.
URI: http://hdl.handle.net/11434/169
DOI: 10.1097/PHM.0000000000000058
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/24508930
ISSN: p 0894-9115
e 1537-7385
Journal Title: American Journal of Physical Medicine and Rehabilitation
Type: Journal Article
Affiliated Organisations: Melbourne School of Health Sciences, Carlton, Victoria, Australia
The University of Melbourne, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Neurosciences
Rehabilitation

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