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 .
Strength training in patients with myotonic dystrophy and hereditary motor and sensory neuropathy: a randomized clinical trial.
A r and omized clinical trial on the effects of strength training was performed in myotonic dystrophy ( MyD ) patients and patients with hereditary motor and sensory neuropathy ( HMSN ) . Training and most measurement tools involved the proximal lower extremity muscles . The participants trained 3 times a week for 24 weeks with weights adapted to their force . Strength was evaluated by isokinetically measured knee torque . Fatiguability was assessed by the time an isometric contraction could be sustained . Functional performance was measured by timed motor performance and by question naires on functional performance . Serum myoglobin ( Mb ) levels were determined to detect changes in muscle fiber membrane permeability . The MyD group included 33 participants , and the HMSN group included 29 participants . Within each diagnostic group , patients were individually matched and subsequently r and omized for treatment allocation . In the MyD patients , none of the measurement techniques showed any training effect . Neither were there signs of deterioration caused by the training . In the HMSN group , knee torques increased . Timed motor performance did not change , although the question naires showed an improvement on items related to upper-leg function . Mb levels did not change significantly as a result of the training . In conclusion , the MyD group showed neither positive nor negative effects of the training protocol , whereas the training produced a moderate increase in strength and leg-related functional performance in the HMSN group
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 .