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This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015;52(1):77–84. http://dx.doi.org/10.1682/JRRD.2014.04.0109 Slideshow Project DOI:10.1682/JRRD.2014.04.0109JSP Feasibility of lower-limb muscle power training to enhance locomotor function poststroke Patrick Morgan, MS; Aaron Embry, DPT, MSCR; Lindsay Perry, DPT, NCS; Katy Holthaus, BS; Chris M. Gregory, PhD, PT

2 This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015;52(1):77–84. http://dx.doi.org/10.1682/JRRD.2014.04.0109 Slideshow Project DOI:10.1682/JRRD.2014.04.0109JSP Aim – Examine feasibility and effects of Poststroke Optimization of Walking using Explosive Resistance (POWER) training. Relevance – Poststroke motor control is characterized by greatly reduced muscle power generation. – Extent to which muscle power limits walking performance or should be prioritized in rehabilitation is unknown.

3 This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015;52(1):77–84. http://dx.doi.org/10.1682/JRRD.2014.04.0109 Slideshow Project DOI:10.1682/JRRD.2014.04.0109JSP Method 12 poststroke subjects participated in 24 training sessions (3 sessions/wk for 8 wk). Exercises (performed at high concentric velocity): – Leg press. – Calf raises. – Jump training. Measures at pretraining, posttraining, and 8 wk later: – Self-selected and fastest comfortable walking speeds. – Knee extensor and plantar flexor strength and power. Clinical assessments commonly used in poststroke rehabilitation trials.

4 This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015;52(1):77–84. http://dx.doi.org/10.1682/JRRD.2014.04.0109 Slideshow Project DOI:10.1682/JRRD.2014.04.0109JSP Results Posttraining: – Significantly improved lower-limb muscle strength and power. – Improved self-selected and fastest comfortable walking speeds. – No changes in clinical assessments.

5 This article and any supplementary material should be cited as follows: Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower- limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015;52(1):77–84. http://dx.doi.org/10.1682/JRRD.2014.04.0109 Slideshow Project DOI:10.1682/JRRD.2014.04.0109JSP Conclusion 24 sessions of POWER training: – Appear feasible and well tolerated. – May improve muscular and locomotor function. Future studies should determine efficacy of POWER compared with established approaches to improve poststroke motor control.

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