Evidence map›Paper›PMID 25898145›Full record

ArticleJournal of neuroengineering and rehabilitation2015

Mechanisms to increase propulsive force for individuals poststroke.

HaoYuan Hsiao, Brian A Knarr, Jill S Higginson, Stuart A Binder-Macleod

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Effects of unilateral real-time biofeedback on propulsive forces during gait.Journal of neuroengineering and rehabilitation · 2017
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  6. Effects of Belt Accelerations During Push-Off on Propulsion Mechanics in Individuals Post-Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

HaoYuan HsiaoBiomechanics and Movement Science Program, University of Delaware, 540 S. College Avenue, Suite 201F, Newark, DE, 19716, USA. haoyuan@udel.edu.
Brian A KnarrDelaware Rehabilitation Institute, Newark, DE, 19716, USA. bknarr@udel.edu.
Jill S HigginsonDepartment of Mechanical Engineering, University of Delaware, Newark, DE, 19716, USA. higginso@udel.edu.
Stuart A Binder-MacleodDepartment of Physical Therapy, University of Delaware, Newark, DE, 19716, USA. sbinder@udel.edu.

Funding

Robotic Exoskeletons, FES, and Biomechanics: Treating Movement DisordersR01HD038582 · NICHD · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2002 to 2012
$6.1M
Pilot Project ProgramP30GM103333 · NIGMS · UNIVERSITY OF DELAWARE · PI BUCHANAN, THOMAS S · 2012 to 2016
$5.7M
Fast Treadmill Training/Functional Electrical Stimulation to Improve WalkingR01NR010786 · NINR · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2007 to 2011
$2.8M
Active Distributed Electrode Array Network for Electrical Stimulation TherapyR44HD062065 · NICHD · CUSTOMKYNETICS, INC. · PI HARTMAN, ERIC C · 2011 to 2012
$964k
NICHD NIH HHS R01 HD038582NICHD NIH HHS R01HD038582NICHD NIH HHS R44 HD062065NICHD NIH HHS R44HD062065NIGMS NIH HHS P30 GM103333NINR NIH HHS R01 NR010786
6 · The paper itself

Abstract

backgroundPropulsive force generation is critical to walking speed. Trialing limb angle and ankle moment are major contributors to increases in propulsive force during gait. For able-bodied individuals, trailing limb angle contributes twice as much as ankle moment to increases in propulsive force during speed modulation. The aim of this study was to quantify the relative contribution of ankle moment and trailing limb angle to increases in propulsive force for individuals poststroke.

methodsA biomechanical-based model previously developed for able-bodied individuals was evaluated and enhanced for individuals poststroke. Gait analysis was performed as subjects (N = 24) with chronic poststroke hemiparesis walked at their self-selected and fast walking speeds on a treadmill.

resultsBoth trailing limb angle and ankle moment increased during speed modulation. In the paretic limb, the contribution from trailing limb angle versus ankle moment to increases in propulsive force is 74% and 17%. In the non-paretic limb, the contribution from trailing limb angle versus ankle moment to increases in propulsive force is 67% and 22%.

conclusionsIndividuals poststroke increase propulsive force mainly by changing trailing limb angle in both the paretic and non-paretic limbs. This strategy may contribute to the inefficiency in poststroke walking patterns. Future work is needed to examine whether these characteristics can be modified via intervention.

Indexed as

Stroke RehabilitationAdultBiomechanical PhenomenaExercise TestFemaleGaitHumansMaleWalking

Identifiers

PMID25898145
PMCPMC4406180

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.