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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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maximal strength training | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Unilateral 1 repetition maximum for leg press and plantarflexion | November 2009-March 2010 |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of force development in unilateral leg press and plantarflexion | November 2009 - March 2010 | |
| Maximal oxygen uptake and walking economy | November 2009 - March 2010 | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tom Tørhaug, MD | St.Olav's University hospital | Principal Investigator |
| Jan Hoff, PhD | National Taiwan Normal University | Study Chair |
| Jan Helgerud | National Taiwan Normal University | Principal Investigator |
| Tor Ivar Gjellesvik | National Taiwan Normal University | Principal Investigator |
| Marius Fimland | National Taiwan Normal University | Principal Investigator |
| Per Marius R Moen | National Taiwan Normal University | Principal Investigator |
| Tessa Hill | National Taiwan Normal University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Avdeling for ervervede hjerneskader, Klinikk for fysikalsk medisin og rehabilitering, St Olavs Hospital | Trondheim | 7050 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22357133 | Result | Hill TR, Gjellesvik TI, Moen PM, Torhaug T, Fimland MS, Helgerud J, Hoff J. Maximal strength training enhances strength and functional performance in chronic stroke survivors. Am J Phys Med Rehabil. 2012 May;91(5):393-400. doi: 10.1097/PHM.0b013e31824ad5b8. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Timed Up and Go Test |
| November 2009 - March 2010 |
| 4 Step Balance Test | 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 |
| SF-36 Quality of life questionnaire, Norwegian version | November 2009 - March 2010 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |