Stroke is one of the leading causes of death and disability in the world 1. Further research is required to investigate the longer term and potential functional effects of chiropractic care in stroke recovery. An increase in V-wave amplitude combined with no significant changes in H-reflex parameters suggests this increased strength is likely modulated at a supraspinal level. Plantar flexor muscle strength increased in chronic stroke patients after a single session of chiropractic care. There were no other significant differences. There was a significant strength decrease of 26.4 ± 15.5% (p = 0.001) after the control intervention. Repeated measures ANOVA was used to asses within and between group differences. Outcomes were assessed pre and post a chiropractic care intervention and a passive movement control. Maximum voluntary contractions (strength) of the plantar flexors, soleus evoked V-waves (cortical drive), and H-reflexes were recorded in 12 chronic stroke patients, with plantar flexor muscle weakness, using a randomized controlled crossover design. The objective of this study was to investigate whether a single session of chiropractic care could increase strength in weak plantar flexor muscles in chronic stroke patients.
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