ReviewNeuroRehabilitation2017
Walking on uneven terrain in healthy adults and the implications for people after stroke.
Review in NeuroRehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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
21 citing papers in PubMed, 42 citations in OpenAlex.
- Effects of multi-sensory virtual reality training on gait adaptability and somatomotor network remodeling in patients with stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- Canan Outdoor Multisurface Terrain Enhance the Effects of Fall Prevention Exercise in Older Adults? A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Models for temporal-spatial parameters in walking with cadence ratio as the independent variable.Medical & biological engineering & computing · 2019Trial
- Identifying and predicting gait stability metrics in people with stroke in uneven-surface walking using machine learning.Scientific reports · 2026Article
- Design and Characterization of the AdjuSST: An Adjustable Surface Stiffness Treadmill.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2025Article
- Feasibility and Usability of an Omnidirectional Treadmill-Based Virtual Reality Rehabilitation Game: A Mixed-Methods Feasibility Study.Physical therapy · 2025Article
- Muscle synergies and metabolic adaptations during perturbed walking in older adults.Scientific reports · 2025Article
- Kinematics, kinetics, and muscle activations during human locomotion over compliant terrains.Scientific data · 2025Article
- Associations between declines in uneven terrain walking speed and visuospatial working memory in older adults.Frontiers in aging neuroscience · 2025Article
- Age and beta amyloid deposition impact gait speed, stride length, and gait smoothness while transitioning from an even to an uneven walking surface in older adults.Human movement science · 2024Article
- Self-reported factors associated with community ambulation after stroke: The Canadian Longitudinal Study on Aging.PloS one · 2024Article
- Electrical brain activity during human walking with parametric variations in terrain unevenness and walking speed.Imaging neuroscience (Cambridge, Mass.) · 2024Article
- Comprehensive rehabilitation outcome measurement scale (CROMS): development and preliminary validation of an interdisciplinary measure for rehabilitation outcomes.Health and quality of life outcomes · 2022Article
- Women carry for less: body size, pelvis width, loading position and energetics.Evolutionary human sciences · 2022Article
- Forest terrains influence walking kinematics among indigenous Tsimane of the Bolivian Amazon.Evolutionary human sciences · 2022Article
- Mobile electroencephalography captures differences of walking over even and uneven terrain but not of single and dual-task gait.Frontiers in sports and active living · 2022Article
- The Foot Fault Scoring System to Assess Skilled Walking in Rodents: A Reliability Study.Frontiers in behavioral neuroscience · 2022Article
- Increased Arm Swing and Rocky Surfaces Reduces Postural Control in Healthy Young Adults.Frontiers in bioengineering and biotechnology · 2021Article
- Uneven substrates constrain walking speed in ants through modulation of stride frequency more than stride length.Royal Society open science · 2020Article
- Assessment of backward walking unmasks mobility impairments in post-stroke community ambulators.Topics in stroke rehabilitation · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundOne third of individuals after stroke report an inability to walk in the community. Community mobility requires walking adaptability - the ability to adjust one's stepping pattern to meet environmental demands and task goals. Walking on uneven terrain (e.g. grass, gravel) has unique requirements and is a critical component of walking adaptability that has not been investigated in the post-stroke population.
objectiveTo summarize current knowledge of biomechanical and neuromuscular modifications during uneven terrain negotiation in healthy individuals and discuss implications of post-stroke impairments.
methodsReview of eleven studies, identified through a search of relevant literature on PubMed and CINAHL.
resultsOn uneven terrain, healthy adults demonstrate numerous gait modifications including a lowered center of mass, increased muscle co-contraction during stance and exaggerated or increased toe clearance during swing. After stroke, changes in muscle activity and limb coordination will likely result in difficulty or inability performing these modifications that healthy adults use to maintain stability and safety when walking on uneven terrain.
conclusionsStudies of biomechanical and neuromuscular control of walking on uneven terrain are needed to quantify mobility limitations in adults post-stroke. Such investigations will contribute to the understanding of mobility impairments after stroke and the design of critically important intervention strategies.
Indexed as
Identifiers
What OpenQuestion holds
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.