SRINAGARIND MEDICAL JOURNALVolume 35, No. 04, Month JULY, Year 2020, Pages 463 - 469
Effects of a 2-week home-based strength training associated with task-oriented training to upper limb function activities in patients with chronic stroke
Olan Isariyapan, Jeerawan Kerdsawatmongkon, Natchaya Chondaen, Nomjit Nualnetr, Duangnapa Roongpiboonsopit, Waroonnapa Srisoparb
Abstract Download PDFBackground and objective: Muscle weakness is the
main cause of upper limb function activities (ULFA)
dysfunction, which is commonly found in stroke patients.
Task-oriented training (TOT) and strengthening
programs may improve ULFA. The purpose of this
study was to investigate the effects of adding strength
training to TOT in chronic stroke.
Methods: A double blind, randomized controlled
trial was conducted. Twenty chronic stroke patients
were allocated to either home-based personalized
strength training added to TOT (ST_TOT group, n=10) or TOT (TOT group, n=10). The participants in both
groups received individualized training for 70 minutes,
5 times/week for a period of 2 weeks. Upper limb
function, hand grip strength, and muscle tone were
assessed by The Streamlined Wolf Motor Function
test (chronic) (SWMFT-C), Hand grip dynamometer and
Modified Ashworth Scale, respectively.
Results: At the end of the 2-week training phase, the
ST_TOT group showed statistically significant improvement
in both SWMFT-C and hand grip strength
(p<0.05), without any increase of muscle tone. No
statistically significant differences were seen in the
TOT group. However, when compared with between
group were not statistically significant.
Conclusion: Adding strength training to task-oriented
training in patients with chronic stroke had statistically
significant beneficial effects on ULFA and hand grip
strength in 2 weeks
Stroke Task-Oriented Training Upper Limb Functional Activities Muscle Strength Muscle Tone