ArticleThe Journal of experimental biology2018
Biomechanical effects of augmented ankle power output during human walking.
Article in The Journal of experimental biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Effects of sport specific unplanned movements on ankle kinetics and kinematics in healthy athletes from systematic review with meta-analysis.Scientific reports · 2025Pooled it
- Ankle-foot orthosis with an oil damper versus nonarticulated ankle-foot orthosis in the gait of patients with subacute stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2022Trial
- Multidimensional biomechanical modulation of walking reveals a threshold decline in distal ankle propulsion across aging.European journal of applied physiology · 2026Article
- Age-Related Differences in Joint Kinematics and Spatiotemporal Parameters During Ramp Walking and Level Walking: Cross-Sectional Study.JMIR biomedical engineering · 2026Article
- Lower limb exoskeletons for older adults: key assistance parameters and evaluation of ankle assistive strategies via musculoskeletal modelling.Frontiers in sports and active living · 2026Article
- How does age affect changes in leg muscle activation patterns and leg joint moments during prolonged walking?European journal of applied physiology · 2025Article
- Characteristics of Ground Reaction Force Variability During Walking in Post-Stroke Patients.Sensors (Basel, Switzerland) · 2025Article
- Sex Differences in Foot Arch Structure Affect Postural Control and Energy Flow During Dynamic Tasks.Life (Basel, Switzerland) · 2025Article
- Functional Electrical Stimulation of the Plantarflexor Muscle During Walking Leads to a Proximal-to-Distal Redistribution of Lower Limb Joint Work.Annals of biomedical engineering · 2025Article
- Increased ankle pushoff alters frontal-plane hip and knee mechanics.Journal of biomechanics · 2025Article
- Article
- Enhancing walking performance in patients with peripheral arterial disease: An intervention with ankle-foot orthosis.International journal of cardiology · 2024Article
- Habitually wearing high heels may improve user walking economy in any footwear.Journal of applied physiology (Bethesda, Md. : 1985) · 2024Article
- Lower limb revascularization leads to faster walking but with less efficient mechanics in claudicating patients.Journal of biomechanics · 2024Article
- Opportunities and challenges in the development of exoskeletons for locomotor assistance.Nature biomedical engineering · 2023Review
- Timing of propulsion-related biomechanical variables is impaired in individuals with post-stroke hemiparesis.Gait & posture · 2022Article
- Review of Real-Time Biomechanical Feedback Systems in Sport and Rehabilitation.Sensors (Basel, Switzerland) · 2022Review
- Individualization of exosuit assistance based on measured muscle dynamics during versatile walking.Science robotics · 2021Article
- Muscle metabolic energy costs while modifying propulsive force generation during walking.Computer methods in biomechanics and biomedical engineering · 2021Article
- The metabolic and mechanical consequences of altered propulsive force generation in walking.Journal of biomechanics · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
The plantarflexor muscles are critical for forward propulsion and leg swing initiation during the push-off phase of walking, serving to modulate step length and walking speed. However, reduced ankle power output is common in aging and gait pathology, and is considered a root biomechanical cause of compensatory increases in hip power generation and increased metabolic energy cost. There is a critical need for mechanistic insight into the precise influence of ankle power output on patterns of mechanical power generation at the individual joint and limb levels during walking. We also posit that rehabilitative approaches to improve locomotor patterns should consider more direct means to elicit favorable changes in ankle power output. Thus, here we used real-time inverse dynamics in a visual biofeedback paradigm to test young adults' ability to modulate ankle power output during preferred speed treadmill walking, and the effects thereof on gait kinematics and kinetics. Subjects successfully modulated peak ankle power in response to biofeedback targets designed to elicit up to ±20% of normal walking values. Increasing ankle power output alleviated mechanical power demands at the hip and increased trailing limb positive work, propulsive ground reaction forces and step lengths. Decreasing ankle power had the opposite effects. We conclude that ankle power generation systematically influences the workload placed on more proximal leg muscles, trailing leg mechanical output and step length. Our findings also provide a promising benchmark for the application of biofeedback to restore ankle power in individuals with deficits thereof due to aging and gait pathology.
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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.