ArticleEuropean journal of applied physiology2011
Neuromuscular performance of paretic versus non-paretic plantar flexors after stroke.
Article in European journal of applied physiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03849794 (The Effects of 4 Weeks of Chiropractic Care Plus Physiotherapy Compared to Physiotherapy Alone on Functional Outcomes in Chronic Stroke Patients), which is not on this map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects of 4 Weeks of Chiropractic Care Plus Physiotherapy Compared to Physiotherapy Alone on Functional Outcomes in Chronic Stroke Patients: a Clinical Trial
Who cites it
23 citing papers in PubMed, 54 citations in OpenAlex.
- The effects of a single session of chiropractic care on strength, cortical drive, and spinal excitability in stroke patients.Scientific reports · 2019Trial
- Effects of Force Load, Muscle Fatigue, and Magnetic Stimulation on Surface Electromyography during Side Arm Lateral Raise Task: A Preliminary Study with Healthy Subjects.BioMed research international · 2017Trial
- Effect of Stroke and Aging on Plantarflexor Strength and Voluntary Activation.Restorative neurology and neuroscience · 2026Article
- Voluntary activation of the ankle plantar flexors: A systematic review and meta-analysis.JSAMS plus · 2025Review
- Neuromechanical Predictors of Clinical Scores of Balance and Functional Mobility in Chronic Stroke Survivors - A Machine Learning Approach.medRxiv : the preprint server for health sciences · 2025Article
- Reliability and Validity of the Rate of Force Development for Quadriceps in Older Patients with Cardiovascular Disease.Journal of clinical medicine · 2024Article
- A Portable, Neurostimulation-Integrated, Force Measurement Platform for the Clinical Assessment of Plantarflexor Central Drive.Bioengineering (Basel, Switzerland) · 2024Article
- Effect of power training on rate of torque development and spatiotemporal gait parameters post stroke.Clinical biomechanics (Bristol, Avon) · 2023Article
- Muscle electromyographic activity normalized to maximal muscle activity, not to Mmax, better represents voluntary activation.PloS one · 2022Article
- Trailing limb angle is a surrogate for propulsive limb forces during walking post-stroke.Clinical biomechanics (Bristol, Avon) · 2019Article
- Postural Muscle Unit Plasticity in Stroke Survivors: Altered Distribution of Gastrocnemius' Action Potentials.Frontiers in neurology · 2019Article
- The Relationship Between Blood Flow and Motor Unit Firing Rates in Response to Fatiguing Exercise Post-stroke.Frontiers in physiology · 2019Article
- The Presence of a Paretic Propulsion Reserve During Gait in Individuals Following Stroke.Neurorehabilitation and neural repair · 2018Article
- A Novel Interpretation of Sample Entropy in Surface Electromyographic Examination of Complex Neuromuscular Alternations in Subacute and Chronic Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2018Article
- Contribution of Paretic and Nonparetic Limb Peak Propulsive Forces to Changes in Walking Speed in Individuals Poststroke.Neurorehabilitation and neural repair · 2016Article
- Strength training-induced responses in older adults: attenuation of descending neural drive with age.Age (Dordrecht, Netherlands) · 2015Article
- Mechanisms to increase propulsive force for individuals poststroke.Journal of neuroengineering and rehabilitation · 2015Article
- Characteristics of horizontal force generation for individuals post-stroke walking against progressive resistive forces.Clinical biomechanics (Bristol, Avon) · 2015Article
- Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study.PloS one · 2015Article
- Activation deficit correlates with weakness in chronic stroke: evidence from evoked and voluntary EMG recordings.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to compare the neuromuscular function of the paretic and non-paretic plantar flexors (i.e. soleus, gastrocnemius medialis, lateralis) in chronic stroke patients. It was hypothesized that the contractile rate of force development (RFD) and neural activation, assessed by electromyogram (EMG) and V-waves normalized to the M-wave, and voluntary activation (twitch interpolation) would be reduced during plantar flexor maximum voluntary isometric contraction and that the evoked muscle twitch properties would be reduced in the paretic limb. Ten chronic stroke survivors completed the study. The main findings were that the paretic side showed deteriorated function compared to the non-paretic leg in terms of (1) RFD in all analyzed time windows from force onset to 250 ms, although relative RFD (i.e. normalized to maximum voluntary force) was similar; (2) fast neural activation (for most analyzed time windows), assessed by EMG activity in time windows from EMG onset to 250 ms; (3) V-wave responses (except for gastrocnemius medialis); (4) voluntary activation; (5) the evoked peak twitch force, although there was no evidence of intrinsic muscle slowing; (6) EMG activity obtained at maximal voluntary force. In conclusion, this study demonstrates considerable neuromuscular asymmetry of the plantar flexors in chronic stroke survivors. Effective rehabilitation regimes should be investigated.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.