Effect of eccentric resistance muscle training in chronic hemiparetic patients after stroke: a systematic review
Abstract
Several interventions have been proposed with the purpose of attenuating the motor damage resulting from Stroke, including resistance exercises, however, it is uncertain which type of contraction to prioritize for this population. Eccentric resistance training suggests satisfactory results in the rehabilitation of patients after stroke, but no systematic reviews were found to confirm this hypothesis. The aim of this systematic review is to verify the effect of eccentric resistance muscle training in chronic hemiparetic patients after stroke. This study is a systematic review. To develop the question, the “PICO” strategy was used. Scientific articles were searched from Pubmed, Cochrane, Scopus, Lilacs, Web of Science and PEDro databases without language restriction or year of publication and using the search terms: “stroke and resistance training or strength training and eccentric contraction”. We selected clinical trials that analyzed the influence of eccentric strength training on chronic spastic post-stroke patients. A total of 1024 articles were found on all search platforms used, finally a total of 11 articles were fully analyzed in this review. Eccentric resistance muscle training proved to be effective in rehabilitation of hemiparetic patients due to stroke, being able to increase muscle strength and hypertrophy, functional capacity, improve motor control and quality of life. The eccentric method was more effective when compared to the concentric resistance training.
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