Evidence map›Paper›PMID 29457532›Full record

ArticleTopics in stroke rehabilitation2018

Effects of real-time gait biofeedback on paretic propulsion and gait biomechanics in individuals post-stroke.

Katlin Genthe, Christopher Schenck, Steven Eicholtz, Laura Zajac-Cox, Steven Wolf, Trisha M Kesar

Registry-linked trialAbstract read
In one paragraph

Article in Topics in stroke rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03466372 (Innovative Biofeedback Strategies for Gait Training), which is not on this map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
17.8field-weighted citation impact, top 1% 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.

NCT03466372 nacompletednot on this map

Innovative Biofeedback Strategies for Gait Training

TypeinterventionalSponsorEmory UniversityRan2018 to 2018Enrolled20ConditionsStroke, Cardiovascular, Gait, HemiplegicArmsbiofeedback
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 108 citations in OpenAlex.

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  11. 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

6 authors at 2 institutions in 1 country.

Katlin Genthea Division of Physical Therapy, Department of Rehabilitation Medicine , Emory University , Atlanta , GA , USA.
Christopher Schenckb Department of Biomedical Engineering , Georgia Institute of Technology , Atlanta , GA , USA.ORCID 0000-0002-9659-2033
Steven Eicholtza Division of Physical Therapy, Department of Rehabilitation Medicine , Emory University , Atlanta , GA , USA.
Laura Zajac-Coxa Division of Physical Therapy, Department of Rehabilitation Medicine , Emory University , Atlanta , GA , USA.
Steven Wolfa Division of Physical Therapy, Department of Rehabilitation Medicine , Emory University , Atlanta , GA , USA.
Trisha M Kesara Division of Physical Therapy, Department of Rehabilitation Medicine , Emory University , Atlanta , GA , USA.
Emory University · USGeorgia Institute of Technology · US

Funding

Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI THOMPSON, AIKO · 2015 to 2024
$12.7M
Telerehabilitation for Patients with StrokeU01NS091951 · NINDS · UNIVERSITY OF CALIFORNIA-IRVINE · PI CRAMER, STEVEN C. · 2014 to 2018
$2.6M
NINDS Stroke Trials Network - Regional Coordinating Stroke Centers (U10)U10NS086607 · NINDS · EMORY UNIVERSITY · PI FRANKEL, MICHAEL ROSS · 2013 to 2017
$1.7M
Cortical and spinal correlates of stroke gait rehabilitationK01HD079584 · NICHD · EMORY UNIVERSITY · PI KESAR, TRISHA · 2014 to 2018
$632k
Slope walking and spinal plasticity in people with multiple sclerosisR03HD083727 · NICHD · EMORY UNIVERSITY · PI BORICH, MICHAEL ROBERT, KESAR, TRISHA · 2015 to 2016
$155k
NICHD NIH HHS K01 HD079584NICHD NIH HHS P2C HD086844NICHD NIH HHS R03 HD083727NINDS NIH HHS U01 NS091951NINDS NIH HHS U10 NS086607
6 · The paper itself

Abstract

Objectives Gait training interventions that target paretic propulsion induce improvements in walking speed and function in individuals post-stroke. Previously, we demonstrated that able-bodied individuals increase propulsion unilaterally when provided real-time biofeedback targeting anterior ground reaction forces (AGRF). The purpose of this study was to, for the first time, investigate short-term effects of real-time AGRF gait biofeedback training on post-stroke gait. Methods Nine individuals with post-stroke hemiparesis (6 females, age = 54 ± 12.4 years 39.2 ± 24.4 months post-stroke) completed three 6-minute training bouts on an instrumented treadmill. During training, visual and auditory biofeedback were provided to increase paretic AGRF during terminal stance. Gait biomechanics were evaluated before training, and during retention tests conducted 2, 15, and 30 minutes post-training. Primary dependent variables were paretic and non-paretic peak AGRF; secondary variables included paretic and non-paretic peak trailing limb angle, plantarflexor moment, and step length. In addition to evaluating the effects of biofeedback training on these dependent variables, we compared effects of a 6-minute biofeedback training bout to a non-biofeedback control condition. Results Compared to pre-training, significantly greater paretic peak AGRFs were generated during the 2, 15, and 30-minute retention tests conducted after the 18-minute biofeedback training session. Biofeedback training induced no significant effects on the non-paretic leg. Comparison of a 6-minute biofeedback training bout with a speed-matched control bout without biofeedback demonstrated a main effect for training type, with greater peak AGRF generation during biofeedback. Discussion Our results suggest that AGRF biofeedback may be a feasible and promising gait training strategy to target propulsive deficits in individuals post-stroke.

Indexed as

Outcome Assessment, Health CareAdultAgedBiofeedback, PsychologyBiomechanical PhenomenaExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParesisStrokeStroke RehabilitationFeedbackgait biomechanicshemiparesislocomotor trainingmotor learningpush-offwalking

Identifiers

PMID29457532
PMCPMC5901660
OpenAlexW2790458389

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.