Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series
The contralateral strength training (CST) effect is a transfer of muscle performance to the untrained limb following training of the contralateral side. The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectivenes...
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| Veröffentlicht in: | Physical therapy 2016-06, Vol.96 (6), p.828-838 |
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| creator | Manca, Andrea Cabboi, Maria Paola Ortu, Enzo Ginatempo, Francesca Dragone, Daniele Zarbo, Ignazio Roberto de Natale, Edoardo Rosario Mureddu, Giovanni Bua, Guido Deriu, Franca |
| description | The contralateral strength training (CST) effect is a transfer of muscle performance to the untrained limb following training of the contralateral side.
The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectiveness of CST on management of muscle weakness of the more-affected limb following training of the less-affected limb.
A single-subject research design was used.
Eight individuals with MS underwent 16 to 18 high-intensity training sessions of the less-affected ankle dorsiflexor muscles. The primary outcome measure of this single-system case series was maximal strength expressed as peak moment and maximal work. Secondary outcome measures were: Six-Minute-Walk Test, Timed "Up & Go" Test, 10-Meter Timed Walk Test, and Multiple Sclerosis Quality of Life-54 questionnaire.
After the 6-week intervention, the contralateral more affected (untrained) limb showed a 22% to 24% increase in maximal strength. From pretest-posttest measurements, participants also performed significantly better on the clinical and functional secondary outcome measures. At the 12-week follow-up, the strength levels of the weaker untrained limb remained significantly superior to baseline levels in the majority (5 out of 8) of the outcome parameters.
Considering the design used, the absence of a control group, and the sample size, these findings should be cautiously generalized and will need confirmation in a properly planned randomized controlled trial.
The present proof-of-concept study shows, for the first time, the occurrence of the CST effect on muscle performance of ankle dorsiflexor muscles in people with MS. These preliminary findings reveal new potential implications for CST as a promising rehabilitation approach to those conditions where unilateral muscle weakness does not allow or makes difficult performing conventional strength training of the weaker limb. |
| doi_str_mv | 10.2522/ptj.20150299 |
| format | Article |
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The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectiveness of CST on management of muscle weakness of the more-affected limb following training of the less-affected limb.
A single-subject research design was used.
Eight individuals with MS underwent 16 to 18 high-intensity training sessions of the less-affected ankle dorsiflexor muscles. The primary outcome measure of this single-system case series was maximal strength expressed as peak moment and maximal work. Secondary outcome measures were: Six-Minute-Walk Test, Timed "Up & Go" Test, 10-Meter Timed Walk Test, and Multiple Sclerosis Quality of Life-54 questionnaire.
After the 6-week intervention, the contralateral more affected (untrained) limb showed a 22% to 24% increase in maximal strength. From pretest-posttest measurements, participants also performed significantly better on the clinical and functional secondary outcome measures. At the 12-week follow-up, the strength levels of the weaker untrained limb remained significantly superior to baseline levels in the majority (5 out of 8) of the outcome parameters.
Considering the design used, the absence of a control group, and the sample size, these findings should be cautiously generalized and will need confirmation in a properly planned randomized controlled trial.
The present proof-of-concept study shows, for the first time, the occurrence of the CST effect on muscle performance of ankle dorsiflexor muscles in people with MS. These preliminary findings reveal new potential implications for CST as a promising rehabilitation approach to those conditions where unilateral muscle weakness does not allow or makes difficult performing conventional strength training of the weaker limb.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20150299</identifier><identifier>PMID: 26637645</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adult ; Ankle - physiopathology ; Care and treatment ; Female ; Follow-Up Studies ; Health aspects ; Humans ; Male ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - complications ; Multiple Sclerosis - physiopathology ; Multiple Sclerosis - rehabilitation ; Muscle Strength ; Muscle weakness ; Muscle Weakness - etiology ; Muscle Weakness - physiopathology ; Muscle Weakness - therapy ; Muscle, Skeletal - physiopathology ; Physical therapy ; Rehabilitation ; Resistance Training - methods ; Sports training ; Strength training ; Studies ; Therapeutics, Physiological ; Walk Test ; Young Adult</subject><ispartof>Physical therapy, 2016-06, Vol.96 (6), p.828-838</ispartof><rights>2016 American Physical Therapy Association.</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Jun 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c668t-da54e3e2620f78fb58e03470f23715f44c7bfdec44fec63d1178821ea73a941a3</citedby><cites>FETCH-LOGICAL-c668t-da54e3e2620f78fb58e03470f23715f44c7bfdec44fec63d1178821ea73a941a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26637645$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manca, Andrea</creatorcontrib><creatorcontrib>Cabboi, Maria Paola</creatorcontrib><creatorcontrib>Ortu, Enzo</creatorcontrib><creatorcontrib>Ginatempo, Francesca</creatorcontrib><creatorcontrib>Dragone, Daniele</creatorcontrib><creatorcontrib>Zarbo, Ignazio Roberto</creatorcontrib><creatorcontrib>de Natale, Edoardo Rosario</creatorcontrib><creatorcontrib>Mureddu, Giovanni</creatorcontrib><creatorcontrib>Bua, Guido</creatorcontrib><creatorcontrib>Deriu, Franca</creatorcontrib><title>Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The contralateral strength training (CST) effect is a transfer of muscle performance to the untrained limb following training of the contralateral side.
The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectiveness of CST on management of muscle weakness of the more-affected limb following training of the less-affected limb.
A single-subject research design was used.
Eight individuals with MS underwent 16 to 18 high-intensity training sessions of the less-affected ankle dorsiflexor muscles. The primary outcome measure of this single-system case series was maximal strength expressed as peak moment and maximal work. Secondary outcome measures were: Six-Minute-Walk Test, Timed "Up & Go" Test, 10-Meter Timed Walk Test, and Multiple Sclerosis Quality of Life-54 questionnaire.
After the 6-week intervention, the contralateral more affected (untrained) limb showed a 22% to 24% increase in maximal strength. From pretest-posttest measurements, participants also performed significantly better on the clinical and functional secondary outcome measures. At the 12-week follow-up, the strength levels of the weaker untrained limb remained significantly superior to baseline levels in the majority (5 out of 8) of the outcome parameters.
Considering the design used, the absence of a control group, and the sample size, these findings should be cautiously generalized and will need confirmation in a properly planned randomized controlled trial.
The present proof-of-concept study shows, for the first time, the occurrence of the CST effect on muscle performance of ankle dorsiflexor muscles in people with MS. These preliminary findings reveal new potential implications for CST as a promising rehabilitation approach to those conditions where unilateral muscle weakness does not allow or makes difficult performing conventional strength training of the weaker limb.</description><subject>Adult</subject><subject>Ankle - physiopathology</subject><subject>Care and treatment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - physiopathology</subject><subject>Multiple Sclerosis - rehabilitation</subject><subject>Muscle Strength</subject><subject>Muscle weakness</subject><subject>Muscle Weakness - etiology</subject><subject>Muscle Weakness - physiopathology</subject><subject>Muscle Weakness - therapy</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Physical therapy</subject><subject>Rehabilitation</subject><subject>Resistance Training - methods</subject><subject>Sports training</subject><subject>Strength training</subject><subject>Studies</subject><subject>Therapeutics, Physiological</subject><subject>Walk Test</subject><subject>Young Adult</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV082LEzEUAPBBFLeu3jzLgBcFp-ZzkvG2lHVd6LqLXfEY0vRlTJ0mdZIBBf94M2xXqRRXyZAw4ZcHLy-vKJ5iNCWckNfbtJ4ShDkiTXOvmGBOZVULwu4XE4QorhpE6FHxKMY1QggL1jwsjkhdU1EzPil-nFoLJpXBlrPgU687nSDP5SL14Nv0ubzutfPOt2Xw5cUQTQflJ9BfPMRYOl9eQdiOWy7Ti6FLbvxbZNWH6OKb8qoPwVb5y-ENbFM50zED6B3Ex8UDq7sIT3brcfHx7en17F01vzw7n53MK1PXMlUrzRlQIDVBVki75BIQZQJZQgXmljEjlnYFhrGcSk1XGAspCQYtqG4Y1vS4eHETd9uHrwPEpDYuGug67SEMUeXrI1LWVPI7KZa4wVQwRO-moqH58jllmT7_g67D0Puc8xiQYsx4TX-rVnegnLch18OMQdUJ4xxxkW1W1QHVgh_LFjxYl7f3_PSAz2MFG2cOHni5dyCbBN9Sq4cY1fniw3_Y9_9s5dn8b0nurAldBy2o_Dpml_v-1Y03-dnFHqza9m6j--8KIzW2icptom7bJPNnu3oMyw2sfuHbvqA_AdR1Bj0</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Manca, Andrea</creator><creator>Cabboi, Maria Paola</creator><creator>Ortu, Enzo</creator><creator>Ginatempo, Francesca</creator><creator>Dragone, Daniele</creator><creator>Zarbo, Ignazio Roberto</creator><creator>de Natale, Edoardo Rosario</creator><creator>Mureddu, Giovanni</creator><creator>Bua, Guido</creator><creator>Deriu, Franca</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series</title><author>Manca, Andrea ; Cabboi, Maria Paola ; Ortu, Enzo ; Ginatempo, Francesca ; Dragone, Daniele ; Zarbo, Ignazio Roberto ; de Natale, Edoardo Rosario ; Mureddu, Giovanni ; Bua, Guido ; Deriu, Franca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c668t-da54e3e2620f78fb58e03470f23715f44c7bfdec44fec63d1178821ea73a941a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Ankle - physiopathology</topic><topic>Care and treatment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - complications</topic><topic>Multiple Sclerosis - physiopathology</topic><topic>Multiple Sclerosis - rehabilitation</topic><topic>Muscle Strength</topic><topic>Muscle weakness</topic><topic>Muscle Weakness - etiology</topic><topic>Muscle Weakness - physiopathology</topic><topic>Muscle Weakness - therapy</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Physical therapy</topic><topic>Rehabilitation</topic><topic>Resistance Training - methods</topic><topic>Sports training</topic><topic>Strength training</topic><topic>Studies</topic><topic>Therapeutics, Physiological</topic><topic>Walk Test</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Manca, Andrea</creatorcontrib><creatorcontrib>Cabboi, Maria Paola</creatorcontrib><creatorcontrib>Ortu, Enzo</creatorcontrib><creatorcontrib>Ginatempo, Francesca</creatorcontrib><creatorcontrib>Dragone, Daniele</creatorcontrib><creatorcontrib>Zarbo, Ignazio Roberto</creatorcontrib><creatorcontrib>de Natale, Edoardo Rosario</creatorcontrib><creatorcontrib>Mureddu, Giovanni</creatorcontrib><creatorcontrib>Bua, Guido</creatorcontrib><creatorcontrib>Deriu, Franca</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manca, Andrea</au><au>Cabboi, Maria Paola</au><au>Ortu, Enzo</au><au>Ginatempo, Francesca</au><au>Dragone, Daniele</au><au>Zarbo, Ignazio Roberto</au><au>de Natale, Edoardo Rosario</au><au>Mureddu, Giovanni</au><au>Bua, Guido</au><au>Deriu, Franca</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2016-06</date><risdate>2016</risdate><volume>96</volume><issue>6</issue><spage>828</spage><epage>838</epage><pages>828-838</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>The contralateral strength training (CST) effect is a transfer of muscle performance to the untrained limb following training of the contralateral side.
The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectiveness of CST on management of muscle weakness of the more-affected limb following training of the less-affected limb.
A single-subject research design was used.
Eight individuals with MS underwent 16 to 18 high-intensity training sessions of the less-affected ankle dorsiflexor muscles. The primary outcome measure of this single-system case series was maximal strength expressed as peak moment and maximal work. Secondary outcome measures were: Six-Minute-Walk Test, Timed "Up & Go" Test, 10-Meter Timed Walk Test, and Multiple Sclerosis Quality of Life-54 questionnaire.
After the 6-week intervention, the contralateral more affected (untrained) limb showed a 22% to 24% increase in maximal strength. From pretest-posttest measurements, participants also performed significantly better on the clinical and functional secondary outcome measures. At the 12-week follow-up, the strength levels of the weaker untrained limb remained significantly superior to baseline levels in the majority (5 out of 8) of the outcome parameters.
Considering the design used, the absence of a control group, and the sample size, these findings should be cautiously generalized and will need confirmation in a properly planned randomized controlled trial.
The present proof-of-concept study shows, for the first time, the occurrence of the CST effect on muscle performance of ankle dorsiflexor muscles in people with MS. These preliminary findings reveal new potential implications for CST as a promising rehabilitation approach to those conditions where unilateral muscle weakness does not allow or makes difficult performing conventional strength training of the weaker limb.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26637645</pmid><doi>10.2522/ptj.20150299</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-9023 |
| ispartof | Physical therapy, 2016-06, Vol.96 (6), p.828-838 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Ankle - physiopathology Care and treatment Female Follow-Up Studies Health aspects Humans Male Middle Aged Multiple sclerosis Multiple Sclerosis - complications Multiple Sclerosis - physiopathology Multiple Sclerosis - rehabilitation Muscle Strength Muscle weakness Muscle Weakness - etiology Muscle Weakness - physiopathology Muscle Weakness - therapy Muscle, Skeletal - physiopathology Physical therapy Rehabilitation Resistance Training - methods Sports training Strength training Studies Therapeutics, Physiological Walk Test Young Adult |
| title | Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series |
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