Evidence map›Paper›PMID 26525528›Full record

Observational studyArchives of physical medicine and rehabilitation2016

Locomotor Adaptability Task Promotes Intense and Task-Appropriate Output From the Paretic Leg During Walking.

David J Clark, Richard R Neptune, Andrea L Behrman, Steven A Kautz

Abstract readObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Impaired interlimb coordination is related to asymmetries during pedaling after stroke.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2019
    Article
  7. Article
  8. Article
  9. EMG synchrony to assess impaired corticomotor control of locomotion after stroke.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2017
    Article
  10. Review
  11. Article
  12. Review
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.

David J ClarkBrain Rehabilitation Research Center, Malcom Randall Veterans Affairs Medical Center, Gainesville, FL; Department of Aging and Geriatric Research, University of Florida, Gainesville, FL. Electronic address: davidclark@ufl.edu.
Richard R NeptuneDepartment of Mechanical Engineering, The University of Texas at Austin, Austin, TX.
Andrea L BehrmanDepartment of Neurological Surgery, University of Louisville, Louisville, KY.
Steven A KautzRalph H. Johnson Veterans Affairs Medical Center, Charleston, SC; Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC; Division of Physical Therapy, Department of Health Professions, Medical University of South Carolina, Charleston, SC.

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Intermuscular Coordination of Hemiparetic WalkingR01HD046820 · NICHD · UNIVERSITY OF FLORIDA · PI KAUTZ, STEVEN A. · 2004 to 2010
$1.9M
Intramural VA VA999999NIA NIH HHS P30 AG028740NICHD NIH HHS HD-46820NICHD NIH HHS R01 HD046820NIGMS NIH HHS GM-109040NIGMS NIH HHS P20 GM109040
6 · The paper itself

Abstract

objectiveTo test the hypothesis that participants with stroke will exhibit appropriate increase in muscle activation of the paretic leg when taking a long step with the nonparetic leg compared to during steady-state walking, with a consequent increase in biomechanical output and symmetry during the stance phase of the modified gait cycle.

designSingle-session observational study.

settingClinical research center in an outpatient hospital setting.

participantsAdults with chronic poststroke hemiparesis (N=15).

interventionsParticipants walked on an instrumented treadmill while kinetic, kinematic, and electromyogram data were recorded. Participants performed steady-state walking and a separate trial of the long-step adaptability task in which they were instructed to intermittently take a longer step with the nonparetic leg.

main outcome measuresForward progression, propulsive force, and neuromuscular activation during walking.

resultsParticipants performed the adaptability task successfully and demonstrated greater neuromuscular activation in appropriate paretic leg muscles, particularly increased activity in paretic plantarflexor muscles. Propulsion and forward progression by the paretic leg were also increased.

conclusionsThese findings support the assertion that the nonparetic long-step task may be effective for use in poststroke locomotor rehabilitation to engage the paretic leg and promote recovery of walking.

Indexed as

Stroke RehabilitationElectromyographyFemaleHumansLegMaleMiddle AgedParesisStrokeTreatment OutcomeWalkingElectromyographyRehabilitationStrokeWalking

Identifiers

PMID26525528
PMCPMC4769939

What OpenQuestion holds

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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.