ArticleJournal of biomechanics2016
Characteristics and adaptive strategies linked with falls in stroke survivors from analysis of laboratory-induced falls.
Article in Journal of biomechanics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Devices and tasks involved in the objective assessment of standing dynamic balancing - A systematic literature review.PloS one · 2017Pooled it
- Wearable airbag technology and machine learned models to mitigate falls after stroke.Journal of neuroengineering and rehabilitation · 2022Trial
- The development and feasibility of treadmill-induced fall recovery training applied to individuals with chronic stroke.BMC neurology · 2019Trial
- A single session of trip-specific training modifies trunk control following treadmill induced balance perturbations in stroke survivors.Gait & posture · 2019Trial
- Task-Based Mapping of Compensatory Strategies and Movement Kinematics After Stroke: A Systematic Scoping Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- Reactive Balance in Adolescent Idiopathic Scoliosis: A Prospective Motion Analysis Study.Journal of clinical medicine · 2025Article
- Design and Validation of a Tripping-Eliciting Platform Based on Compliant Random Obstacles.IEEE open journal of engineering in medicine and biology · 2025Article
- Effect of Home-based Trunk Training on Reactive Stepping in Individuals with Chronic Stroke: A Single-subject Experimental Study with Two Cases.Progress in rehabilitation medicine · 2025Article
- Efficacy of stumble recovery assistance in a knee exoskeleton for individuals with simulated mobility impairment: A pilot study.Wearable technologies · 2023Article
- Factors leading to falls in transfemoral prosthesis users: a case series of sound-side stumble recovery responses.Journal of neuroengineering and rehabilitation · 2022Article
- Investigating the underlying biomechanical mechanisms leading to falls in long-term ankle-foot orthosis and functional electrical stimulator users with chronic stroke.Gait & posture · 2022Article
- Exploring the Association Between Measures of Obesity and Measures of Trip-induced Fall Risk Among Older Adults.Archives of physical medicine and rehabilitation · 2021Article
- Developing and Establishing Biomechanical Variables as Risk Biomarkers for Preventable Gait-Related Falls and Assessment of Intervention Effectiveness.Frontiers in sports and active living · 2021Review
- Identifying and Characterizing Types of Balance Recovery Strategies Among Females and Males to Prevent Injuries in Free-Standing Public Transport Passengers.Frontiers in bioengineering and biotechnology · 2021Article
- The impact of ankle-foot-orthosis (AFO) use on the compensatory stepping response required to avoid a fall during trip-like perturbations in young adults: Implications for AFO prescription and design.Journal of biomechanics · 2020Article
- Article
- Anterior fall-recovery training applied to individuals with chronic stroke.Clinical biomechanics (Bristol, Avon) · 2019Article
- Analysis of Brain Lesion Impact on Balance and Gait Following Stroke.Frontiers in human neuroscience · 2019Article
- Fall risk during opposing stance perturbations among healthy adults and chronic stroke survivors.Experimental brain research · 2018Article
- Perturbation-Based Balance Training to Improve Step Quality in the Chronic Phase After Stroke: A Proof-of-Concept Study.Frontiers in neurology · 2018Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Falls are the most common and expensive medical complication in stroke survivors. There is remarkably little information about what factors lead to a fall in stroke survivors. With few exceptions, the falls literature in stroke has focused on relating metrics of static balance and impairment to fall outcomes in the acute care setting or in community. While informative, these studies provide little information about what specific impairments in a stroke-survivor's response to dynamic balance challenges lead to a fall. We identified the key kinematic characteristics of stroke survivors' stepping responses following a balance disturbance that are associated with a fall following dynamic balance challenges. Stroke survivors were exposed to posteriorly-directed translations of a treadmill belt that elicited a stepping response. Kinematics were compared between successful and failed recovery attempts (i.e. a fall). We found that the ability to arrest and reverse trunk flexion and the ability to perform an appropriate initial compensatory step were the most critical response contributors to a successful recovery. We also identified 2 compensatory strategies utilized by stroke survivors to avoid a fall. Despite significant post-stroke functional impairments, the biomechanical causes of trip-related falls by stroke survivors appear to be similar to those of unimpaired older adults and lower extremity amputees. However, compensatory strategies (pivot, hopping) were observed.
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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.