ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2019
Impaired interlimb coordination is related to asymmetries during pedaling after stroke.
Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can motion capture improve task-based fMRI studies of motor function post-stroke? A systematic review.Journal of neuroengineering and rehabilitation · 2025Pooled it
- Association of Interhemispheric Structural Integrity With Transcallosal Interhemispheric Inhibition in People With Chronic Stroke.Journal of neuroscience research · 2026Article
- Improving interlimb coordination and paretic limb use after stroke using a novel robotic split-crank pedaling device: a cross-sectional study.Journal of neuroengineering and rehabilitation · 2026Article
- Effects of Symmetry and Age on Bilateral Upper-Limb Coordination in Children with Unilateral Cerebral Palsy.Journal of motor behavior · 2026Article
- Pedaling Asymmetry Reflected by Bilateral EMG Complexity in Chronic Stroke.Entropy (Basel, Switzerland) · 2024Article
- Quantification of Tissue Oxygen Saturation in the Vastus Lateralis Muscle of Chronic Stroke Survivors during a Graded Exercise Test.Cardiopulmonary physical therapy journal · 2023Article
- Changes in Walking Speed After High-Intensity Treadmill Training Are Independent of Changes in Spatiotemporal Symmetry After Stroke.Frontiers in neurology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo understand whether lower limb asymmetry in chronic stroke is related to paretic motor impairment or impaired interlimb coordination.
methodsStroke and control participants performed conventional, unilateral, and bilateral uncoupled pedaling. During uncoupled pedaling, the pedals were mechanically disconnected. Paretic mechanical work was measured during conventional pedaling. Pedaling velocity and muscle activity were compared across conditions and groups. Relative limb phasing was examined during uncoupled pedaling.
resultsDuring conventional pedaling, EMG and mechanical work were lower in the paretic than the non-paretic limb (asymmetry). During unilateral pedaling with the paretic limb, muscle activity was larger, but velocity was slower and more variable than during conventional pedaling (evidence of paretic motor impairment). During uncoupled pedaling, muscle activity increased further, but velocity was slower and more variable than in other conditions (evidence of impaired interlimb coordination). Relative limb phasing was impaired in stroke participants. Regression analysis suggested that interlimb coordination may be a stronger predictor of asymmetry than paretic motor impairment.
conclusionsParetic motor impairment and impaired interlimb coordination may contribute to asymmetry during pedaling after stroke. SIGNIFICANCE: Rehabilitation that addresses paretic motor impairment and impaired interlimb coordination may improve symmetry and maximize improvement.
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