Journal article
Do trials of resistance training to improve mobility after stroke adhere to the American College of Sports Medicine guidelines? A systematic review
Archives of Physical Medicine and Rehabilitation, Vol.99(3), pp.584-597
2018
Abstract
Objective: To determine whether resistance training to improve mobility outcomes after stroke adhere to the ACSM guidelines, and whether adherence was associated with better outcomes. Data sources: Online databases searched from 1975 to 30 October 2016. Study Selection: Randomized controlled trials examining the effectiveness of lower limb strength training on mobility outcomes in adult stroke participants. Data Extraction and Analysis: Two independent reviewers completed data extraction. Quality of trials was determined using the Cochrane Risk of Bias Tool. Trials were scored based on their protocol's adherence to eight ACSM recommendations. To determine if a relationship existed between total adherence score and effect size, Spearman's rho (rs) was calculated and between individual recommendations and effect size, Mann Whitney U or Kruskal Wallis tests were used. Results: Thirty-nine trials met the inclusion criteria and 34 were scored on their adherence to the guidelines. Adherence was high for frequency of training (100% of studies) but few trials adhered to the guidelines for intensity (32%), specificity (24%), and training pattern (3%). Based on the small number of studies that could be included in pooled analysis (n = 12), there was no relationship between overall adherence and effect size (rs = -0.39, p = 0.21). Conclusions: Adherence to the ACSM guidelines for resistance training following stroke varied widely. Future trials should ensure strength training protocols adhere more closely to the guidelines, to ensure their effectiveness in stroke can be accurately determined.
Details
- Title
- Do trials of resistance training to improve mobility after stroke adhere to the American College of Sports Medicine guidelines? A systematic review
- Authors
- Genevieve Hendrey (Author) - Caulfield Hospital - Alfred HealthAnne E Holland (Author) - La Trobe UniversityBenjamin Mentiplay (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringRoss Clark (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringGavin Williams (Author) - University of Melbourne
- Publication details
- Archives of Physical Medicine and Rehabilitation, Vol.99(3), pp.584-597
- Publisher
- W.B. Saunders Co.
- Date published
- 2018
- DOI
- 10.1016/j.apmr.2017.06.021
- ISSN
- 0003-9993
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English
- Record Identifier
- 99450464302621
- Output Type
- Journal article
Metrics
1175 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Rehabilitation
- Sport Sciences
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites