Efficacy of resisted training in muscle strength and functionality in adult individuals after brain vascular accident: a systematic review of reviews
DOI:
https://doi.org/10.33233/rbfex.v20i4.4799Keywords:
resistance training; stroke; muscle strengthAbstract
Objective: To summarize systematic reviews that analyzed the effectiveness of resistance training on muscle strength and functionality in adult individuals after stroke. Methods: systematic review, PROSPERO (CRD42020208823), performed in the following databases: PUBMED, EBSCO, LILACS, MEDLINE, Portal BVS, SciELO, Cochrane, SPORTDiscus and PEDro. Descriptors: “Resistance Training”, “Stroke” and “Systematic Review”. Included: Systematic reviews; composed of randomized clinical trials and/or controlled intervention studies; who tested resistance training interventions; compared to other neuromuscular interventions, conventional treatment, or, simulation or placebo techniques; in adults who have had a stroke, regardless of the stage of the disease; for the outcomes: muscle strength and functionality. Such studies should be available in full. There were no restrictions regarding the language/time of publication of the studies. The risk of bias was assessed using the AMSTAR-2 scale. Results: Identified 139 articles, however, after analysis 10 were included. These were meta-analytic reviews, published between 2009 and 2020. Resistance training interventions were statistically significant for increasing upper and lower limb muscle strength, gains in 1RM, and performance on the 6-minute walk test. Resistance training was not statistically significant for increased activity, maximum gait speed and preferred gait speed. The studies were of high/moderate risk of bias. Conclusions: Although resistance training is statistically significant for increasing muscle strength and performance in the 6-minute walk test, these results do not seem to be clinically relevant. There was no improvement in preferred walking speed and maximum walking speed.
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Copyright (c) 2021 Ramon Martins Barbosa, Larissa Gessilda da Silva Barbosa, Hiago Silva Queiroz, Lais Santos Oliveira , Marivaldo Nascimento da Silva Júnior, Bruno Santiago Silva, Cristiano Oliveira Souza, Alan Carlos Nery dos Santos
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