PMID- 28482762
OWN - NLM
STAT- MEDLINE
DCOM- 20180529
LR  - 20181113
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Print)
IS  - 1074-9357 (Linking)
VI  - 24
IP  - 7
DP  - 2017 Oct
TI  - POWER training in chronic stroke individuals: differences between responders and 
      nonresponders.
PG  - 496-502
LID - 10.1080/10749357.2017.1322249 [doi]
AB  - BACKGROUND: Lower extremity muscle weakness is a primary contributor to 
      post-stroke dysfunction. Resistance training is an effective treatment for 
      hemiparetic weakness and improves walking performance. Post-stroke subject 
      characteristics that do or do not improve walking speed following resistance 
      training are unknown. OBJECTIVE: The purpose of this paper was to describe 
      baseline characteristics, as well as responses to training, associated with 
      achieving a minimal clinically important difference (MCID) in walking speed 
      (>/=0.16 m/s) following Post-stroke Optimization of Walking Using Explosive 
      Resistance (POWER) training. METHODS: Seventeen participants completed 24 
      sessions of POWER training, which included intensive progressive leg presses, 
      jump training, calf raises, sit-to-stands, step-ups, and over ground fast 
      walking. Outcomes included SSWS, FCWS, DGI, FMA-LE, 6-MWT, paretic knee power, 
      non-paretic knee power, and paretic step ratio. RESULTS: Specific to those who 
      reached MCID in SSWS (e.g. "responders"), significant improvements in SSWS, FCWS, 
      6-MWT, paretic knee power, and non-paretic knee power was realized. Paretic knee 
      power and non-paretic knee power significantly improved in those who did not 
      achieve MCID for gait speed (e.g. "non-responders"). CONCLUSION: The potential 
      for POWER training to enhance general locomotor function was confirmed. Baseline 
      paretic knee strength/power may be an important factor in how an individual 
      responds to this style of training. The lack of change within the non-responders 
      emphasizes the contribution of factors other than lower extremity muscle power 
      improvement to locomotor dysfunction.
FAU - Aaron, Stacey E
AU  - Aaron SE
AUID- ORCID: 0000-0002-2532-8278
AD  - a Department of Health Sciences and Research, College of Health Professions , 
      Medical University of South Carolina , Charleston , SC , USA.
FAU - Hunnicutt, Jennifer L
AU  - Hunnicutt JL
AUID- ORCID: 0000-0001-7588-6676
AD  - a Department of Health Sciences and Research, College of Health Professions , 
      Medical University of South Carolina , Charleston , SC , USA.
FAU - Embry, Aaron E
AU  - Embry AE
AUID- ORCID: 0000-0003-3092-9964
AD  - a Department of Health Sciences and Research, College of Health Professions , 
      Medical University of South Carolina , Charleston , SC , USA.
AD  - b Division of Physical Therapy, College of Health Professions , Medical 
      University of South Carolina , Charleston , SC , USA.
AD  - c Ralph H. Johnson VA Medical Center , Charleston , SC , USA.
FAU - Bowden, Mark G
AU  - Bowden MG
AD  - a Department of Health Sciences and Research, College of Health Professions , 
      Medical University of South Carolina , Charleston , SC , USA.
AD  - b Division of Physical Therapy, College of Health Professions , Medical 
      University of South Carolina , Charleston , SC , USA.
AD  - c Ralph H. Johnson VA Medical Center , Charleston , SC , USA.
FAU - Gregory, Chris M
AU  - Gregory CM
AD  - a Department of Health Sciences and Research, College of Health Professions , 
      Medical University of South Carolina , Charleston , SC , USA.
AD  - b Division of Physical Therapy, College of Health Professions , Medical 
      University of South Carolina , Charleston , SC , USA.
AD  - c Ralph H. Johnson VA Medical Center , Charleston , SC , USA.
LA  - eng
GR  - I01 RX000844/RX/RRD VA/United States
GR  - P20 GM109040/GM/NIGMS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20170508
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Knee Joint/physiopathology
MH  - Lower Extremity/physiopathology
MH  - Male
MH  - Middle Aged
MH  - *Muscle Strength
MH  - *Resistance Training
MH  - Stroke/*therapy
MH  - Stroke Rehabilitation/*methods
MH  - Treatment Outcome
MH  - Walking Speed
MH  - Young Adult
PMC - PMC5801689
MID - NIHMS937792
OTO - NOTNLM
OT  - 6-MWT: 6-min walk test
OT  - DGI: Dynamic Gait Index
OT  - FCWS: fastest comfortable walking speed
OT  - FMA-LE: Fugl-Myer Lower Extremity Assessment
OT  - MCID: minimal clinically important difference
OT  - MVIC: maximum voluntary isometric contraction
OT  - NPKP: non-paretic knee power
OT  - PKP: paretic knee power
OT  - POWER: Post-stroke Optimization of Walking using Explosive Resistance
OT  - PSR: paretic step ratio
OT  - SSWS: self-selected walking speed
OT  - Stroke
OT  - exercise
OT  - gait
OT  - power training
OT  - strength training
EDAT- 2017/05/10 06:00
MHDA- 2018/05/31 06:00
PMCR- 2018/02/07
CRDT- 2017/05/10 06:00
PHST- 2017/05/10 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
PHST- 2017/05/10 06:00 [entrez]
PHST- 2018/02/07 00:00 [pmc-release]
AID - 10.1080/10749357.2017.1322249 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2017 Oct;24(7):496-502. doi: 10.1080/10749357.2017.1322249. 
      Epub 2017 May 8.