ArticleJournal of neuroengineering and rehabilitation2023
Ankle-targeted exosuit resistance increases paretic propulsion in people post-stroke.
Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- A Resistive Soft Robotic Exosuit for Dynamic Body Loading in Hypogravity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Trial
- The Concept of Shaping Applied to Locomotor Interventions: Clinical and Robotic Strategies to Facilitate and Progress Variable Stepping Training at Higher Intensities.Neurorehabilitation and neural repair · 2026Review
- Multidimensional biomechanical modulation of walking reveals a threshold decline in distal ankle propulsion across aging.European journal of applied physiology · 2026Article
- Identification of Gait Patterns Associated with Paretic Propulsion and Velocity in Community-Dwelling Individuals with Stroke: A Multicenter Retrospective Study.Annals of biomedical engineering · 2026Article
- Low-cost Devices for Stroke Rehabilitation: A Review of Approaches, Designs, and Evidence.Restorative neurology and neuroscience · 2026Review
- Portable hip exoskeleton improves walking economy for stroke survivors.Nature communications · 2026Article
- Patient and clinician perceptions, expectations, and usability of ankle exoskeletons for daily living: a mixed-methods survey study.Frontiers in digital health · 2026Article
- Effects of Belt Accelerations During Push-Off on Propulsion Mechanics in Individuals Post-Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026Article
- Effective assistance timing using characteristics of paretic ground reaction force in ankle robotic gait training for individuals with hemiparesis after stroke: a cross-sectional study.Journal of neuroengineering and rehabilitation · 2025Article
- Multi-Modal Sensing for Propulsion Estimation in People Post-Stroke Across Speeds.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025Article
- Enhanced phasic calf muscle activation with swing resistance enhances propulsion of the paretic leg in people poststroke.Journal of neurophysiology · 2024Article
- Effects of ankle joint degree of freedom of knee-ankle-foot orthoses on loading patterns and triceps surae muscle activity on the paretic side in individuals with subacute severe hemiplegia: a retrospective study.Journal of neuroengineering and rehabilitation · 2024Article
- Human-centered design of a novel soft exosuit for post-stroke gait rehabilitation.Journal of neuroengineering and rehabilitation · 2024Article
- An Able-Bodied Study for Potential Usage of a Knee Scooter as a Constraint-Induced Movement Therapy (CIMT) Gait Training Device.Journal of functional morphology and kinesiology · 2024Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundIndividualized, targeted, and intense training is the hallmark of successful gait rehabilitation in people post-stroke. Specifically, increasing use of the impaired ankle to increase propulsion during the stance phase of gait has been linked to higher walking speeds and symmetry. Conventional progressive resistance training is one method used for individualized and intense rehabilitation, but often fails to target paretic ankle plantarflexion during walking. Wearable assistive robots have successfully assisted ankle-specific mechanisms to increase paretic propulsion in people post-stroke, suggesting their potential to provide targeted resistance to increase propulsion, but this application remains underexamined in this population. This work investigates the effects of targeted stance-phase plantarflexion resistance training with a soft ankle exosuit on propulsion mechanics in people post-stroke.
methodsWe conducted this study in nine individuals with chronic stroke and tested the effects of three resistive force magnitudes on peak paretic propulsion, ankle torque, and ankle power while participants walked on a treadmill at their comfortable walking speeds. For each force magnitude, participants walked for 1 min while the exosuit was inactive, 2 min with active resistance, and 1 min with the exosuit inactive, in sequence. We evaluated changes in gait biomechanics during the active resistance and post-resistance sections relative to the initial inactive section.
resultsWalking with active resistance increased paretic propulsion by more than the minimal detectable change of 0.8 %body weight at all tested force magnitudes, with an average increase of 1.29 ± 0.37 %body weight at the highest force magnitude. This improvement corresponded to changes of 0.13 ± 0.03 N m kg
conclusionsTargeted exosuit-applied functional resistance of paretic ankle plantarflexors can elicit the latent propulsion reserve in people post-stroke. After-effects observed in propulsion highlight the potential for learning and restoration of propulsion mechanics. Thus, this exosuit-based resistive approach may offer new opportunities for individualized and progressive gait rehabilitation.
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