Clinical education alone is sufficient to improve strength training exercise prescription v1

Abstract

The main cause of reduced ability to walk for the majority of people with neurological conditions is muscle weakness. Clinical guidelines from the National Stroke Foundation (NSF) Clinical Guidelines for Stroke Management and the American Heart Association Statement for Stroke both recommend strength training for the lower limb to improve walking. Further, clinical guidelines have also been published by the American College of Sports Medicine (ACSM) for optimal strength training. However, despite a large body of evidence that muscle weakness is the primary impairment causing walking limitations, and guidelines recommending strength training during rehabilitation, six systematic reviews have ..