ArticleJournal of neurologic physical therapy : JNPT2020
Central Drive to the Paretic Ankle Plantarflexors Affects the Relationship Between Propulsion and Walking Speed After Stroke.
Article in Journal of neurologic physical therapy : JNPT, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 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.
Effects of an Overground Propulsion Neuroprosthesis in Community-dwelling Individuals After Stroke
Neurostimulation Exosuit Augmented Training (NEAT) in the Clinic Using a Wearable Propulsion Neuroprosthesis
Who cites it
22 citing papers in PubMed.
- Examination of effect and responder to real-time auditory feedback during overground gait for stroke: a randomized cross-over study.Scientific reports · 2025Trial
- Task-specific training for improving propulsion symmetry and gait speed in people in the chronic phase after stroke: a proof-of-concept study.Journal of neuroengineering and rehabilitation · 2021Trial
- Soft vs. Traditional AFOs: A Comparative Study on Gait Kinematics, Kinetics, and Muscle Activity.Restorative neurology and neuroscience · 2026Article
- Koopman-Based Model Predictive Control of Functional Electrical Stimulation for Ankle Dorsiflexion and Plantarflexion Assistance.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025Article
- We Will, We Will Shock You: Adaptive Versus Conventional Functional Electrical Stimulation in Individuals Post-Stroke.Journal of biomechanical engineering · 2024Article
- Intermittent hypoxia enhances voluntary activation and reduces performance fatigability during repeated lower limb contractions.Journal of neurophysiology · 2024Article
- Enhanced phasic calf muscle activation with swing resistance enhances propulsion of the paretic leg in people poststroke.Journal of neurophysiology · 2024Article
- Patterns of change in propulsion force and late braking force in patients with stroke walking at comfortable and fast speeds.Scientific reports · 2024Article
- Adaptive Functional Electrical Stimulation Delivers Stimulation Amplitudes Based on Real-Time Gait Biomechanics.Journal of medical devices · 2024Article
- A Portable, Neurostimulation-Integrated, Force Measurement Platform for the Clinical Assessment of Plantarflexor Central Drive.Bioengineering (Basel, Switzerland) · 2024Article
- Achilles tendon morphology adaptations in chronic post-stroke hemiparesis: a comparative analysis with neurologically intact controls.Frontiers in sports and active living · 2024Article
- Article
- A Propulsion Neuroprosthesis Improves Overground Walking in Community-Dwelling Individuals After Stroke.IEEE open journal of engineering in medicine and biology · 2024Article
- Effects of a soft robotic exosuit on the quality and speed of overground walking depends on walking ability after stroke.Journal of neuroengineering and rehabilitation · 2023Article
- Muscle contributions to pre-swing biomechanical tasks influence swing leg mechanics in individuals post-stroke during walking.Journal of neuroengineering and rehabilitation · 2022Article
- 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
- Psychometric Evaluation of the Narrow Corridor Walk Test (NCWT) on Advanced Walking Balance in People with Stroke.BioMed research international · 2022Article
- The Dynamic Motor Control Index as a Marker of Age-Related Neuromuscular Impairment.Frontiers in aging neuroscience · 2021Article
- Torque variability of the plantar flexors in people with Huntington's disease.American journal of translational research · 2021Article
- Targeting Paretic Propulsion and Walking Speed With a Soft Robotic Exosuit: AFrontiers in neurorobotics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
background and purposeThe ankle plantarflexor muscles are the primary generators of propulsion during walking. Impaired paretic plantarflexion is a key contributor to interlimb propulsion asymmetry after stroke. Poststroke muscle weakness may be the result of a reduced force-generating capacity, reduced central drive, or a combination of these impairments. This study sought to elucidate the relationship between the neuromuscular function of the paretic plantarflexor muscles and propulsion deficits across individuals with different walking speeds.
methodsFor 40 individuals poststroke, we used instrumented gait analysis and dynamometry coupled with supramaximal electrostimulation to study the interplay between limb kinematics, the neuromuscular function of the paretic plantarflexors (ie, strength capacity and central drive), propulsion, and walking speed.
resultsThe strength capacity of the paretic plantarflexors was not independently related to paretic propulsion. Reduced central drive to the paretic plantarflexors independently contributed to paretic propulsion deficits. An interaction between walking speed and plantarflexor central drive was observed. Individuals with slower speeds and lower paretic plantarflexor central drive presented with the largest propulsion impairments. Some study participants with low paretic plantarflexor central drive presented with similarly fast speeds as those with near-normal central drive by leveraging a compensatory reliance on nonparetic propulsion. The final model accounted for 86% of the variance in paretic propulsion (R = 0.86, F = 33.10, P < 0.001). DISCUSSION AND
conclusionsIndividuals poststroke have latent paretic plantarflexion strength that they are not able to voluntarily access. The magnitude of central drive deficit is a strong indicator of propulsion impairment in both slow and fast walkers.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A298).
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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.