ArticleFrontiers in neurology2021
Establishing the Minimal Clinically Important Differences for Sagittal Hip Range of Motion in Chronic Stroke Patients.
Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Concurrent validity of wearable IMUs for sagittal plane lower-limb range of motion during walking and estimated ground reaction forces: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Optimal dose and type of exercise improve the overall balance in adults with Parkinson's disease: a systematic review and Bayesian network meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Pooled it
- The dose-effect relationship of acupuncture on limb dysfunction after acute stroke: a systematic review and meta-analysis.Frontiers in neurology · 2024Pooled it
- Ankle Robotics Induces Ongoing Locomotor Plasticity with Delayed, Sustained Multi-Segmental Gait Improvements 17 Months After Training in Chronic Stroke.Medicina (Kaunas, Lithuania) · 2026Article
- Effect of Walking Speed on the Reliability of a Smartphone-Based Markerless Gait Analysis System.Sensors (Basel, Switzerland) · 2025Article
- Comparing the Accuracy of Markerless Motion Analysis and Optoelectronic System for Measuring Gait Kinematics of Lower Limb.Bioengineering (Basel, Switzerland) · 2025Article
- Observational
- Gait assessment using a 2D video-based motion analysis app in healthy subjects and subjects with lower limb amputation - A pilot study.PloS one · 2025Article
- Home-based guidance training system with interactive visual feedback using kinect on stroke survivors with moderate to severe motor impairment.Journal of neuroengineering and rehabilitation · 2024Article
- Validation of inertial measurement units based on waveform similarity assessment against a photogrammetry system for gait kinematic analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Virtual reality-enhanced walking in people post-stroke: effect of optic flow speed and level of immersion on the gait biomechanics.Journal of neuroengineering and rehabilitation · 2023Article
- Motion Analysis of Balance Pre and Post Sensorimotor Exercises to Enhance Elderly Mobility: A Case Study.Applied sciences (Basel, Switzerland) · 2023Article
- Test-Retest Reliability of Kinematic and Temporal Outcome Measures for Clinical Gait and Stair Walking Tests, Based on Wearable Inertial Sensors.Sensors (Basel, Switzerland) · 2022Article
- A Robot-Assisted Therapy to Increase Muscle Strength in Hemiplegic Gait Rehabilitation.Frontiers in neurorobotics · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many researchers have pointed out that decreased sagittal range of motion (ROM) in the affected hip joint is a common consequence of stroke, and it adversely affects walking performance and walking speed. Nevertheless, the minimal clinically important differences (MCID) in hip-related kinematic gait parameters post-stroke have not yet been determined. The present study aimed to define MCID values for hip ROM in the sagittal plane i.e., flexion-extension (FE), for the affected and unaffected sides at a chronic stage post-stroke. Fifty participants with hemiparesis due to stroke were enrolled for the study. Four statistical methods were used to calculate MCID. According to the anchor-based approach, the mean change in hip FE ROM achieved by the MCID group on the affected/unaffected side amounted to 5.81°/2.86° (the first MCID estimate). The distribution-based analyses established that the standard error of measurement in the no-change group amounted to 1.56°/1.04° (the second MCID estimate). Measurements based on the third method established that a change of 4.09°/0.61° in the hip ROM corresponded to a 1.85-point change in the Barthel Index. The optimum cutoff value, based on ROC curve analysis, corresponded to 2.9/2.6° of change in the hip sagittal ROM for the affected/unaffected side (the fourth MCID estimate). To our knowledge, this is the first study to use a comprehensive set of statistical methods to determine the MCID for hip sagittal ROM for the affected and unaffected sides at a chronic stage post-stroke. According to our findings, the MCID of the hip FE ROM for the affected side amounts to 5.81° and for the unaffected side to 2.86°, in patients with chronic stroke. This indicator is extremely important because it allows clinical practitioners to assess the effects of interventions administered to patients, and to interpret the significance of improvements in sagittal kinematic parameters of the hip; ultimately, it may facilitate the process of designing effective gait reeducation programs.
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