The results revealed that despite significant strength gains , many studies failed to show a significant improvement in walking capacity .
Strength testing and strengthening exercises were prioritized for the knee extensors and flexors , despite their relatively minor role in human walking .
Strengthening exercises performed in the neurologic population are not specific to the main muscle groups responsible for the power generation required for walking .
There is a predisposition for strength testing and strengthening exercises to focus on the knee flexors and extensors despite their relatively minor role during walking .
The aim of this systematic review was to investigate the task specificity of strength training programs for walking in neurologic rehabilitation .
The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study
Objective : To establish the effects of a 12-week , community-based group exercise intervention for people moderately affected with multiple sclerosis . Design : R and omized controlled pilot trial . Setting : Two community leisure centres . Participants : Thirty-two participants with multiple sclerosis r and omized into intervention or control groups . Intervention : The intervention group received 12 weeks of twice weekly , 60-minute group exercise sessions , including mobility , balance and resistance exercises . The control group received usual care . Main outcome measures : An assessor blinded to group allocation assessed participants at baseline , after eight weeks and after 12 weeks . The primary outcome measure was 25-foot ( 7.6 m ) walk time , secondary outcomes assessed walking endurance , balance , physical function , leg strength , body mass index , activity levels , fatigue , anxiety and depression , quality of life and goal attainment . Results : The intervention made no statistically significant difference to the results of participants ’ 25-foot walk time . However the intervention led to many improvements . In the intervention group levels of physical activity improved statistically between baseline and week 8 ( P < 0.001 ) and baseline and week 12 ( P = 0.005 ) . Balance confidence results showed a significant difference between baseline and week 12 ( P = 0.013 ) . Good effect sizes were found for dynamic balance ( d = 0.80 ) , leg strength ( d = 1.33 ) , activity levels ( d = 1.05 ) and perceived balance ( d = 0.94 ) . Conclusion : The results of the study suggest that community-based group exercise classes are a feasible option for people moderately affected with multiple sclerosis , and offer benefits such as improved physical activity levels , balance and leg strength
The results revealed that despite significant strength gains , many studies failed to show a significant improvement in walking capacity .
Strength testing and strengthening exercises were prioritized for the knee extensors and flexors , despite their relatively minor role in human walking .
Strengthening exercises performed in the neurologic population are not specific to the main muscle groups responsible for the power generation required for walking .
There is a predisposition for strength testing and strengthening exercises to focus on the knee flexors and extensors despite their relatively minor role during walking .
The aim of this systematic review was to investigate the task specificity of strength training programs for walking in neurologic rehabilitation .