human
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: The purpose of this study was to compare the effects of a task-oriented exercise program with and without altered sensory input on postural stability in subjects with stroke . Sixteen hemiparetic subjects , at least 6 months post-stroke , were r and omly assigned to the experimental or control group , and participated in an 8-week task-oriented exercise program focusing on balance and mobility exercises . Exercises were performed under normal conditions by the control group , and under conditions of vision and surface manipulation by the experimental group . Pre- and post-test assessment s involved the measurement of the center of pressure ( COP ) displacement during double-legged stance and sit-to-st and under four sensory conditions : ( 1 ) eyes open , normal surface ; ( 2 ) eyes open , soft surface ; ( 3 ) eyes closed , normal surface ; and ( 4 ) eyes closed , soft surface , as well as the 10-m walking test . Results showed significant improvements ( P<0.05 ) in COP displacement under sensory conditions ( 1 ) and ( 2 ) for the experimental group only , and limited changes for the sit-to-st and in both groups after training . Significant improvements ( P<0.05 ) were also found in both groups for the walking test . It is concluded that a task-oriented exercise program , assisted by sensory manipulation , is more effective at improving the st and ing balance of stroke subjects than a conventional task-oriented program . Die vorliegende Studie vergleicht die Wirkung eines anforderungsspezifischen Übungsprogramms mit und ohne Sinnesreizänderung auf die posturale Stabilität von Schlaganfallpatienten . Insgesamt 16 Hemiparetiker wurden mindestens sechs Monate nach dem Schlaganfall r and omisiert der Versuchs- oder der Kontrollgruppe zugeordnet , innerhalb derer sie acht Wochen an einem anforderungsspezifischen Programm mit speziellen Gleichgewichts- und Mobilitätsübungen teilnahmen . Die Kontrollgruppe führte die Übungen unter normalen Bedingungen durch , die Versuchsgruppe dagegen unter Manipulation der Aspekte Sicht und Gehflächen . Bei den Bewertungen vor und nach dem Test wurde die Verlagerung des Druckmittelpunkts ( COP ) während der zweibeinigen Haltung und der Aufstehübung anh and von vier Sinneszuständen gemessen : ( 1 ) offene Augen , normale Fläche , ( 2 ) offene Augen , weiche Fläche , ( 3 ) geschlossene Augen , normale Fläche und ( 4 ) geschlossene Augen , weiche Fläche sowie anh and des 10 m Gehtests . Die Ergebnisse wiesen nur bei der Versuchsgruppe bei der COP-Verlagerung unter den Sinneszuständen ( 1 ) und ( 2 ) beachtliche Verbesserungen ( P<0,05 ) auf und bei beiden Gruppen in beschränktem Maß Veränderungen bei der Aufstehübung . Bei beiden Gruppen wurden auch signifikante Verbesserungen ( P<0,05 ) beim Gehtest beobachtet . Daraus schließt sich , dass ein anforderungsspezifisches Übungsprogramm mit begleitender Sinnesmanipulation das Gleichgewicht von Schlaganfallpatienten bei aufrechter Körperhaltung effektiver verbessert als ein herkömmliches anforderungsspezifisches Programm . El propósito de este estudio fue comparar los efectos de un programa de ejercicios dirigidos , con estimulación sensorial alterada o sin ella , sobre la estabilidad postural de sujetos con accidente vascular cerebral . Dieciséis sujetos hemiparéticos que habían sufrido un accidente vascular cerebral hacía al menos 6 meses , fueron distribuidos al azar en dos grupos : uno experimental y uno control . Los mismos participaron durante 8 semanas en un programa de ejercicios dirigidos , el cual se centraba en ejercicios de balance y de movilidad . El grupo control realizó los ejercicios en condiciones normales , mientras que el grupo experimental los realizó en condiciones en que la visión y las superficies fueron alteradas . En las evaluaciones realizadas antes y después de los ejercicios se midió la desviación del centro de presión ( CP ) durante la postura de pie utiliz and o ambas piernas , así como en la postura sentada , listo para ponerse de pie , bajo cuatro condiciones sensoriales deferentes : 1 ) ojos abiertos , superficie normal ;  2  ) ojos abiertos , superficie bl and a ;  3  ) ojos cerrados , superficie normal ;  y  4 ) ojos cerrados , superficie bl and a. Se realizó además la prueba de la marcha de los 10 m. Los result ados mostraron mejoras significativas ( P<0,05 ) en la desviación del CP en ambos grupos durante la prueba de la marcha . Se concluyó que un programa de ejercicios dirigidos , en los que se utilicen manipulaciones sensoriales , es más efectivo que un programa convencional de ejercicios dirigidos para mejorar el balance durante la postura de pie en sujetos con accidente vascular cerebral . Le but de cette étude était de comparer les effets d'un programme d'exercices fonctionnels assistés ou non de stimulations sensorielles sur la stabilité posturale de sujets atteints d'un accident vasculaire cérébral ( AVC ) . Seize sujets hémiparétiques atteints d'un AVC depuis au moins 6 mois et répartis de façon aléatoire au sein du groupe expérimental et du groupe témoin ont participé à un programme d'exercices fonctionnels de huit semaines portant sur des exercices d'équilibre et de mobilité . Les exercices étaient exécutés en situation normale par le groupe témoin et en situation de manipulation de la vision et de la surface de support par le groupe expérimental . Les évaluations pré et post exercices ont été effectuées à l'aide de la mesure du déplacement du centre de pression ( CP ) lors du maintien de la position debout en appui bipodal et du transfert assis-debout selon les quatre conditions sensorielles suivantes : yeux ouverts , surface normale ( 1 ) ; yeux ouverts , surface moelleuse ( 2 ) ; yeux fermés , surface normale ( 3 ) ; yeux fermés , surface moelleuse ( 4 ) . Le test de marche de 10 mètres a aussi été inclus dans l'évaluation . Les résultats ont démontré une amélioration significative ( P<0.05 ) du déplacement du CP dans les conditions 1 et 2 pour le groupe expérimental seulement ainsi que des changements limités pour le transfert assis-debout chez les deux groupes de sujets à la suite de l'entraînement . Une amélioration significative ( P<0.05 ) a été observée au niveau du test de marche chez les deux groupes de sujets . Cette étude a démontré qu'un programme d'exercices fonctionnels assistés de stimulations sensorielles est plus efficace pour l'amélioration du maintien de l'équilibre en position debout chez les sujets atteints d'un AVC qu'un programme d'exercices fonctionnels conventionnnel To test the hypothesis that recovering stroke patients with initially good sitting balance or those who develop good sitting balance during rehabilitation have better Barthel Index-based functional assessment outcomes than recovering stroke patients with poor sitting balance , we prospect ively studied 24 of 25 consecutive stroke patients admitted to a tertiary-care hospital rehabilitation unit . Sitting balance , a prerequisite for most functional activities , was scored using a four-point scale evaluating static and dynamic sitting balance on admission to the rehabilitation unit and weekly until discharge . Functional status was assessed using the Barthel Index 4 or 12 weeks after the stroke . We found a strong positive correlation between Barthel Index score and each weekly sitting balance score . Multiple evaluations over time identified those patients whose sitting balance improved during rehabilitation in our unit ; after grouping the patients into those with normal , improved , and poor sitting balance , we found a significant difference in the Barthel Index scores among the three groups . The group of patients whose sitting balance improved had higher Barthel Index scores than the group whose sitting balance did not improve . Ongoing evaluation of sitting balance can be helpful in anticipating functional status at discharge in stroke patients undergoing comprehensive rehabilitation This study was undertaken to determine muscle strength of trunk flexion-extension in hemiplegic patients after stroke compared with that of normal controls . The design consisted of a nonr and omized control trial in a secondary care setting ( a rehabilitation unit at a hospital facility ) . The subjects included 25 post-stroke male hemiplegic patients and 25 male healthy controls . The maximal peak torques of trunk flexion-extension  at angular velocities of 0 degrees ( isometric contraction ) , 60 degrees , 120 degrees , and 150 degrees/s were measured by using an isokinetic dynamometer ( Cybex Trunk Extension-Flexion Unit , Cybex , Ronkonkoma , NY ) . Peak torque of trunk flexion and extension in hemiplegic patients was significantly smaller than that of healthy controls ( P < 0.05 ) , except isometric trunk flexion ( P > 0.05 ) . The weakness of trunk flexion-extension muscles in hemiplegic patients might be accounted for by the bilateral innervation from the motor cortex , the insufficient use of high threshold motor units , and disuse atrophy Purpose . This study assesses the postural stability and the effect of balance training using a force platform visual biofeedback among out patients with postural disturbances following stroke . Method . A tilting multiaxial force platform was used to assess bilateral postural stability in 38 out patients ( mean age 69.50 ± 8.57 years ) with hemiplegia and /or ataxia after stroke .  Stability indexes were obtained . Afterwards , a subgroup of 12 patients with the poorest overall stability index ( OASI ) started a balance training programme in the force platform . Postural control training consisted of a 30-min training session once a week for a 15-week period . The test was then repeated . Results . In the 38 out patients sample , the mean OASI was 4.7 ± 2.0 and 42.1 % of the patients used their h and s for support . In the 12 out patients group , the initial OASI was 5.8 ± 2.3 and half of the patients used their h and s for support . The final OASI was 3.3 ± 1.0 ( p = 0.005 ) and only two of the patients used their h and s for support ( p = 0.046 ) . Conclusion . Our results suggest that a training programme using force platform visual biofeedback  improves objective measures of bilateral postural stability in patients with hemiplegia and /or ataxia after stroke OBJECTIVE The purpose of this study was to evaluate the effectiveness of a 12-month community-based intervention on falls and risk factors ( balance , lower extremity strength , and mobility )  in community-living older adults . METHODS Four hundred fifty-three sedentary adults ( 65 years old or older ) were r and omized to either a multifaceted intervention ( 3 times a week group exercise , 6 hours of fall prevention education , comprehensive falls risk assessment results sent to primary health care provider ) or control group ( written material s on falls prevention ) . Primary outcome was fall incidence rates calculated from self-reported falls reported monthly for 12 months . Secondary outcomes were tests of leg strength , balance , and mobility prior to and following the 12-month intervention . RESULTS Twelve-month follow-up was completed on 95 % of participants . Intent-to-treat analysis found that the incidence rate of falls was 25 % lower among those in the intervention group compared with control group ( 1.33 vs 1.77 falls/person-year , rate ratio 0.75 , 95 % confidence interval [ CI ] , 0.52 - 1.09 ) . This difference was not statistically significant . The risk ratio for any fall was 0.96 ( 95 % CI , 0.82 - 1.13 ) . Small but significant improvements were found on the Berg Balance Test ( adjusted mean difference + 1.5 points , 95 % CI , 0.8 - 2.3 ) , the Chair St and Test ( adjusted mean difference + 1.2 , 95 % 0.6 - 1.9 ) , and the Timed Up and Go Test ( adjusted mean difference -0.7 , 95 % CI , -1.2 to -0.2 ) . CONCLUSIONS A community-based multifaceted intervention was effective in improving balance , mobility , and leg strength , all known fall risk factors . Although the incidence of falls was lower , the confidence interval included the possibility of no intervention effect on falls OBJECTIVE To evaluate the impact of a program of muscle strengthening and physical conditioning on  impairment and disability in chronic stroke subjects . DESIGN A r and omized pretest and posttest control group , followed by a single-group pretest and posttest design . SUBJECTS Thirteen community-dwelling stroke survivors of at least 9 months . INTERVENTION A 10-week ( 3 days/week ) program consisting of a warm-up , aerobic exercises , lower extremity muscle strengthening , and a cool-down . MAIN OUTCOME MEASURES Peak isokinetic torque of the major muscle groups of the affected lower limb , quadriceps and ankle plantarflexor spasticity , gait speed , rate of stair climbing , the Human Activity Profile ( HAP ) , and the Nottingham Health Profile ( NHP ) were recorded twice for the treatment group and three times for the control group . RESULTS Significant improvements were found for all the selected outcome measures ( HAP , NHP , and gait speed ) for the treatment group ( p < .001 ) . In terms of overall training effects , the 13 subjects demonstrated increases in strength of the affected major muscle groups , in HAP and NHP profiles , and in gait speed and rate of stair climbing without concomitant increases in either quadriceps or ankle plantarflexor spasticity . CONCLUSIONS The 10-week combined program 
    Output:
    
agent
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: The purpose of this study was to compare the effects of a task-oriented exercise program with and without altered sensory input on postural stability in subjects with stroke . Sixteen hemiparetic subjects , at least 6 months post-stroke , were r and omly assigned to the experimental or control group , and participated in an 8-week task-oriented exercise program focusing on balance and mobility exercises . Exercises were performed under normal conditions by the control group , and under conditions of vision and surface manipulation by the experimental group . Pre- and post-test assessment s involved the measurement of the center of pressure ( COP ) displacement during double-legged stance and sit-to-st and under four sensory conditions : ( 1 ) eyes open , normal surface ; ( 2 ) eyes open , soft surface ; ( 3 ) eyes closed , normal surface ; and ( 4 ) eyes closed , soft surface , as well as the 10-m walking test . Results showed significant improvements ( P<0.05 ) in COP displacement under sensory conditions ( 1 ) and ( 2 ) for the experimental group only , and limited changes for the sit-to-st and in both groups after training . Significant improvements ( P<0.05 ) were also found in both groups for the walking test . It is concluded that a task-oriented exercise program , assisted by sensory manipulation , is more effective at improving the st and ing balance of stroke subjects than a conventional task-oriented program . Die vorliegende Studie vergleicht die Wirkung eines anforderungsspezifischen Übungsprogramms mit und ohne Sinnesreizänderung auf die posturale Stabilität von Schlaganfallpatienten . Insgesamt 16 Hemiparetiker wurden mindestens sechs Monate nach dem Schlaganfall r and omisiert der Versuchs- oder der Kontrollgruppe zugeordnet , innerhalb derer sie acht Wochen an einem anforderungsspezifischen Programm mit speziellen Gleichgewichts- und Mobilitätsübungen teilnahmen . Die Kontrollgruppe führte die Übungen unter normalen Bedingungen durch , die Versuchsgruppe dagegen unter Manipulation der Aspekte Sicht und Gehflächen . Bei den Bewertungen vor und nach dem Test wurde die Verlagerung des Druckmittelpunkts ( COP ) während der zweibeinigen Haltung und der Aufstehübung anh and von vier Sinneszuständen gemessen : ( 1 ) offene Augen , normale Fläche , ( 2 ) offene Augen , weiche Fläche , ( 3 ) geschlossene Augen , normale Fläche und ( 4 ) geschlossene Augen , weiche Fläche sowie anh and des 10 m Gehtests . Die Ergebnisse wiesen nur bei der Versuchsgruppe bei der COP-Verlagerung unter den Sinneszuständen ( 1 ) und ( 2 ) beachtliche Verbesserungen ( P<0,05 ) auf und bei beiden Gruppen in beschränktem Maß Veränderungen bei der Aufstehübung . Bei beiden Gruppen wurden auch signifikante Verbesserungen ( P<0,05 ) beim Gehtest beobachtet . Daraus schließt sich , dass ein anforderungsspezifisches Übungsprogramm mit begleitender Sinnesmanipulation das Gleichgewicht von Schlaganfallpatienten bei aufrechter Körperhaltung effektiver verbessert als ein herkömmliches anforderungsspezifisches Programm . El propósito de este estudio fue comparar los efectos de un programa de ejercicios dirigidos , con estimulación sensorial alterada o sin ella , sobre la estabilidad postural de sujetos con accidente vascular cerebral . Dieciséis sujetos hemiparéticos que habían sufrido un accidente vascular cerebral hacía al menos 6 meses , fueron distribuidos al azar en dos grupos : uno experimental y uno control . Los mismos participaron durante 8 semanas en un programa de ejercicios dirigidos , el cual se centraba en ejercicios de balance y de movilidad . El grupo control realizó los ejercicios en condiciones normales , mientras que el grupo experimental los realizó en condiciones en que la visión y las superficies fueron alteradas . En las evaluaciones realizadas antes y después de los ejercicios se midió la desviación del centro de presión ( CP ) durante la postura de pie utiliz and o ambas piernas , así como en la postura sentada , listo para ponerse de pie , bajo cuatro condiciones sensoriales deferentes : 1 ) ojos abiertos , superficie normal ;  2  ) ojos abiertos , superficie bl and a ;  3  ) ojos cerrados , superficie normal ;  y  4 ) ojos cerrados , superficie bl and a. Se realizó además la prueba de la marcha de los 10 m. Los result ados mostraron mejoras significativas ( P<0,05 ) en la desviación del CP en ambos grupos durante la prueba de la marcha . Se concluyó que un programa de ejercicios dirigidos , en los que se utilicen manipulaciones sensoriales , es más efectivo que un programa convencional de ejercicios dirigidos para mejorar el balance durante la postura de pie en sujetos con accidente vascular cerebral . Le but de cette étude était de comparer les effets d'un programme d'exercices fonctionnels assistés ou non de stimulations sensorielles sur la stabilité posturale de sujets atteints d'un accident vasculaire cérébral ( AVC ) . Seize sujets hémiparétiques atteints d'un AVC depuis au moins 6 mois et répartis de façon aléatoire au sein du groupe expérimental et du groupe témoin ont participé à un programme d'exercices fonctionnels de huit semaines portant sur des exercices d'équilibre et de mobilité . Les exercices étaient exécutés en situation normale par le groupe témoin et en situation de manipulation de la vision et de la surface de support par le groupe expérimental . Les évaluations pré et post exercices ont été effectuées à l'aide de la mesure du déplacement du centre de pression ( CP ) lors du maintien de la position debout en appui bipodal et du transfert assis-debout selon les quatre conditions sensorielles suivantes : yeux ouverts , surface normale ( 1 ) ; yeux ouverts , surface moelleuse ( 2 ) ; yeux fermés , surface normale ( 3 ) ; yeux fermés , surface moelleuse ( 4 ) . Le test de marche de 10 mètres a aussi été inclus dans l'évaluation . Les résultats ont démontré une amélioration significative ( P<0.05 ) du déplacement du CP dans les conditions 1 et 2 pour le groupe expérimental seulement ainsi que des changements limités pour le transfert assis-debout chez les deux groupes de sujets à la suite de l'entraînement . Une amélioration significative ( P<0.05 ) a été observée au niveau du test de marche chez les deux groupes de sujets . Cette étude a démontré qu'un programme d'exercices fonctionnels assistés de stimulations sensorielles est plus efficace pour l'amélioration du maintien de l'équilibre en position debout chez les sujets atteints d'un AVC qu'un programme d'exercices fonctionnels conventionnnel To test the hypothesis that recovering stroke patients with initially good sitting balance or those who develop good sitting balance during rehabilitation have better Barthel Index-based functional assessment outcomes than recovering stroke patients with poor sitting balance , we prospect ively studied 24 of 25 consecutive stroke patients admitted to a tertiary-care hospital rehabilitation unit . Sitting balance , a prerequisite for most functional activities , was scored using a four-point scale evaluating static and dynamic sitting balance on admission to the rehabilitation unit and weekly until discharge . Functional status was assessed using the Barthel Index 4 or 12 weeks after the stroke . We found a strong positive correlation between Barthel Index score and each weekly sitting balance score . Multiple evaluations over time identified those patients whose sitting balance improved during rehabilitation in our unit ; after grouping the patients into those with normal , improved , and poor sitting balance , we found a significant difference in the Barthel Index scores among the three groups . The group of patients whose sitting balance improved had higher Barthel Index scores than the group whose sitting balance did not improve . Ongoing evaluation of sitting balance can be helpful in anticipating functional status at discharge in stroke patients undergoing comprehensive rehabilitation This study was undertaken to determine muscle strength of trunk flexion-extension in hemiplegic patients after stroke compared with that of normal controls . The design consisted of a nonr and omized control trial in a secondary care setting ( a rehabilitation unit at a hospital facility ) . The subjects included 25 post-stroke male hemiplegic patients and 25 male healthy controls . The maximal peak torques of trunk flexion-extension  at angular velocities of 0 degrees ( isometric contraction ) , 60 degrees , 120 degrees , and 150 degrees/s were measured by using an isokinetic dynamometer ( Cybex Trunk Extension-Flexion Unit , Cybex , Ronkonkoma , NY ) . Peak torque of trunk flexion and extension in hemiplegic patients was significantly smaller than that of healthy controls ( P < 0.05 ) , except isometric trunk flexion ( P > 0.05 ) . The weakness of trunk flexion-extension muscles in hemiplegic patients might be accounted for by the bilateral innervation from the motor cortex , the insufficient use of high threshold motor units , and disuse atrophy Purpose . This study assesses the postural stability and the effect of balance training using a force platform visual biofeedback among out patients with postural disturbances following stroke . Method . A tilting multiaxial force platform was used to assess bilateral postural stability in 38 out patients ( mean age 69.50 ± 8.57 years ) with hemiplegia and /or ataxia after stroke .  Stability indexes were obtained . Afterwards , a subgroup of 12 patients with the poorest overall stability index ( OASI ) started a balance training programme in the force platform . Postural control training consisted of a 30-min training session once a week for a 15-week period . The test was then repeated . Results . In the 38 out patients sample , the mean OASI was 4.7 ± 2.0 and 42.1 % of the patients used their h and s for support . In the 12 out patients group , the initial OASI was 5.8 ± 2.3 and half of the patients used their h and s for support . The final OASI was 3.3 ± 1.0 ( p = 0.005 ) and only two of the patients used their h and s for support ( p = 0.046 ) . Conclusion . Our results suggest that a training programme using force platform visual biofeedback  improves objective measures of bilateral postural stability in patients with hemiplegia and /or ataxia after stroke OBJECTIVE The purpose of this study was to evaluate the effectiveness of a 12-month community-based intervention on falls and risk factors ( balance , lower extremity strength , and mobility )  in community-living older adults . METHODS Four hundred fifty-three sedentary adults ( 65 years old or older ) were r and omized to either a multifaceted intervention ( 3 times a week group exercise , 6 hours of fall prevention education , comprehensive falls risk assessment results sent to primary health care provider ) or control group ( written material s on falls prevention ) . Primary outcome was fall incidence rates calculated from self-reported falls reported monthly for 12 months . Secondary outcomes were tests of leg strength , balance , and mobility prior to and following the 12-month intervention . RESULTS Twelve-month follow-up was completed on 95 % of participants . Intent-to-treat analysis found that the incidence rate of falls was 25 % lower among those in the intervention group compared with control group ( 1.33 vs 1.77 falls/person-year , rate ratio 0.75 , 95 % confidence interval [ CI ] , 0.52 - 1.09 ) . This difference was not statistically significant . The risk ratio for any fall was 0.96 ( 95 % CI , 0.82 - 1.13 ) . Small but significant improvements were found on the Berg Balance Test ( adjusted mean difference + 1.5 points , 95 % CI , 0.8 - 2.3 ) , the Chair St and Test ( adjusted mean difference + 1.2 , 95 % 0.6 - 1.9 ) , and the Timed Up and Go Test ( adjusted mean difference -0.7 , 95 % CI , -1.2 to -0.2 ) . CONCLUSIONS A community-based multifaceted intervention was effective in improving balance , mobility , and leg strength , all known fall risk factors . Although the incidence of falls was lower , the confidence interval included the possibility of no intervention effect on falls OBJECTIVE To evaluate the impact of a program of muscle strengthening and physical conditioning on  impairment and disability in chronic stroke subjects . DESIGN A r and omized pretest and posttest control group , followed by a single-group pretest and posttest design . SUBJECTS Thirteen community-dwelling stroke survivors of at least 9 months . INTERVENTION A 10-week ( 3 days/week ) program consisting of a warm-up , aerobic exercises , lower extremity muscle strengthening , and a cool-down . MAIN OUTCOME MEASURES Peak isokinetic torque of the major muscle groups of the affected lower limb , quadriceps and ankle plantarflexor spasticity , gait speed , rate of stair climbing , the Human Activity Profile ( HAP ) , and the Nottingham Health Profile ( NHP ) were recorded twice for the treatment group and three times for the control group . RESULTS Significant improvements were found for all the selected outcome measures ( HAP , NHP , and gait speed ) for the treatment group ( p < .001 ) . In terms of overall training effects , the 13 subjects demonstrated increases in strength of the affected major muscle groups , in HAP and NHP profiles , and in gait speed and rate of stair climbing without concomitant increases in either quadriceps or ankle plantarflexor spasticity . CONCLUSIONS The 10-week combined program 
    Output:
    