ArticleCureus2025
Righting Reaction in Hemiplegic Stroke Survivors: Impact of Lower Limb Motor Paralysis Severity.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
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Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and objective The righting reaction (RR) from a laterally tilted sitting position is influenced by trunk function and walking ability; however, its relationship with the severity of lower limb motor paralysis in persons with stroke remains unclear. If the characteristics of RR response patterns are clearly identified, they may aid in determining individualized physical therapy approaches. This study aimed to clarify RR patterns according to the severity of lower limb motor paralysis and to explore their potential implications for developing individualized rehabilitation strategies. Methods This cross-sectional study included 51 participants with stroke requiring significant assistance in activities of daily living at a Japanese convalescent hospital. Participants were categorized into Mild (n = 16), Moderate (n = 19), and Severe (n = 16) groups based on the severity of lower limb motor paralysis. Neck, trunk, and leg angles during RR were measured. One-way ANOVA with post-hoc tests was used for intergroup comparisons. Results Significant differences were found in the non-paralyzed leg angle during RR toward the paralyzed side (p = 0.0003) and neck angles in both directions (paralyzed side: p = 0.0164; non-paralyzed side: p = 0.0367). The non-paralyzed leg angle was larger in the Moderate group (Mild: -3.6±6.0°, Moderate: 5.5±8.5°, Severe: -2.9±5.2°; Mild-Moderate: 95% CI: 2.6-14.1, p = 0.0011; Moderate-Severe: 95% CI: 3.1-14.7, p = 0.0022). Neck angles were larger in the Severe group than those in the Mild group (non-paralyzed side: 95% CI: 0.6-11.8, p = 0.0241; paralyzed side: 95% CI: 0.3-10.7, p = 0.0333). Conclusions This study demonstrated that the severity of lower limb motor paralysis significantly influences RR movement patterns in stroke survivors. Understanding RR movement patterns based on paralysis severity may aid in developing targeted rehabilitation strategies to improve postural control and functional recovery.
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