What is task specific resistance therapy and what is the positive effect by people after an stroke

Introduction: Training of people that have suffer from an stroke asked for an multidisciplinary approach, because by an damage of the brain are so many systems damaged that every disturbances askes for an purposeful to get an optimal That count also for the senso- motoric disturbances and this area are the approach still today so divers and often without the optimal evident base because often the experimental treatment is compare with usual care. This usual care is so divers that nobody know what is compared with what and the nomenclature is always changing without clear definitions. One of them is the training of muscle that is found to be possible and has an positive effect on the recovery of people after an stroke. But always are there borders why this isn’t possible with the distal part of the body when the projection /pathway are disturbed. Method: This article focusses on the best practice and evidence, that is done with people after an stroke on the area of regaining an optimal walking performance and that is an area where the projection in the brain and also on lower level is almost always present and the distal loss could be control with an orthosis. Then is there an great assemble of approaches that all start with the word -task- but the performance is always different. Because this work has an great resemblance with sport training, we introduce in the practice their evidence and that was an eye opener. Goal: Two elements was the goal to invest, what is the best task related training for people after an stroke to activated the muscle pattern and has an clear influence on the re-learning. Second element was to invest what the best training to get an better power and coordination in the muscles to improve the walking performance. Isolated or task – specific! Conclusion: Train and use that improvement asked for an task specific resistance treatment, that will improve the muscle pattern that are needed to improve the walking performance. Clear is that task specific resistance therapy lie so close by the implicit (Differential) learning that this combination is the best. Of course Isolated muscle strengthening will increase the force of that muscle(s) but the integrating in the walking performance is much more difficult because it works not in the muscle pattern that are needed to increase the walking performance