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Ballistic Resistance Training: Feasibility, Safety, and Effectiveness for Improving Mobility in Adults With Neurologic Conditions: A Systematic Review.

Authors
  • Cordner, Thomas1
  • Egerton, Thorlene2
  • Schubert, Katharine3
  • Wijesinghe, Tanya4
  • Williams, Gavin5
  • 1 Physiotherapy Department, The University of Melbourne, Melbourne, Australia; Gold Coast Hospital and Health Service, Southport, Australia. , (Australia)
  • 2 Physiotherapy Department, The University of Melbourne, Melbourne, Australia. , (Australia)
  • 3 Physiotherapy Department, The University of Melbourne, Melbourne, Australia; Day Therapy Service, Community and Allied Health Richmond Network, Northern New South Wales Local Health District, Lismore, Australia. , (Australia)
  • 4 Physiotherapy Department, The University of Melbourne, Melbourne, Australia; Physiotherapy Department, Nawaloka Hospitals PLC, Colombo, Sri Lanka. , (Australia)
  • 5 Physiotherapy Department, The University of Melbourne, Melbourne, Australia; Epworth HealthCare, Richmond, Australia. Electronic address: [email protected] , (Australia)
Type
Published Article
Journal
Archives of physical medicine and rehabilitation
Publication Date
Apr 01, 2021
Volume
102
Issue
4
Pages
735–751
Identifiers
DOI: 10.1016/j.apmr.2020.06.023
PMID: 32745546
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To determine whether ballistic resistance training is feasible, safe, and effective in improving muscle strength, power generation, and mobility in adults with neurologic conditions. Nine electronic databases were searched from inception to March 2019 in addition to the reference lists of included articles. Articles were independently screened by 2 authors and were included if they were full-text; English-language articles published in a peer-reviewed journal; investigated ballistic resistance training for adults with a neurologic condition; and reported on feasibility, safety, strength, power, or mobility. Two authors independently extracted data. Study quality was assessed using the McMaster critical review form and the Physiotherapy Evidence Database scale. The search identified 1540 articles, with 13 articles describing 9 studies meeting the criteria for inclusion. Five studies were randomized controlled trials and 4 were cohort studies. Ballistic resistance training was feasible and safe with only 1 intervention-related adverse event reported. Findings indicated improvements in strength for hip abduction, leg press, knee flexion, and ankle dorsiflexion, but not for hip flexion, hip extension, knee extension, or ankle plantarflexion. Muscle power generation improved for hip flexion, hip abduction, leg press, knee extension, and knee flexion, but not for ankle plantarflexion. Treatment effect was positive for self-selected walking speed, with a standardized mean difference (SMD) of 0.69 (95% confidence interval [CI], 0.01-1.38) from 3 studies. However, fastest comfortable walking speed results were inconclusive with a SMD from 4 studies of 0.45 (95% CI, -0.01 to 0.91). Ballistic training is safe and feasible for people with a neurologic condition. The effects on muscle strength, power generation, and mobility were found to be positive but not conclusive. Crown Copyright © 2020. Published by Elsevier Inc. All rights reserved.

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