Armkrafttraining in der Schlaganfallrehabilitation

Nach einem Schlaganfall sehen sich die Patient*innen häufig mit Einschränkungen der Armfunktionen und bei Armaktivitäten konfrontiert, was oft mit großen Herausforderungen im Alltag verbunden ist. Ein gezieltes Armkrafttraining kann zur Erholung der Armfunktionen und somit zur Erlangung körperlicher Unabhängigkeit beitragen. Dabei sind die verwendete Trainingsmethodik und deren Anpassung an die individuellen Fähigkeiten, Komorbiditäten und Ziele der Patient*innen entscheidend für den Rehabilitationserfolg.

Publication History

Article published online:
14 June 2023

• Literatur

• 1 Lawrence ES, Coshall C, Dundas R. et al. Estimates of the prevalence of acute stroke impairments and disability in a multiethnic population. Stroke 2001; 32: 1279-1284
• 2 Robert Koch-Institut. Hrsg. Gesundheit in Deutschland. Berlin: RKI. Gesundheitsberichterstattung des Bundes. Gemeinsam getragen von RKI und Destatis. 2015
• 3 Kraemer WJ, Ratamess NA, French DN. Resistance training for health and performance. Current Sports Medicine Reports 2002; 1: 165-171
• 4 American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed.. Philadelphia: Wolters Kluwer,; 2018
• 5 Hoegg S, Holzgraefe M, Druege C. et al. High-intensity arm resistance training does not lead to better outcomes than low-intensity resistance training in patients after subacute stroke: A randomized controlled trial. Journal of Rehabilitation Medicine 2020; 52: jrm00067
• 6 Saunders DH, Sanderson M, Hayes S. et al. Physical fitness training for stroke patients: Cochrane Database of Systematic Reviews 2020; Art. No. CD003316
• 7 Veldema J, Jansen P. Resistance training in stroke rehabilitation: Systematic review and meta-analysis. Clinical Rehabilitation 2020; 34: 1173-1197
• 8 Harris JE, Eng JJ. Strength training improves upper-limb function in individuals with stroke: A meta-analysis. Stroke 2010; 41: 136-140
• 9 Bourbonnais D, Bilodeau S, Lepage Y. et al. Effect of force-feedback treatments in patients with chronic motor deficits after a stroke. American Journal of Physical Medicine & Rehabilitation 2002; 81: 890-897
• 10 Fasoli SE, Krebs HI, Stein J. et al. Effects of robotic therapy on motor impairment and recovery in chronic stroke. Archives of Physical Medicine and Rehabilitation 2003; 84: 477-482
• 11 Hunter SM, Johansen-Berg H, Ward N. et al. Functional strength training and movement performance therapy for upper limb recovery early poststroke – efficacy, neural correlates, predictive markers, and cost-effectiveness: FasT-indicaTe Trial. Frontiers in Neurology 2018; 8: 733
• 12 Park JS, Lee G, Choi JB. et al. Game-based hand resistance exercise versus traditional manual hand exercises for improving hand strength, motor function, and compliance in stroke patients: A multi-center randomized controlled study. NeuroRehabilitation 2019; 45: 221-227
• 13 Corti M, McGuirk TE, Wu SS, Patten C. Differential effects of power training versus functional task practice on compensation and restoration of arm function after stroke. Neurorehabilitation and Neural Repair 2012; 26: 842-854
• 14 Graef P, Michaelsen SM, Dadalt MLR. et al. Effects of functional and analytical strength training on upper-extremity activity after stroke: A randomized controlled trial. Brazilian Journal of Physical Therapy 2016; 20: 543-552
• 15 Milot MH, Leonard G, Corriveau H, Desrosiers J. Using the Borg rating of perceived exertion scale to grade the intensity of a functional training program of the affected upper limb after a stroke: A feasibility study. Clinical Interventions in Aging 2019; 14: 9-16
• 16 Patten C, Condliffe EG, Dairaghi CA, Lum PS. Concurrent neuromechanical and functional gains following upper-extremity power training post-stroke. Journal of NeuroEngineering and Rehabilitation 2013; 10: 1
• 17 Pang MYC, Harris JE, Eng JJ. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2006; 87: 1-9
• 18 Shang X, Meng X, Xiao X. et al. Grip training improves handgrip strength, cognition, and brain white matter in minor acute ischemic stroke patients. Clinical Neurology and Neurosurgery 2021; 209: 106886