Acta Scientific Orthopaedics (ISSN: 2581-8635)

Short Communication Volume 6 Issue 1

Cross-Education: Evidence and Perspectives on Rehabilitation

Venicius de Paula Silva

Physical Activity Sciences Laboratory, School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil

*Corresponding Author: Venicius de Paula Silva, Physical Activity Sciences Laboratory University of São Paulo, Sao Paulo, Brazil.

Received: November 23, 2022; Published: December 13, 2022


Cross-education is defined as the increase in the muscle force generation capacity of the untrained contralateral limb after unilateral strength training.


  1. Farthing PJ., et al. “Cross-education of arm muscular strength is unidirectional in right-handed individuals”. Medicine and Science in Sports and Exercises9 (2005): 1594-1600.
  2. Carroll TJ., et al. “Contralateral effects of unilateral strength training: evidence and possible mechanisms”. Journal of Applied Physiology 5 (2006): 1514-1522.
  3. Scripture EW., et al. “On the education of muscular control and power”. Studies from the Yale Psychological Laboratory 2 (1894): 114-119.
  4. Andrushko JW., et al. “Unilateral strength training leads to muscle-specific sparing effects during opposite homologous limb immobilization”. Journal of Applied Physiology4 (2018): 866-876.
  5. Farthing PJ., et al. “Strength training the free limb attenuates strength loss during unilateral immobilization”. Journal of Applied Physiology 3 (2009): 830-836.
  6. Magnus CR., et al. “Effects of cross-education on the muscle after a period of unilateral limp immobilization using a shoulder sling and swathe”. Journal of Applied Physiology 6 (2010): 1887-1894.
  7. Ehrensberger M., et al. “Cross-education of strength has a positive impact on post-stroke rehabilitation: a systematic literature review”. Topics in Stroke Rehabilitation 2 (2016): 126-135.
  8. Sun Y., et al. “Unilateral wrist extension training after stroke improves strength and neural plasticity in both arms”. Experimental Brain Research7 (2018): 2009-2021.
  9. Papandreou M., et al. “Cross-exercise on quadriceps deficit after ACL reconstruction”. The Journal Knee Surgery1 (2013): 51-58.
  10. Green LA and Gabriel DA. “The effect of unilateral training on contralateral limb strength in young, older, and patient populations: a meta-analysis of cross education”. Physical Therapy Reviews4 (2018): 238-249.
  11. Kannus P., et al. “Effects of one-legged exercise on the strength, power and endurance of the contralateral leg. A randomized, controlled study using isometric and concentric isokinetic training”. European Journal of Applied Physiology and Occupation Physiology 2 (1992): 117-126.
  12. Panzer S., et al. “Cross-education and contralateral irradiation”. Journal of Human Kinetics1 (2011): 66-79.
  13. Hortobágyi T., et al. “Great cross-education following training with muscle lengthening than shortening”. Medicine and Science in Sports and Exercises1 (1997): 107-112.
  14. Zhou S. “Chronic neural adaptations to unilateral exercise: mechanisms of cross education”. Exercise and Sport Sciences Reviews4 (2000): 177-184.
  15. Ruddy KL and Carson RG. “Neural pathways mediating cross education of motor functional”. Frontiers in Human Neuroscience397 (2013): 1-22.
  16. Bezerra P., et al. “Effects of unilateral electromyostimulation superimposed on voluntary training on strength and cross-sectional area”. Muscle and Nerve3 (2009): 430-437.
  17. Tseng Wei-Chin., et al. “Contralateral effects by unilateral eccentric versus concentric resistance training”. Medicine and Science in Sports and Exercises2 (2019): 474-483.
  18. Magnus CR., et al. “At-home resistance tubing strength training increases shoulder strength in the trained and untrained limb”. Medicine and Science in Sports and Exercises3 (2014): 586-596.


Citation: Venicius de Paula Silva. “Cross-Education: Evidence and Perspectives on Rehabilitation”.Acta Scientific Orthopaedics 6.1 (2023): 115-116.


Copyright: © 2023 Venicius de Paula Silva. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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