ArticleClinical biomechanics (Bristol, Avon)2019
Trailing limb angle is a surrogate for propulsive limb forces during walking post-stroke.
Article in Clinical biomechanics (Bristol, Avon), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Control strategies used in lower limb exoskeletons for gait rehabilitation after brain injury: a systematic review and analysis of clinical effectiveness.Journal of neuroengineering and rehabilitation · 2023Pooled it
- 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
- Exoskeleton frontal and sagittal plane hip torque improves propulsion and transient stability during walking in individuals with hemiparesis.Journal of neuroengineering and rehabilitation · 2026Article
- Article
- Effect of gait speed on post-stroke step length and anterior ground reaction force relative to individualized predicted values.Research square · 2025Article
- Robotic Ankle Exoskeleton and Limb Angle Biofeedback for Assisting Stroke Gait: A Feasibility Study.IEEE robotics and automation letters · 2025Article
- Within-session propulsion asymmetry changes have a limited effect on gait asymmetry post-stroke.Journal of neuroengineering and rehabilitation · 2025Article
- Intrinsic and extrinsic feedback generate similar propulsion but distinct biomechanical strategies during split-belt walking.Frontiers in human neuroscience · 2025Article
- Article
- Patterns of change in propulsion force and late braking force in patients with stroke walking at comfortable and fast speeds.Scientific reports · 2024Article
- Gait quality in prosthesis users is reflected by force-based metrics when learning to walk on a new research-grade powered prosthesis.Frontiers in rehabilitation sciences · 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
- Walking and Balance Outcomes Are Improved Following Brief Intensive Locomotor Skill Training but Are Not Augmented by Transcranial Direct Current Stimulation in Persons With Chronic Spinal Cord Injury.Frontiers in human neuroscience · 2022Article
- Quantifying mechanical and metabolic interdependence between speed and propulsive force during walking.Frontiers in sports and active living · 2022Article
- Reduced joint motion supersedes asymmetry in explaining increased metabolic demand during walking with mechanical restriction.Journal of biomechanics · 2021Article
- Targeting Paretic Propulsion and Walking Speed With a Soft Robotic Exosuit: AFrontiers in neurorobotics · 2021Article
- These legs were made for propulsion: advancing the diagnosis and treatment of post-stroke propulsion deficits.Journal of neuroengineering and rehabilitation · 2020Review
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundPropulsive deficits following stroke have been attributed to reduced plantarflexion moments and a reduced trailing limb angle. We sought to determine the validity of the trailing limb angle as a surrogate measure of the anterior ground reaction force, as well as to determine the anatomical landmarks for the trailing limb angle that best approximate the orientation of the ground reaction force.
methodsForty-four participants with chronic stroke walked on a treadmill. At peak propulsion, we computed the trailing limb angle, the anterior orientation of the ground reaction force (the gold standard), and the hip extension angle for correlational analyses. Further, we compared the absolute error of the various trailing limb angle computations to determine which landmarks provided the most accurate representation of the anterior angle of the ground reaction force.
findingsFor the paretic and non-paretic limbs, the anterior angle of the ground reaction force was related to all measures of trailing limb angle as well as the peak propulsive force. The hip extension angle, however, was not related to the angle of the ground reaction force. Only the choice of distal landmarks significantly influenced the error between trailing limb angle and the anterior angle of the ground reaction force.
interpretationThese data suggest that measuring the sagittal plane orientation of the entire limb serves as a suitable surrogate for measuring the anterior angle of the ground reaction force. Although greater errors were observed with kinematic measures of orientation, the magnitude of the error is likely within acceptable ranges.
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