THE EFFECTS OF CLOSED AND OPEN KINETIC CHAIN EXERCISES ON LOWER LIMB MUSCLE STRENGTH IN SUB ACUTE AND CHRONIC STROKE PATIENTS.

THE EFFECTS OF CLOSED AND OPEN KINETIC CHAIN EXERCISES ON LOWER LIMB MUSCLE STRENGTH IN SUB ACUTE AND CHRONIC STROKE PATIENTS.

Authors

  • Shrikrishna Shinde MUHS Nashik

DOI:

https://doi.org/10.46858.VIMSJPT.2205

Abstract

Background

Muscle weakness is a common consequence of stroke and can result in a decrease in physical activity. The aim of this study was to examine the effects of close kinetic chain (CKC) exercise and open kinetic chain (OKC) exercise on muscle strength of the paretic lower limb in sub acute and chronic stroke subjects.

Methodology: Thirty patients with sub acute and chronic stroke were enrolled. They were randomly allocated to three groups: CKC exercise group (n = 14), OKC exercise group (n = 14) CKC and OKC exercise groups were trained 4 times per week for 4 weeks.

Results: Muscle strength was significantly increased in both CKC exercise and OKC exercise groups P (0.001). However, muscle strength was significantly increased in only the CKC exercise group. P (0.001)

Conclusion : The present study indicate that the CKC exercise can improve lower limb muscle strength in sub acute and chronic stroke subjects and it may leads to improvement in functional performance of stroke survivors

Keywords:

STROKE, CLOSED AND OPEN KINETIC CHAIN EXERCISES, STRENGTH

References

NCHS: National Centre for health statistics.(www.cde.gov/nchs/nhis.htm).

Gregory A. Doyle.www.wrongdiagnosis.com/s/ stroke/intro.htm

Dr George Jacob, Stroke.Holistic Online.com

Bohannon, Teixeira-Salmela et al Reference values for muscle strength: a systematic review with a descriptive meta-analysis, DOI: 10.1016/j.bjpt.2018.02.006

William J Kraemer , ent Adams, Cafarelli, Progression Models in Resistance Training for Healthy Adult, December 2001 Medicine & Science in Sports & Exercise 34(2

Morris, Dodd, & Morris, Outcomes of progressive resistance strength training following stroke: a systematic review, Clin Rehabil 2004 Feb;18(1):27-39. doi: 10.1191/0269215504cr699oa

Flansbjer et al.; Progressive resistance training after stroke: effects on muscle strength, muscle tone, gait performance and perceived participation J Rehabil Med 2008 Jan;40(1):42-8. doi: 10.2340/16501977-0129

Ouellette et al High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors Stroke , 2004 Jun;35(6):1404-9. doi: 10.1161/01.STR.0000127785.73065.34. Epub 2004 Apr 22

Palmitier et al, Kinetic Chain Exercise in Knee Rehabilitation, Published: 07 October 2012

Vallbo, et al , Afferent Discharge from Human Muscle Spindles in Non?Contracting Muscles. Steady State Impulse Frequency as a Function of Joint Angle https://doi.org/10.1111/j.1748-1716.1974.tb05593.x

Brown O.A and Kautz. S.A Increased workload enhances force output during pedaling exercises in persons with post stroke hemiplegia.Stroke1998; 29:598-606

Cramp et al. Muscle cramps: A comparison of the two-leading hypothesis,

Journal of Electromyography and Kinesiology Volume 41, August 2018, Pages 89-95.

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Published

2021-08-16

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How to Cite

Shinde, S. (2021). THE EFFECTS OF CLOSED AND OPEN KINETIC CHAIN EXERCISES ON LOWER LIMB MUSCLE STRENGTH IN SUB ACUTE AND CHRONIC STROKE PATIENTS.: THE EFFECTS OF CLOSED AND OPEN KINETIC CHAIN EXERCISES ON LOWER LIMB MUSCLE STRENGTH IN SUB ACUTE AND CHRONIC STROKE PATIENTS. VIMS JOURNAL OF PHYSICAL THERAPY, 2(2), 96-100. https://doi.org/10.46858.VIMSJPT.2205