Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 7 , Pages 974-980 , July 2006

Knee Muscle Strength, Gait Performance, and Perceived Participation After Stroke

  • Ulla-Britt Flansbjer, PT, MSc

      Affiliations

    • Department of Rehabilitation, Lund University Hospital, Lund, Sweden
    • Department of Health Sciences, Division of Geriatric Medicine, Lund University, Malmö, Sweden
    • Corresponding Author InformationReprint requests to Ulla-Britt Flansbjer, PT, MSc, Dept of Rehabilitation, Lund University Hospital, Orupssjukhuset, 221 85 Lund, Sweden
    • ,
  • David Downham, PhD

      Affiliations

    • Department of Mathematical Sciences, University of Liverpool, Liverpool, England
    • ,
  • Jan Lexell, MD, PhD

      Affiliations

    • Department of Rehabilitation, Lund University Hospital, Lund, Sweden
    • Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.

References 

  1. World Health Organization . International classification of functioning, disability and health (ICF) . Geneva: WHO; 2001;
  2. Ng SM , Shepherd RB . Weakness in patients with stroke (implications for strength training in neurorehabilitation) . Phys Ther Rev . 2000;5:227–238
  3. Patten C , Lexell J , Brown HE . Weakness and strength training in persons with post-stroke hemiplegia (rationale, method and efficacy) . J Rehabil Res Dev . 2004;41:293–312
  4. Pound P , Gompertz P , Ebrahim S . A patient-centred study of the consequences of stroke . Clin Rehabil . 1998;12:338–347
  5. Parker CJ , Gladman JR , Drummond AE . The role of leisure in stroke rehabilitation . Disabil Rehabil . 1997;19:1–5
  6. Mayo NE , Wood-Dauphinee S , Ahmed S , et al.   Disablement following stroke . Disabil Rehabil . 1999;21:258–268
  7. Lord SE , Rochester L . Measurement of community ambulation after stroke (current status and future developments) . Stroke . 2005;36:1457–1461
  8. Geyh S , Cieza A , Schouten J , et al.   ICF Core Sets for stroke . J Rehabil Med . 2004;44(Suppl):135–141
  9. Richards CL , Malouin F , Dean C . Gait in stroke (assessment and rehabilitation) . Clin Geriatr Med . 1999;15:833–855
  10. Morris SL , Dodd KJ , Morris ME . Outcomes of progressive resistance strength training following stroke (a systematic review) . Clin Rehabil . 2004;18:27–39
  11. Latham N , Anderson C , Bennett D , Stretton C . Progressive resistance strength training for physical disability in older people . Cochrane Database Syst Rev . 2003;(2):CD002759
  12. Porter MM , Vandervoort AA , Lexell J . Aging of human muscle (structure, function and adaptability) . Scand J Med Sci Sports . 1995;5:129–142
  13. Nakamura R , Hosokawa T , Tsuji I . Relationship of muscle strength for knee extension to walking capacity in patients with spastic hemiparesis . Tohoku J Exp Med . 1985;145:335–340
  14. Bohannon RW , Andrews AW . Correlation of knee extensor muscle torque and spasticity with gait speed in patients with stroke . Arch Phys Med Rehabil . 1990;71:330–333
  15. Bohannon RW , Walsh S . Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke . Arch Phys Med Rehabil . 1992;73:721–725
  16. Lindmark B , Hamrin E . Relation between gait speed, knee muscle torque and motor scores in post-stroke patients . Scand J Caring Sci . 1995;9:195–202
  17. Davies JM , Mayston MJ , Newham DJ . Electrical and mechanical output of the knee muscles during isometric and isokinetic activity in stroke and healthy adults . Disabil Rehabil . 1996;18:83–90
  18. Suzuki K , Imada G , Iwaya T , Handa T , Kurogo H . Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic stroke patients . Arch Phys Med Rehabil . 1999;80:179–182
  19. Kim CM , Eng JJ . The relationship of lower-extremity muscle torque to locomotor performance in people with stroke . Phys Ther . 2003;83:49–57
  20. Kligyte I , Lundy-Ekman L , Medeiros JM . Relationship between lower extremity muscle strength and dynamic balance in people post-stroke . Medicina (Kaunas) . 2003;39:122–128
  21. Hsu AL , Tang PF , Jan MH . Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke . Arch Phys Med Rehabil . 2003;84:1185–1193
  22. Harris ML , Polkey MI , Bath PM , Moxham J . Quadriceps muscle weakness following acute hemiplegic stroke . Clin Rehabil . 2001;15:274–281
  23. Wood-Dauphinee S , Williams JI . Reintegration to Normal Living as a proxy to quality of life . J Chronic Dis . 1987;40:491–502
  24. Guide for the uniform data set for medical rehabilitation (including the FIM instrument). Swedish Version 5.0. Buffalo: State Univ New York; 1996.
  25. Blackburn M , van Vliet P , Mockett SP . Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke . Phys Ther . 2002;82:25–34
  26. Sommerfeld DK , Eek EU , Svensson AK , Holmqvist LW , von Arbin MH . Spasticity after stroke (its occurrence and association with motor impairments and activity limitations) . Stroke . 2004;35:134–139
  27. Knutsson E , Martensson A , Gransberg L . Influences of muscle stretch reflexes on voluntary, velocity-controlled movements in spastic paraparesis . Brain . 1997;120(Pt 9):1621–1633
  28. Eng JJ , Kim CM , Macintyre DL . Reliability of lower extremity strength measures in persons with chronic stroke . Arch Phys Med Rehabil . 2002;83:322–328
  29. Hsu AL , Tang PF , Jan MH . Test-retest reliability of isokinetic muscle strength of the lower extremities in patients with stroke . Arch Phys Med Rehabil . 2002;83:1130–1137
  30. Pohl PS , Startzell JK , Duncan PW , Wallace D . Reliability of lower extremity isokinetic strength testing in adults with stroke . Clin Rehabil . 2000;14:601–607
  31. Welmer AK , Holmqvist LW , Sommerfeld DK . Hemiplegic limb synergies in stroke patients . Am J Phys Med Rehabil . 2006;85:112–119
  32. Flansbjer UB , Holmbäck AM , Downham D , Lexell J . What change in isokinetic knee muscle strength can be detected in men and women after stroke? . Clin Rehabil . 2005;19:514–522
  33. Flansbjer UB , Holmbäck AM , Downham D , Patten C , Lexell J . Reliability of gait performance tests in men and women with hemiparesis after stroke . J Rehabil Med . 2005;37:75–82
  34. Podsiadlo D , Richardson S . The timed “Up & Go” (a test of basic functional mobility for frail elderly persons) . J Am Geriatr Soc . 1991;39:142–148
  35. Duncan PW , Wallace D , Lai SM , Johnson D , Embretson S , Laster LJ . The stroke impact scale version 2.0. Evaluation of reliability, validity, and sensitivity to change . Stroke . 1999;30:2131–2140
  36. Duncan PW , Bode RK , Min Lai S , Perera S . Rasch analysis of a new stroke-specific outcome scale (the Stroke Impact Scale) . Arch Phys Med Rehabil . 2003;84:950–963
  37. Lai SM , Perera S , Duncan PW , Bode R . Physical and social functioning after stroke (comparison of the Stroke Impact Scale and Short Form-36) . Stroke . 2003;34:488–493
  38. Edwards B , O’Connell B . Internal consistency and validity of the Stroke Impact Scale 2.0 (SIS 2.0) and SIS-16 in an Australian sample . Qual Life Res . 2003;12:1127–1135
  39. Salter K , Jutai J , Teasell R , Foley N , Bitensky J , Bayley M . Issues for selection of outcome measures in stroke rehabilitation (ICF Participation) . Disabil Rehabil . 2005;27:507–528
  40. Nadeau S , Arsenault AB , Gravel D , Bourbonnais D . Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke . Am J Phys Med Rehabil . 1999;78:123–130
  41. Cardol M , de Jong BA , van den Bos GA , Beelem A , de Groot IJ , de Haan RJ . Beyond disability (perceived participation in people with a chronic disabling condition) . Clin Rehabil . 2002;16:27–35

 Supported by the Norrbacka-Eugenia Foundation, the Swedish Stroke Association, Magnus Bergvall Foundation, the Swedish Association of Neurologically Disabled, the Swedish Society of Medicine, Gun and Bertil Stohne Foundation, the Crafoord Foundation, the Council for Medical Health Care Research in South Sweden, and Skane County Council’s Research and Development Foundation.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(06)00286-3

doi: 10.1016/j.apmr.2006.03.008

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 7 , Pages 974-980 , July 2006

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