Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial
Spastic paresis, a frequent consequence of stroke, is characterized by both neurological and muscular alterations, leading to decreased muscle strength, increased passive muscle stiffness, and subsequently, diminished functional capacity. Although conventional rehabilitation programs are effective i...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1398860/full |
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| author | Kalthoum Belghith Kalthoum Belghith Mustapha Zidi Lhéo Vincent Lhéo Vincent Jean-Michel Fedele Rayan Bou-Serhal Wael Maktouf |
| author_facet | Kalthoum Belghith Kalthoum Belghith Mustapha Zidi Lhéo Vincent Lhéo Vincent Jean-Michel Fedele Rayan Bou-Serhal Wael Maktouf |
| author_sort | Kalthoum Belghith |
| collection | DOAJ |
| description | Spastic paresis, a frequent consequence of stroke, is characterized by both neurological and muscular alterations, leading to decreased muscle strength, increased passive muscle stiffness, and subsequently, diminished functional capacity. Although conventional rehabilitation programs are effective in enhancing muscle strength, they often fail to yield clinically significant improvements in functional capacities. Eccentric Training (ET) has shown promise in addressing the shortened muscle fascicle lengths and joint contractures commonly observed in stroke survivors. Despite the prevalence of contractures and rigidity in this population, the effects of ET on the structural and mechanical properties of muscles remain underexplored. This study aims to investigate the impact of ET on gait speed in sub-acute stroke patients compared to conventional therapy. Additionally, we aim to explore the effects of ET on the mechanical properties, structural characteristics, and neuromuscular parameters of the plantar flexors. A randomized controlled trial will be conducted, adhering to CONSORT guidelines, with participants assigned to either a Conventional Therapy Group or an Eccentric Training Group. Assessments will be conducted at baseline, and after ET intervention, encompassing clinical, biomechanical, and functional evaluations. This study seeks to provide empirical evidence on the efficacy of ET in improving motor outcomes in sub-acute stroke patients, thereby informing more effective rehabilitation strategies. |
| format | Article |
| id | doaj-art-ab989a5d11304333ae4f32620165de03 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj-art-ab989a5d11304333ae4f32620165de032025-01-23T05:10:10ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.13988601398860Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trialKalthoum Belghith0Kalthoum Belghith1Mustapha Zidi2Lhéo Vincent3Lhéo Vincent4Jean-Michel Fedele5Rayan Bou-Serhal6Wael Maktouf7Bioengineering, Tissues and Neuroplasticity, UR 7377, Faculty of Health/EPISEN, University of Paris-Est Créteil, Créteil, FranceEMEIS Group, Clinique du Parc de Belleville, Paris, FranceBioengineering, Tissues and Neuroplasticity, UR 7377, Faculty of Health/EPISEN, University of Paris-Est Créteil, Créteil, FranceBioengineering, Tissues and Neuroplasticity, UR 7377, Faculty of Health/EPISEN, University of Paris-Est Créteil, Créteil, FranceEMEIS Group, Clinique du Parc de Belleville, Paris, FranceEMEIS Group, Clinique du Parc de Belleville, Paris, FranceEMEIS Group, Clinique du Parc de Belleville, Paris, FranceBioengineering, Tissues and Neuroplasticity, UR 7377, Faculty of Health/EPISEN, University of Paris-Est Créteil, Créteil, FranceSpastic paresis, a frequent consequence of stroke, is characterized by both neurological and muscular alterations, leading to decreased muscle strength, increased passive muscle stiffness, and subsequently, diminished functional capacity. Although conventional rehabilitation programs are effective in enhancing muscle strength, they often fail to yield clinically significant improvements in functional capacities. Eccentric Training (ET) has shown promise in addressing the shortened muscle fascicle lengths and joint contractures commonly observed in stroke survivors. Despite the prevalence of contractures and rigidity in this population, the effects of ET on the structural and mechanical properties of muscles remain underexplored. This study aims to investigate the impact of ET on gait speed in sub-acute stroke patients compared to conventional therapy. Additionally, we aim to explore the effects of ET on the mechanical properties, structural characteristics, and neuromuscular parameters of the plantar flexors. A randomized controlled trial will be conducted, adhering to CONSORT guidelines, with participants assigned to either a Conventional Therapy Group or an Eccentric Training Group. Assessments will be conducted at baseline, and after ET intervention, encompassing clinical, biomechanical, and functional evaluations. This study seeks to provide empirical evidence on the efficacy of ET in improving motor outcomes in sub-acute stroke patients, thereby informing more effective rehabilitation strategies.https://www.frontiersin.org/articles/10.3389/fneur.2024.1398860/fullmuscle strengthstiffnessankle jointeccentric trainingstroke |
| spellingShingle | Kalthoum Belghith Kalthoum Belghith Mustapha Zidi Lhéo Vincent Lhéo Vincent Jean-Michel Fedele Rayan Bou-Serhal Wael Maktouf Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial Frontiers in Neurology muscle strength stiffness ankle joint eccentric training stroke |
| title | Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial |
| title_full | Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial |
| title_fullStr | Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial |
| title_full_unstemmed | Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial |
| title_short | Eccentric strengthening vs. conventional therapy in sub-acute stroke survivors: a randomized controlled trial |
| title_sort | eccentric strengthening vs conventional therapy in sub acute stroke survivors a randomized controlled trial |
| topic | muscle strength stiffness ankle joint eccentric training stroke |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1398860/full |
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