Document Detail


Addition of an anabolic steroid to strength training promotes muscle strength in the nonparetic lower limb of poststroke hemiplegia patients.
MedLine Citation:
PMID:  20707637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this prospective observer-blinded open-label nonrandomized controlled trial, 25 inpatients with hemiplegia 1-8 months after stroke were assigned to an anabolic androgenic steroid (AAS; n = 14) or a control (n = 11) group: the former received 100 mg metenolone enanthate by intramuscular injection once a week for 6 weeks along with rehabilitation therapy including muscle strength training of the nonparetic lower limb, which consisted of 100 repetitions of isokinetic reciprocal knee extension/flexion (60 degrees /s) on a dynamometer once a day for 5 days a week over 6 weeks, and the latter received rehabilitation therapy alone. The maximal peak torque of the nonparetic lower limb, including the isokinetic (60 degrees /s, 120 degrees /s, and 180 degrees /s), isotonic, and isometric muscle strength of knee extension/flexion, measured every 2 weeks, was compared with the baseline values. Significant increases in peak torque were seen at 2 weeks in 9 of the 10 conditions and at 6 weeks in 8 of the 10 conditions tested for the AAS group but in only 1 and 5 conditions for the control group, respectively. While no contraindications for AAS were encountered, the combination of AAS and muscle strength training tended to have a positive effect on muscle strength after stroke.
Authors:
Megumi Shimodozono; Kazumi Kawahira; Atsuko Ogata; Seiji Etoh; Nobuyuki Tanaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of neuroscience     Volume:  120     ISSN:  1563-5279     ISO Abbreviation:  Int. J. Neurosci.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0270707     Medline TA:  Int J Neurosci     Country:  England    
Other Details:
Languages:  eng     Pagination:  617-24     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. rihakoza@m2.kufm.kagoshima-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Anabolic Agents / therapeutic use*
Controlled Clinical Trials as Topic
Female
Hemiplegia / rehabilitation*
Humans
Knee Joint / physiology
Lower Extremity / physiopathology*
Male
Middle Aged
Muscle Strength / drug effects*
Muscle Strength Dynamometer
Resistance Training / methods*
Stroke / physiopathology,  rehabilitation*
Chemical
Reg. No./Substance:
0/Anabolic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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