Matches in SemOpenAlex for { <https://semopenalex.org/work/W2121330305> ?p ?o ?g. }
- W2121330305 endingPage "1" @default.
- W2121330305 startingPage "1" @default.
- W2121330305 abstract "Repetitive task practice is argued to drive neural plasticity following stroke. However, current evidence reveals that hemiparetic weakness impairs the capacity to perform, and practice, movements appropriately. Here we investigated how power training (i.e., high-intensity, dynamic resistance training) affects recovery of upper-extremity motor function post-stroke. We hypothesized that power training, as a component of upper-extremity rehabilitation, would promote greater functional gains than functional task practice without deleterious consequences.Nineteen chronic hemiparetic individuals were studied using a crossover design. All participants received both functional task practice (FTP) and HYBRID (combined FTP and power training) in random order. Blinded evaluations performed at baseline, following each intervention block and 6-months post-intervention included: Wolf Motor Function Test (WMFT-FAS, Primary Outcome), upper-extremity Fugl-Meyer Motor Assessment, Ashworth Scale, and Functional Independence Measure. Neuromechanical function was evaluated using isometric and dynamic joint torques and concurrent agonist EMG. Biceps stretch reflex responses were evaluated using passive elbow stretches ranging from 60 to 180º/s and determining: EMG onset position threshold, burst duration, burst intensity and passive torque at each speed.Improvements in WMFT-FAS were significantly greater following HYBRID vs. FTP (p = .049), regardless of treatment order. These functional improvements were retained 6-months post-intervention (p = .03).A greater proportion of participants achieved minimally important differences (MID) following HYBRID vs. FTP (p = .03). MIDs were retained 6-months post-intervention. Ashworth scores were unchanged (p > .05). Increased maximal isometric joint torque, agonist EMG and peak power were significantly greater following HYBRID vs. FTP (p < .05) and effects were retained 6-months post-intervention (p's < .05). EMG position threshold and burst duration were significantly reduced at fast speeds (≥120º/s) (p's < 0.05) and passive torque was reduced post-washout (p < .05) following HYBRID.Functional and neuromechanical gains were greater following HYBRID vs. FPT. Improved stretch reflex modulation and increased neuromuscular activation indicate potent neural adaptations. Importantly, no deleterious consequences, including exacerbation of spasticity or musculoskeletal complaints, were associated with HYBRID. These results contribute to an evolving body of contemporary evidence regarding the efficacy of high-intensity training in neurorehabilitation and the physiological mechanisms that mediate neural recovery." @default.
- W2121330305 created "2016-06-24" @default.
- W2121330305 creator A5023204850 @default.
- W2121330305 creator A5037001551 @default.
- W2121330305 creator A5055347046 @default.
- W2121330305 creator A5082453086 @default.
- W2121330305 date "2013-01-01" @default.
- W2121330305 modified "2023-10-16" @default.
- W2121330305 title "Concurrent neuromechanical and functional gains following upper-extremity power training post-stroke" @default.
- W2121330305 cites W1607372012 @default.
- W2121330305 cites W1966869460 @default.
- W2121330305 cites W1967310529 @default.
- W2121330305 cites W1968146458 @default.
- W2121330305 cites W1974379301 @default.
- W2121330305 cites W1979343663 @default.
- W2121330305 cites W1981990510 @default.
- W2121330305 cites W1987227771 @default.
- W2121330305 cites W1991396747 @default.
- W2121330305 cites W1992260932 @default.
- W2121330305 cites W1995409753 @default.
- W2121330305 cites W1998143641 @default.
- W2121330305 cites W2001303307 @default.
- W2121330305 cites W2002043305 @default.
- W2121330305 cites W2007855286 @default.
- W2121330305 cites W2007889942 @default.
- W2121330305 cites W2008144614 @default.
- W2121330305 cites W2009036516 @default.
- W2121330305 cites W2019429586 @default.
- W2121330305 cites W2019566066 @default.
- W2121330305 cites W2021266672 @default.
- W2121330305 cites W2022275421 @default.
- W2121330305 cites W2023905262 @default.
- W2121330305 cites W2027935363 @default.
- W2121330305 cites W2037998617 @default.
- W2121330305 cites W2040539992 @default.
- W2121330305 cites W2049900732 @default.
- W2121330305 cites W2062838218 @default.
- W2121330305 cites W2067186423 @default.
- W2121330305 cites W2069240177 @default.
- W2121330305 cites W2079048466 @default.
- W2121330305 cites W2086297719 @default.
- W2121330305 cites W2090121518 @default.
- W2121330305 cites W2095012951 @default.
- W2121330305 cites W2095572637 @default.
- W2121330305 cites W2096591841 @default.
- W2121330305 cites W2097743775 @default.
- W2121330305 cites W2098026769 @default.
- W2121330305 cites W2098498561 @default.
- W2121330305 cites W2101539028 @default.
- W2121330305 cites W2105454555 @default.
- W2121330305 cites W2109236622 @default.
- W2121330305 cites W2112910027 @default.
- W2121330305 cites W2114866171 @default.
- W2121330305 cites W2128005290 @default.
- W2121330305 cites W2129241661 @default.
- W2121330305 cites W2131823813 @default.
- W2121330305 cites W2134730834 @default.
- W2121330305 cites W2137456982 @default.
- W2121330305 cites W2137562662 @default.
- W2121330305 cites W2152689849 @default.
- W2121330305 cites W2161605735 @default.
- W2121330305 cites W2162541225 @default.
- W2121330305 cites W2172262298 @default.
- W2121330305 cites W2187711905 @default.
- W2121330305 cites W4242435639 @default.
- W2121330305 doi "https://doi.org/10.1186/1743-0003-10-1" @default.
- W2121330305 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3562202" @default.
- W2121330305 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23336711" @default.
- W2121330305 hasPublicationYear "2013" @default.
- W2121330305 type Work @default.
- W2121330305 sameAs 2121330305 @default.
- W2121330305 citedByCount "61" @default.
- W2121330305 countsByYear W21213303052013 @default.
- W2121330305 countsByYear W21213303052014 @default.
- W2121330305 countsByYear W21213303052015 @default.
- W2121330305 countsByYear W21213303052016 @default.
- W2121330305 countsByYear W21213303052017 @default.
- W2121330305 countsByYear W21213303052018 @default.
- W2121330305 countsByYear W21213303052019 @default.
- W2121330305 countsByYear W21213303052020 @default.
- W2121330305 countsByYear W21213303052021 @default.
- W2121330305 countsByYear W21213303052022 @default.
- W2121330305 countsByYear W21213303052023 @default.
- W2121330305 crossrefType "journal-article" @default.
- W2121330305 hasAuthorship W2121330305A5023204850 @default.
- W2121330305 hasAuthorship W2121330305A5037001551 @default.
- W2121330305 hasAuthorship W2121330305A5055347046 @default.
- W2121330305 hasAuthorship W2121330305A5082453086 @default.
- W2121330305 hasBestOaLocation W21213303051 @default.
- W2121330305 hasConcept C103486182 @default.
- W2121330305 hasConcept C141071460 @default.
- W2121330305 hasConcept C15744967 @default.
- W2121330305 hasConcept C1862650 @default.
- W2121330305 hasConcept C2777515770 @default.
- W2121330305 hasConcept C2781184374 @default.
- W2121330305 hasConcept C2781425419 @default.
- W2121330305 hasConcept C71924100 @default.
- W2121330305 hasConcept C99508421 @default.