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Title: Associations between lower limb strength and gait velocity following a stroke: a systematic review.
Epworth Authors: Williams, Gavin
Other Authors: Tole, Genevieve
Clark, Ross
Mentiplay, Benjamin
Adair, Brooke
Bower, Kelly
Keywords: Gait
Muscle Strength
Review, Systematic
Lower Extremity
Lower Limb
Extremity, Lower
Ankle Dorsiflexors
Isometric Strength
Gait Velocity
Physiotherapy Department, Epworth Healthcare, Melbourne, Australia
Issue Date: Apr-2015
Publisher: Taylor & Francis Group
Citation: Brain Injury 2015;29(4):409-22
Abstract: OBJECTIVE: The aim of this systematic review was to identify literature examining associations between isometric strength and gait velocity following stroke. METHODS: An electronic search was performed using six online databases. Targeted searching of reference lists of included articles and three relevant journals was also performed. Two independent reviewers identified relevant articles, extracted data and assessed the methodological quality of included articles. Inclusion criteria involved studies that assessed univariate correlations between gait velocity and isometric strength of individual lower limb muscle groups in a stroke population. RESULTS: Twenty-one studies were included for review. The majority of included studies had a relatively small sample size. After accounting for sample size and methodological quality, the knee extensors showed poor-to-moderate correlations with gait velocity while the ankle dorsiflexors showed the strongest association with gait velocity. CONCLUSIONS: Current evidence suggests that the strength of the has a stronger correlation to gait velocity compared with other lower limb muscle groups. Consequently, a focus on increasing ankle dorsiflexor strength to improve gait velocity following stroke may be beneficial. However, due to limitations of the research identified, further research is needed to determine the associations between lower limb strength and gait velocity following stroke.
DOI: 10.3109/02699052.2014.995231
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia
School of Exercise Science, Australian Catholic University, Melbourne, Victoria, Australia
Caulfield Hospital and La Trobe University, Melbourne, Victoria, Australia
Austin Health, Melbourne, Victoria, Australia
Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
Department of Physiotherapy, Caulfield Hospital, Alfred Health, Melbourne, Australia
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Neurosciences

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