ArticleScientific reports2022
Increased temporal stride variability contributes to impaired gait coordination after stroke.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Repetitive Transcranial Magnetic Stimulation Coupled With Visual-Feedback Cycling Exercise Improves Walking Ability and Walking Stability After Stroke: A Randomized Pilot Study.Neural plasticity · 2024Trial
- [Personalized lower-limb gait assessment method based on musculoskeletal modeling and machine learning].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026Article
- Walking as a Window to the Brain: Redefining Gait in Neurology.Medical sciences (Basel, Switzerland) · 2026Review
- Observational
- A pilot study on simultaneous stimulation of the primary motor cortex and supplementary motor area using gait-synchronized rhythmic brain stimulation to improve gait variability in post-stroke hemiparetic patients.Frontiers in human neuroscience · 2025Article
- Reliability and Validity of Observational Gait Analysis by Physical Therapists: Possibility of Verifying Accuracy and Improving Technology in Visual Measurement of Joint Angles.Physical therapy research · 2025Article
- Effects of Foot Position-Based Gait Training on Muscle Activity, Gait Parameters, and Balance in Subacute Stroke Patients.Healthcare (Basel, Switzerland) · 2024Article
- A New Measure for Quantifying Four-Limb Coordination of Human Gait Based on Mobility Sensors.Sensors (Basel, Switzerland) · 2024Article
- Gait Analysis in Neurorehabilitation: From Research to Clinical Practice.Bioengineering (Basel, Switzerland) · 2023Review
- Postural control exercise without using the upper limbs improves activities of daily living in patients with stroke.Frontiers in rehabilitation sciences · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
Heightened motor variability is a prominent impairment after stroke. During walking, stroke survivors show increased spatial and temporal variability; however, the functional implications of increased gait variability are not well understood. Here, we determine the effect of gait variability on the coordination between lower limbs during overground walking in stroke survivors. Ambulatory stroke survivors and controls walked at a preferred pace. We measured stride length and stride time variability, and accuracy and consistency of anti-phase gait coordination with phase coordination index (PCI). Stroke survivors showed increased stride length variability, stride time variability, and PCI compared with controls. Stride time variability but not stride length variability predicted 43% of the variance in PCI in the stroke group. Stride time variability emerged as a significant predictor of error and consistency of phase. Despite impaired spatial and temporal gait variability following stroke, increased temporal variability contributes to disrupted accuracy and consistency of gait coordination. We provide novel evidence that decline in gait coordination after stroke is associated with exacerbated stride time variability, but not stride length variability. Temporal gait variability may be a robust indicator of the decline in locomotor function and an ideal target for motor interventions that promote stable walking after stroke.
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