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Effects of functional strength training in individuals with hemiplegia after stroke.

Research Project

Project/Area Number 22700533
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKyoto University

Principal Investigator

OHATA Koji  京都大学, 医学研究科, 講師 (30300320)

Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2010: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords脳卒中 / 片麻痺 / 歩行 / 筋力 / トレーニング
Research Abstract

Many studies suggested that strength training is important for improvement of motor function in individuals with hemiplegia after stroke. However, it is not clear whether a task oriented training to improve the walking in this population can increase their muscle strength. First study was conducted to compare between peak joint torque measured using 3D gait analysis and maximum isometric strength measured using hand-held dynamometer at same joint. The result revealed that peak joint torque during walking was higher than maximum isometric strength at hip extensor, knee flexor and plantarflexor muscles. Second study was conducted randomized control trial to examine the effects of task oriented gait training for muscle strengthening. These results showed maximum isometric strengths at hip extensor, knee flexor and plantarflexor muscles were increased during intervention phase with improvement of Timed Up and Go test. Generally, Progressive Resistance Training required the overload to the target muscle. Most of stroke patients can not perform the strong muscle contraction, because voluntary muscle contraction is difficult due to dysfunction of cortico-spinal tract. Task oriented gait training has a potential to increase the muscle strength instead of strength training.

Report

(3 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • Research Products

    (9 results)

All 2012 2011 2010

All Journal Article (5 results) (of which Peer Reviewed: 2 results) Presentation (4 results)

  • [Journal Article] 脳卒中後片麻痺患者における運動機能の回復と代償のメカニズム2012

    • Author(s)
      大畑光司
    • Journal Title

      理学療法京都

      Volume: 41

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Gait Solution付短下肢装具による脳卒中片麻痺の運動療法とその効果2011

    • Author(s)
      大畑光司
    • Journal Title

      理学療法ジャーナル

      Volume: 45 Pages: 217-224

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Journal Article] Effects of an ankle-foot orthosis with oil damper on muscle activity in adult after stroke2011

    • Author(s)
      Ohata K, Yasui T, Tsuboyama T, Ichihashi N.
    • Journal Title

      Gait and Posture

      Volume: 33 Pages: 102-107

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Effects of an ankle-foot orthosis with oil damper on muscle activity in adults after stroke2011

    • Author(s)
      Ohata K, Yasui T, Tsuboyama T, Ichihashi N..
    • Journal Title

      Gait and Posture

      Volume: 33 Pages: 102-7

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 脳卒中片麻痺患者の主要な障害としての筋力低下について2010

    • Author(s)
      大畑光司
    • Journal Title

      秋田理学療法学

      Volume: 18 Pages: 3-7

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Presentation] Gait characteristics & training for individuals with hemiplegia2011

    • Author(s)
      Ohat K
    • Organizer
      Commissioned Training Program 2011/12 Functional Enhancement of Post-stroke Rehabilitation.
    • Place of Presentation
      香港
    • Related Report
      2011 Final Research Report
  • [Presentation] Gait characteristics & training for individuals with hemiplegia2011

    • Author(s)
      大畑光司
    • Organizer
      Commissioned Training Program 2011/12 Functional Enhancement of Post-stroke Rehabilitation
    • Place of Presentation
      香港
    • Related Report
      2011 Annual Research Report
  • [Presentation] 脳損傷後片麻痺者における最大随意筋力と歩行時の最大関節トルクの関係2010

    • Author(s)
      大畑光司, 市橋則明, 泉圭輔、佐久間香
    • Organizer
      第45回日本理学療法学術大会
    • Place of Presentation
      岐阜
    • Year and Date
      2010-05-27
    • Related Report
      2011 Final Research Report
  • [Presentation] 脳損傷後片麻痺者における最大随意筋力と歩行時の最大関節トルクの関係2010

    • Author(s)
      大畑光司
    • Organizer
      第45回日本理学療法学術大会
    • Place of Presentation
      岐阜都ホテル
    • Year and Date
      2010-05-27
    • Related Report
      2010 Annual Research Report

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Published: 2010-08-23   Modified: 2016-04-21  

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