The Effects of closed and open kinetic chain exercises on Lower Limb muscle strength in sub acute and chronic stroke patients.
Keywords:
No KeywordsAbstract
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 the close kinetic chain (CKC) exercise and open kinetic chain (OKC) exercise on muscle strength of the paretic lower limb in subacute and chronic stroke subjects. Methodology: Thirty patients with subacute 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 indicates that CKC exercise can improve lower limb muscle strength in sub-acute and chronic stroke subjects, leading to the improved functional performance of stroke survivors
Downloads
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
1. 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
2. William J Kraemer , ent Adams, Cafarelli, Progression Models in Resistance Training for Healthy Adult, December 2001 Medicine & Science in Sports & Exercise 34(2
3. 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
4. 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: 10.2340/165019770129
5. Ouellette et al High-intensity resistance training improves muscle strength, selfreported function, and disability in long-term s t r o k e s u r v i v o r s S t r o k e , 2 0 0 4 Jun;35(6):1404-9. doi: 10.1161/01. STR.
0000127785.73065.34. Epub 2004 Apr 22
6. Palmitier et al, Kinetic Chain Exercise in Knee Rehabilitation, Published: 07 October 2012
7. 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.tb 05593.x
8. 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
9. Cramp et al. Muscle cramps: A comparison of the two - leading hypothesis , Journal of Electromyography and Kinesiology Volume 41, August 2018, Pages 89-95.
