Evidence map›Paper›PMID 26721869›Full record

ArticleNeurorehabilitation and neural repair2016

Contribution of Paretic and Nonparetic Limb Peak Propulsive Forces to Changes in Walking Speed in Individuals Poststroke.

HaoYuan Hsiao, Louis N Awad, Jacqueline A Palmer, Jill S Higginson, Stuart A Binder-Macleod

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
8.6field-weighted citation impact, top 2% of its field
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.

NCT05541705 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Neuromuscular and Biomechanical Control of Weight Transfer During Gait in Individuals Post-stroke

TypeinterventionalSponsorUniversity of Texas at AustinRan2022 to 2025Enrolled15ConditionsTreadmill WalkingArmsTreadmill Oscillation Walking
NCT07218094 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Neuromechanical Mechanisms of Exosuit-assisted Gait Rehabilitation After Stroke

TypeinterventionalSponsorBoston University Charles River CampusRan2025 to 2027Enrolled22ConditionsStrokeArmsWalking with robotic ankle assistance
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 86 citations in OpenAlex.

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  6. Effects of unilateral real-time biofeedback on propulsive forces during gait.Journal of neuroengineering and rehabilitation · 2017
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  18. Delayed cortical engagement associated with balance dysfunction after stroke.medRxiv : the preprint server for health sciences · 2023
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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

5 authors at 2 institutions in 1 country.

HaoYuan HsiaoUniversity of Delaware, Newark, DE, USA haoyuan@udel.edu.
Louis N AwadHarvard University, Cambridge, MA, USA.
Jacqueline A PalmerUniversity of Delaware, Newark, DE, USA.
Jill S HigginsonUniversity of Delaware, Newark, DE, USA.
Stuart A Binder-MacleodUniversity of Delaware, Newark, DE, USA.
University of Delaware · USHarvard University Press · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
Robotic Exoskeletons, FES, and Biomechanics: Treating Movement DisordersR01HD038582 · NICHD · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2002 to 2012
$6.1M
PT/PHD Predoctoral Training Program Diversity SupplementT32HD007490 · NICHD · UNIVERSITY OF DELAWARE · PI DARCY S. REISMAN · 1996 to 2026
$3.7M
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 R44 HD062065NICHD NIH HHS T32 HD007490NIGMS NIH HHS U54 GM104941NINR NIH HHS R01 NR010786
6 · The paper itself

Abstract

backgroundRecent rehabilitation efforts after stroke often focus on increasing walking speed because it is associated with quality of life. For individuals poststroke, propulsive force generated from the paretic limb has been shown to be correlated to walking speed. However, little is known about the relative contribution of the paretic versus the nonparetic propulsive forces to changes in walking speed.

objectiveThe primary purpose of this study was to determine the contribution of propulsive force generated from each limb to changes in walking speed during speed modulation within a session and as a result of a 12-week training program.

methodsGait analysis was performed as participants (N = 38) with chronic poststroke hemiparesis walked at their self-selected and faster walking speeds on a treadmill before and after a 12-week gait retraining program.

resultsPrior to training, stroke survivors increased nonparetic propulsive forces as the primary mechanism to change walking speed during speed modulation within a session. Following gait training, the paretic limb played a larger role during speed modulation within a session. In addition, the increases in paretic propulsive forces observed following gait training contributed to the increases in the self-selected walking speeds seen following training.

conclusionsGait retraining in the chronic phase of stroke recovery facilitates paretic limb neuromotor recovery and reduces the reliance on the nonparetic limb's generation of propulsive force to increase walking speed. These findings support gait rehabilitation efforts directed toward improving the paretic limb's ability to generate propulsive force.

Indexed as

Stroke RehabilitationAgedBiomechanical PhenomenaExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParesisSeverity of Illness IndexStrokeTreatment OutcomeWalking Speedgaitground reaction forcepropulsionstrokewalking speed

Identifiers

PMID26721869
PMCPMC4930429
OpenAlexW2346959675

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.