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STUDY PROTOCOL article

Front. Neurol.
Sec. Neurorehabilitation
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1398860
This article is part of the Research Topic Innovative approaches to promote stroke recovery View all 16 articles

Eccentric strengthening vs conventional therapy in sub-acute stroke survivors: A randomized controlled trial

Provisionally accepted
Kalthoum Belghith Kalthoum Belghith 1*Mustapha Zidi Mustapha Zidi 2Vincent Lhéo Vincent Lhéo 1Jean-Michel Fedele Jean-Michel Fedele 3Rayan Bou-Serhal Rayan Bou-Serhal 3Wael Maktouf Wael Maktouf 2*
  • 1 Université Paris-Est Créteil Val de Marne, Créteil, Ile-de-France, France
  • 2 Université Paris Est Marne la Vallée, Champs-sur-Marne, France
  • 3 CLINEA group, Clinique du Parc de Belleville, Paris, France

The final, formatted version of the article will be published soon.

    Spastic paresis, a common consequence of stroke, involves both neurological and muscular changes, leading to decreased muscle strength and increased passive muscle stiffness. Current rehabilitation approaches focus on spasticity reduction but often overlook spastic myopathy, contributing to limited motor improvement. Eccentric Training (ET) has emerged as a potential solution due to its ability to enhance muscle strength and extensibility. However, its effectiveness in addressing post-stroke neuromuscular impairments remains underexplored. This study aims to investigate the impact of ET on gait speed in sub-acute stroke patients compared to conventional therapy. Additionally, we aim to explore the effects of ET on the mechanical properties, structural characteristics, and neuromuscular parameters of the plantar flexors. A randomized controlled trial will be conducted, adhering to CONSORT guidelines, with participants assigned to either a Conventional Therapy Group or an Eccentric Training Group. Assessments will be conducted at baseline, and after ET intervention, encompassing clinical, biomechanical, and functional evaluations. This study seeks to provide empirical evidence on the efficacy of ET in improving motor outcomes and addressing spastic myopathy in sub-acute stroke patients, thereby informing more effective rehabilitation strategies.

    Keywords: Muscle Strength, stiffness, Ankle Joint, Eccentric training, Stroke

    Received: 10 Mar 2024; Accepted: 09 Aug 2024.

    Copyright: © 2024 Belghith, Zidi, Lhéo, Fedele, Bou-Serhal and Maktouf. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Kalthoum Belghith, Université Paris-Est Créteil Val de Marne, Créteil, 94010, Ile-de-France, France
    Wael Maktouf, Université Paris Est Marne la Vallée, Champs-sur-Marne, France

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.