ArticleNeurorehabilitation and neural repair2015
Paretic Propulsion and Trailing Limb Angle Are Key Determinants of Long-Distance Walking Function After Stroke.
Article in Neurorehabilitation and neural repair, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.
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Who cites it
71 citing papers in PubMed.
- Who may benefit from robot-assisted gait training with an exoskeleton in subacute stroke patients? A prespecified analysis.Journal of rehabilitation medicine · 2026Trial
- Synergy-based Functional Electrical Stimulation for gait rehabilitation in chronic stroke: a pilot study.Frontiers in rehabilitation sciences · 2026Trial
- Examination of effect and responder to real-time auditory feedback during overground gait for stroke: a randomized cross-over study.Scientific reports · 2025Trial
- Effects of high-intensity gait training with and without soft robotic exosuits in people post-stroke: a development-of-concept pilot crossover trial.Journal of neuroengineering and rehabilitation · 2023Trial
- Immediate improvements in post-stroke gait biomechanics are induced with both real-time limb position and propulsive force biofeedback.Journal of neuroengineering and rehabilitation · 2023Trial
- Linking gait mechanics with perceived quality of life and participation after stroke.PloS one · 2022Trial
- Task-specific training for improving propulsion symmetry and gait speed in people in the chronic phase after stroke: a proof-of-concept study.Journal of neuroengineering and rehabilitation · 2021Trial
- Effects of unilateral real-time biofeedback on propulsive forces during gait.Journal of neuroengineering and rehabilitation · 2017Trial
- Combining Fast-Walking Training and a Step Activity Monitoring Program to Improve Daily Walking Activity After Stroke: A Preliminary Study.Archives of physical medicine and rehabilitation · 2016Trial
- Reducing The Cost of Transport and Increasing Walking Distance After Stroke: A Randomized Controlled Trial on Fast Locomotor Training Combined With Functional Electrical Stimulation.Neurorehabilitation and neural repair · 2016Trial
- Using visual biofeedback to reduce step length error at fast walking speeds is feasible after stroke.medRxiv : the preprint server for health sciences · 2026Article
- Identification of Gait Patterns Associated with Paretic Propulsion and Velocity in Community-Dwelling Individuals with Stroke: A Multicenter Retrospective Study.Annals of biomedical engineering · 2026Article
- Exoskeletal-Assisted Training in Veterans With Chronic Stroke: A Pilot Study.Archives of rehabilitation research and clinical translation · 2026Article
- Neuromechanical gait signatures reveal holistic biomechanical responses to walking speed modulation in stroke survivors.Scientific reports · 2026Article
- Timing is everything: the effect of measurement timing on trailing limb angle in gait analysis.Frontiers in rehabilitation sciences · 2026Article
- An innovative gamified gait biofeedback interface targeting propulsion: feasibility and preliminary effects.Research square · 2025Article
- Adjustable Compliance Footwear Technology to Investigate Gait Adaptation.IEEE robotics and automation letters · 2025Article
- Effective assistance timing using characteristics of paretic ground reaction force in ankle robotic gait training for individuals with hemiparesis after stroke: a cross-sectional study.Journal of neuroengineering and rehabilitation · 2025Article
- Article
- Alpha and beta/low-gamma frequency bands may have distinct neural origin and function during post-stroke walking.Experimental brain research · 2024Article
11 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
backgroundElucidation of the relative importance of commonly targeted biomechanical variables to poststroke long-distance walking function would facilitate optimal intervention design.
objectivesTo determine the relative contribution of variables from 3 biomechanical constructs to poststroke long-distance walking function and identify the biomechanical changes underlying posttraining improvements in long-distance walking function.
methodsForty-four individuals >6 months after stroke participated in this study. A subset of these subjects (n = 31) underwent 12 weeks of high-intensity locomotor training. Cross-sectional (pretraining) and longitudinal (posttraining change) regression quantified the relationships between poststroke long-distance walking function, as measured via the 6-Minute Walk Test (6MWT), and walking biomechanics. Biomechanical variables were organized into stance phase (paretic propulsion and trailing limb angle), swing phase (paretic ankle dorsiflexion and knee flexion), and symmetry (step length and swing time) constructs.
resultsPretraining, all variables correlated with 6MWT distance (rs = .39 to .75, Ps < .05); however, only propulsion (Prop) and trailing limb angle (TLA) independently predicted 6MWT distance, R(2) = .655, F(6, 36) = 11.38, P < .001. Interestingly, only ΔProp predicted Δ6MWT; however, pretraining Prop, pretraining TLA, and ΔTLA moderated this relationship (moderation model R(2)s = .383, .468, .289, respectively).
conclusionsThe paretic limb's ability to generate propulsion during walking is a critical determinant of long-distance walking function after stroke. This finding supports the development of poststroke interventions that target deficits in propulsion and trailing limb angle.
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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.