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PHYSIO  August 2001

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Subject:

Summary: neurologic patients: weight/strenght training

From:

Claus Willemer <[log in to unmask]>

Reply-To:

- for physiotherapists in education and practice <[log in to unmask]>

Date:

Fri, 24 Aug 2001 12:35:20 +0200

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (284 lines)

Hello,
Thank you very much for your responses. I had posted the same question in 3 topic related groups:
1. [log in to unmask] (international Physiotherapy)
2. [log in to unmask] (international List for biomechanics)
3. [log in to unmask] (List for sports science, biomechanics, physiology, medicine and psychology in fitness and weight training)
I will do no cross posting, every mail will be send seperately to the groups, hopefully you agree with this practice!

Please give me advice how to get the following Articles (located on the CINHL database where I have no access):
1) Light KE, Guiliani CA.  Effect of Isokinetic exercise effort on the arm
coordination of hemiparetic subjects.  Neurology Report. 1992; 16(4)19.
2) Guiliani CA, Light KE, Rose DK.  Effects of Isokinetic exercise program
in gait patterns of patients with hemiparesis.  Neurology Report. 1993;
17(4):23-24
3) Miller GT, Light KE, Kellog R.  Comparison of isometric force control
measures in spastic muscle of post stroke individuals before and after
graded resistive exercise.  Neurology Report. 1996; 20: 92-93

Thank You very much,
Yours, Claus Willemer

PT, Klinikum Mannheim
Universität Heidelberg
mobile phone: ++49-(0)178-6589707

SUMMARY:

First my original question:

       Hello,
       I would appreciate if you could help me in the following questions:
       1. Do you have experiences with neurologic patients (stroke, spastic,
       paretic, akinetic...) who are doing strenght training with weight or
       machines for therapy?
       2. Do you know any literature, research groups or rehabilitation centers
       that are working on this topic?

       Searching for literature all I found were about gait projects with
       supported bodyweight.

       Thank you very much!
       Yours,
       Claus Willemer

       PT, Klinikum Mannheim
       Universität Heidelberg

1. answers from [log in to unmask]:

Von: Netta Harries <[log in to unmask]> 17.08.01 17:51
HI CLAUS,
look up for this method of training and strengthening. it works for
children, why not adults.
"Power Suit
In the prayer-filled world of neuromuscular rehabilitation, Euromed's Adeli
suit is the hot new therapy. Developed for the Soviet cosmonaut program,
the suits, which employ a series of elastic bands that correspond to the
body's musculature, have been used since 1994 for the specific
rehabilitation of patients with cerebral palsy and other related muscle
disorders. Adeli suit therapy is credited with normalizing locomotive and
motor functions in patients' trunks and limbs.
Television magazine shows have......" 
netta harries p.t
israel


Von: anita martinez <[log in to unmask]> 17.08.01 21:27

PhysioTools (exercise and patient education software) has recently made a
large collection for this type of patient. Many of the 500+ exercises are
for wheelchair-bound patients.
It was produced with material from The Boson Rehab. Group in Sweden. There's
a short article in Swedish at http://www.hi.se/aoh/artikel.asp?aid=312 but
you can get more information from www.physiotools.com
Hope that helps you in some way.
Adios, Anita


Von: Smedley Bodil <[log in to unmask]> 20.08.01 07:43

Hi Claus - we do strengthening exercises with all our neuro patients,
with or without weights, whatever the patient can manage. I have looked
for some literature and found the following on my shelf. 
The PT:s at Center for hjerneskade in Copenhagen work along the lines
that you are asking about and I am sure they would be very pleased to
tell you more. You can contact them on the following mail address:
[log in to unmask] cfh.ku.dk
-Fuscaldi Teixera-Salmela L, Olney SJ, Nadeau S, Brouwer B: 
Muscle strengthening and physical conditioning to reduce impairment and
disability in chronic stroke survivors
Arch Phys Med Rehabil Vol 80, October 1999
-Sharp SA, Brouwer BJ
Isokinetic strength training of the hemiparetic knee: effects on
function and spasticity
Arch Phys Med Rehabil Vol 78 November 1997
-Brown DA, Kautz SA
Increased workload enhances force output during pedaling exercise in
persons with poststroke hemiplegia
Stroke 1998;29:598-606
-Giuliani C
Strength training for patients with neurological disorders
Neurology Report Vol 19 no 3 1995

Bodil Carle Smedley
Sjukgymn avd
Centralsjukhuset
291 85 Kristianstad
Sweden
E-mail: [log in to unmask] 


2. Answers from [log in to unmask]

Von: shaw <[log in to unmask]> 17 Aug 2001

Yes, there are folks out there doing strength training with stroke. I would
suggest you contact the Neurology Section of the APTA (American Physical
Therapy Association). The APTA's website is APTA.org.
Shaw Bronner PT


Von: "Jason Purton" <[log in to unmask]> 17 Aug 2001 13:35:56 +0100

In regards to your question I am currently doing my PhD on this topic. I am
planning to start a year long strength training program in January.
Currently only Parkinson's patients and healthy elderly people are involved
but we are also attempting to get dyslexia patients involved. Like you I
have not found any research conducted on the effects of pure strength/weight
training on neurologic patients.
If you do come across any research I would appreciate it if you could
forward the references to me. Also if you would like to discuss further this
research do not hesitate to contact me.
Sincerely,
Jason
Smile it makes people wonder what you are up to.
Jason Purton BHMS (Hons)
Staffordshire University
Stoke-on-Trent
ST1 4DF
+44 01782 298508
[log in to unmask]


Von: "Simon, Dipl. Phys. Jan" <[log in to unmask]> 17 Aug 2001

In unsere Arbeitsgruppe wird zur Zeit eine Studie mit Namen
"Kraft-Studie" durchgeführt. Dabei wird die Entwicklung des Gangmusters von
ICP-Kindern nach einer Operation durch Ganganalyse beurteilt, wobei die
Hälfte der Kinder durch Kraft-Training unterstützt wird.
        Genaueres können Ihnen bei Bedarf meine Kollegen berichten.
Viele Grüße, Jan Simon
Ganglabor der Orthopädie Heidelberg
IWR, Interdisziplinäres Zentrum für wissenschaftliches Rechnen


Von: Daniel Corcos <[log in to unmask]> 17 Aug 2001

I do not have any information but would be most interested in any
information you might receive.
Thanks - Daniel
Daniel M. Corcos, Ph.D.
Motor Control Group
School of Kinesiology (M/C 194)
University of Illinois at Chicago
901 West Roosevelt Road
Chicago, IL 60608
Tel: (312) 355-1708
Fax: (312) 355-2305
[log in to unmask]


Von: Aimee Gerber <[log in to unmask]>, reply to <[log in to unmask]> 17 Aug 2001

In a book published by Human Kinetics Adapted Physical Education and Sport 2nd ed., Joseph P. Winnick (editor), 1995, you will find some
information about training individuals with disabilities.  I hope you can find something in there to help you, or information from many other
people. 
Aimee Gerber 
Ball State University, M.S. Exercise Science w/emphasis in Biomechanics (pending 5/02) 
[log in to unmask]


"Z. Hasan" <[log in to unmask]>  11:46:36 -0500
 
   Prof. James Rimmer at University of Illinois at Chicago ([log in to unmask])
has been working on exercise effects in stroke patients. You may look up
his publications or contact him.


Von: Jim Stephens <[log in to unmask]> 17 Aug 2001

There are a number of people working on this.  I am not one of them but let
me get you started with a couple of references.
1) Light KE, Guiliani CA.  Effect of Isokinetic exercise effort on the arm
coordination of hemiparetic subjects.  Neurology Report. 1992; 16(4)19.
2) Guiliani CA, Light KE, Rose DK.  Effects of Isokinetic exercise program
in gait patterns of patients with hemiparesis.  Neurology Report. 1993;
17(4):23-24
3) Miller GT, Light KE, Kellog R.  Comparison of isometric force control
measures in spastic muscle of post stroke individuals before and after
graded resistive exercise.  Neurology Report. 1996; 20: 92-93

Neurology Report is a journal of the Neurology section on the American
Physical Therapy Association.  It is not listed on Medline but is on the
CINHL database.  You may be able to find more recent stuff there.  Happy
hunting.
Jim Stephens


Von: [log in to unmask]> 18 Aug 2001

Look at some of the newest references from Dr. carol Richards group. They 
looked at circuit training.
Have fun
Michel Ladouceur, PhD

3. answers from [log in to unmask]:

Von: "John Parks,DC" <[log in to unmask]> 17 Aug 2001

I would recommend you check out Parkinsons & the Art of Motion.
Most neurological conditions are not prescribed strength exercises
especially peripheral nerves. These conditions are believed to be
inflammatory or degenerative.
Teaching motion on a cognitive level seems to be the choice with
exercise. Many times autonomic or automatic reflexive responses are
lost.
John Parks, DC
Phoenix, AZ


Von: "Thomas Incledon" <[log in to unmask]> 17 Aug 2001
From Dan Wathen,
Youngstown State University

You should contact Dr. Pat Jacobs at the University of Miami (FL). He
has done much work in this area.  Phone him at USA (305)585-7970.  It
appears
from his and others work that most neuro conditions benefit from
strength training.  Good luck
*Pat's new number is 1-305-243-6001
Tom
Thomas Incledon, MS, RD, LD/N, NSCA-CPT, CSCS
President
Human Performance Specialists, Inc.
Plantation, FL


Von: "martin huizing" <[log in to unmask]> 18 Aug 2001

I saw your question on the "supertraining" discussion list.
We performed one research with Galileo vibration training on CVA patients. 
The publication has been published in mai.
You may inform yourself further at http://www.galileo2000.de or request 
information at [log in to unmask]
Regards,
Drs Martin Huizing
Netherlands
(for further articles you may also check http://www.galileo2000.nl


Von: <[log in to unmask]> 21 Aug 2001

**  Claus, when I was a working at a gym in Sydney, a client of ours was a young 
man (about 20 I think) who had cerebal palsy.  When he began he was a little 
overweight but basically didn't show any muscle size or definition.
He came in and trained with one of our personal trainers three times a week for 
an hour each session.  Although he used a wheelchair the creativity and 
perseverance of the trainers allowed him to experience a wide range of 
different exercises.  The gains he made so far as strenght and muscle mass gain 
was very impressive and inspiring.  
The program revolved mainly around the Smith Machine and cable cross over 
machine.  This allowed exercises such as incline press, shoulder press, tricep 
pressdown and straight arm pulldowns.  He also did some free weights eg lateral 
raise and squats, using bodyweight and holding on to a racked olympic bar for 
support (it was so excellent so him out of the wheelchair) and other leg work 
using a seated horizontal leg press.
The gains this guy made were real and highlighted to me the importance of 
exercise for everyone as long.  Creativity and persistency can overcome any 
hurdle as long as it is tempered by saftey.
Ben Haines
Townsville, Australia.
_______________________________________________________________________
1.000.000 DM gewinnen - kostenlos tippen - http://millionenklick.web.de
[log in to unmask], 8MB Speicher, Verschluesselung - http://freemail.web.de

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