Strength training after stroke: Rationale, evidence and potential implementation barriers for physiotherapists

Abstract

Deficits in muscles strength are common after stroke and have a strong relationship to the functional limitations people experience. This clinical commentary discusses the evidence for strength training to improve strength and increase function in people after stroke. Moderate to high intensity strength training has been strongly advocated for people with stroke, yet uptake into rehabilitation clinical practice appears limited. This review provides insight into the potential barriers to implementation of strength training at the recommended training parameters for physiotherapists and offers guidance for undertaking strength training in people with stroke.