ArticleNeurorehabilitation and neural repair2018
The Presence of a Paretic Propulsion Reserve During Gait in Individuals Following Stroke.
Article in Neurorehabilitation and neural repair, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 61 citations in OpenAlex.
- Examination of effect and responder to real-time auditory feedback during overground gait for stroke: a randomized cross-over study.Scientific reports · 2025Trial
- Immediate improvements in post-stroke gait biomechanics are induced with both real-time limb position and propulsive force biofeedback.Journal of neuroengineering and rehabilitation · 2023Trial
- Linking gait mechanics with perceived quality of life and participation after stroke.PloS one · 2022Trial
- Tactile Biofeedback That Targets Stance Time Acutely Modulates Propulsion Mechanics in Healthy Gait.Research square · 2026Article
- Low-cost Devices for Stroke Rehabilitation: A Review of Approaches, Designs, and Evidence.Restorative neurology and neuroscience · 2026Review
- 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 · 2026Article
- Article
- Gait adaptations in step length and push-off force during walking with functional asymmetry.Frontiers in bioengineering and biotechnology · 2025Article
- Intrinsic and extrinsic feedback generate similar propulsion but distinct biomechanical strategies during split-belt walking.Frontiers in human neuroscience · 2025Article
- Individual joint contributions to forward propulsion during treadmill walking in women with hip osteoarthritis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Effect of Programed Walking Exercise Using Bot Fit in Younger Adults.Sports medicine - open · 2024Article
- Patterns of change in propulsion force and late braking force in patients with stroke walking at comfortable and fast speeds.Scientific reports · 2024Article
- A biomechanics and energetics dataset of neurotypical adults walking with and without kinematic constraints.Scientific data · 2024Article
- An Able-Bodied Study for Potential Usage of a Knee Scooter as a Constraint-Induced Movement Therapy (CIMT) Gait Training Device.Journal of functional morphology and kinesiology · 2024Article
- Real-Time Visual Kinematic Feedback During Overground Walking Improves Gait Biomechanics in Individuals Post-Stroke.Annals of biomedical engineering · 2024Article
- Ankle-targeted exosuit resistance increases paretic propulsion in people post-stroke.Journal of neuroengineering and rehabilitation · 2023Article
- Kinetic and kinematic parameters associated with late braking force and effects on gait performance of stroke patients.Scientific reports · 2023Article
- A portable visual biofeedback device can accurately measure and improve hip extension angle in individuals post-stroke.Clinical biomechanics (Bristol, Avon) · 2023Article
- Human gait-labeling uncertainty and a hybrid model for gait segmentation.Frontiers in neuroscience · 2022Article
- Quantifying mechanical and metabolic interdependence between speed and propulsive force during walking.Frontiers in sports and active living · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe residual hemiparesis after stroke results in a unilateral reduction in propulsive force during gait. Prior work has suggested the presence of a propulsive reserve in the paretic limb.
objectiveThe purpose of this study was to quantify the paretic propulsive reserve in individuals poststroke and to determine the biomechanical mechanism underlying the generation of additional paretic propulsive limb force.
methodsTen individuals with chronic hemiparesis poststroke walked on a treadmill against an impeding force (ascending 0% to 10% body weight [BW], in 2.5% BW increments, followed by descending 10% to 0% BW, also in 2.5% BW increments) applied to the body's center of mass. The resulting propulsive forces were measured bilaterally and compared between impeding force levels. We then assessed potential mechanisms (trailing limb angle and plantarflexion moment) underlying the changes in propulsion.
resultsOverall, peak paretic propulsive force increased by 92% and the paretic propulsive impulse increased by 225%, resulting in a significant increase in the paretic limb's contribution to propulsion. Participants continued to produce increased paretic propulsion on removal of the impeding force. The trailing limb angle contributed significantly to the increase in paretic propulsion, whereas the plantarflexion moment did not.
conclusionsParticipants exhibited a robust propulsive reserve on the paretic limb, suggesting that there is untapped potential that can be exploited through rehabilitation to improve gait recovery. The increase in propulsive symmetry indicates that a greater response was observed by the paretic limb rather than increased compensation by the nonparetic limb.
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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.