Trial reportJournal of neuroengineering and rehabilitation2019
Does severity of motor impairment affect reactive adaptation and fall-risk in chronic stroke survivors?
Trial report in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 32 citations in OpenAlex.
- Can prior exposure to repeated non-paretic slips improve reactive responses on novel paretic slips among people with chronic stroke?Experimental brain research · 2022Trial
- Mapping the Role of Robot-Assisted Gait Training in Post-Stroke Recovery Among Elderly Patients: A Scoping Review.Journal of clinical medicine · 2025Review
- Delayed Cortical Responses During Reactive Balance After Stroke Associated With Slower Kinetics and Clinical Balance Dysfunction.Neurorehabilitation and neural repair · 2025Article
- Article
- 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
- Functional electrical stimulation to enhance reactive balance among people with hemiparetic stroke.Experimental brain research · 2024Article
- Delayed cortical engagement associated with balance dysfunction after stroke.medRxiv : the preprint server for health sciences · 2023Article
- Age-related differences in reactive balance control and fall-risk in people with chronic stroke.Gait & posture · 2023Article
- Effect of Aging and Cortical Stroke on Motor Adaptation to Overground Gait-Slips: Quantifying Differences in Adaptation Rate and Adaptation Plateau.Biomechanics (Basel, Switzerland) · 2023Article
- Motor adaptation and immediate retention to overground gait-slip perturbation training in people with chronic stroke: an experimental trial with a comparison group.Frontiers in sports and active living · 2023Article
- Perturbation-based balance training: Principles, mechanisms and implementation in clinical practice.Frontiers in sports and active living · 2022Review
- Factors influencing recovery of upper limb motor function during constraint-induced movement therapy for people with stroke.Translational neuroscience · 2022Article
- Application of neuromuscular electrical stimulation on the support limb during reactive balance control in persons with stroke: a pilot study.Experimental brain research · 2021Article
- Walking with robot-generated haptic forces in a virtual environment: a new approach to analyze lower limb coordination.Journal of neuroengineering and rehabilitation · 2021Article
- Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability.Brain sciences · 2021Article
- Posterior fall-recovery training applied to individuals with chronic stroke: A single-group intervention study.Clinical biomechanics (Bristol, Avon) · 2021Article
- Determining the optimal dose of reactive balance training after stroke: study protocol for a pilot randomised controlled trial.BMJ open · 2020Article
- Article
- The Association Between an Antecedent of Transient Ischemic Attack Prior to Onset of Stroke and Functional Ambulatory Outcome.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundA single-session of slip-perturbation training has shown to induce long-term fall risk reduction in older adults. Considering the spectrum of motor impairments and deficits in reactive balance after a cortical stroke, we aimed to determine if chronic stroke survivors could acquire and retain reactive adaptations to large slip-like perturbations and if these adaptations were dependent on severity of motor impairment.
methodsTwenty-six chronic stroke participants were categorized into high and low-functioning groups based on their Chedoke-McMaster-Assessment scores. All participants received a pre-training, slip-like stance perturbation at level-III (highest intensity/acceleration) followed by 11 perturbations at a lower intensity (level-II). If in early phase, participants experienced > 3/5 falls, they were trained at a still lower intensity (level-I). Post-training, immediate scaling and short-term retention at 3 weeks post-training was examined. Perturbation outcome and post-slip center-of-mass (COM) stability was analyzed.
resultsOn the pre-training trial, 60% of high and 100% of low-functioning participants fell. High-functioning group tolerated and adapted at training-intensity level-II but low-functioning group were trained at level-I (all had > 3 falls on level-II). At respective training intensities, both groups significantly lowered fall incidence from 1st through 11th trials, with improved post-slip stability and anterior shift in COM position, resulting from increased compensatory step length. Both groups demonstrated immediate scaling and short-term retention of the acquired stability control.
conclusionChronic stroke survivors are able to acquire and retain adaptive reactive balance skills to reduce fall risk. Although similar adaptation was demonstrated by both groups, the low-functioning group might require greater dosage with gradual increment in training intensity.
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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.