ArticleCureus2025
Changes in Gait Metrics and Motor Strategies Post-Neurocognitive Rehabilitation in Subacute Stroke: A Retrospective Mixed-Methods Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
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Who cites it
2 citing papers in PubMed.
- Comparative efficacy and mechanistic insights of non-invasive neuromodulation and motor rehabilitation on functional reorganization of the supplementary motor area in subacute stroke: a narrative review.Frontiers in physiology · 2026Review
- Expansion of attentional scope modulates postural control, motor strategies, and attentional network connectivity in healthy adults: a proof-of-concept mixed-methods study.Frontiers in rehabilitation sciences · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background It is known that neurocognitive rehabilitation (NCR) improves post-stroke functional outcomes. However, systematic evaluations of changes in stride regularity and step regularity remain limited. Furthermore, a few studies have combined quantitative gait metrics with qualitative analyses of self-reported motor strategies, particularly in individuals with subacute stroke. Objective To examine immediate changes in key gait metrics - specifically vertical stride regularity and walking speed - as well as self-reported motor strategies following a single-session NCR intervention targeting hip and trunk proprioception in individuals with subacute stroke using a retrospective observational design. Methods Using a convergent mixed-methods design within a retrospective framework, we concurrently analyzed quantitative gait and qualitative interview data, which were subsequently integrated during the interpretation phase. Clinical data from 39 patients with subacute stroke were analyzed. Each participant underwent a single-session NCR intervention. Clinical records included trunk accelerometry-based gait assessments and self-reported motor strategies collected through semi-structured interviews. Quantitative gait data were analyzed as time series, and qualitative interview data were processed using text mining techniques. The findings were integrated via correspondence analysis, with patients categorized based on the percentage change in vertical stride regularity from baseline to immediately post-intervention. Results Statistically significant immediate changes in stride regularity (vertical and anteroposterior axes) and step regularity (vertical, mediolateral, and anteroposterior axes) were observed from pre- to post-intervention (T0 to T1), with medium to large effect sizes. Gait speed showed a statistically significant increase post-intervention to the following day (T1 to T2). Co-occurrence network analysis of interview data revealed a shift in reported motor strategies post-intervention, from distal segments (such as "feet" and "toes") to proximal segments (such as "hip joint," "waist," and "trunk"). The correspondence analysis suggested that patients with greater changes in vertical stride regularity described strategies emphasizing proximal control, whereas those with smaller changes referenced distal segments or fall prevention-oriented strategies. Conclusions A single session of NCR focusing on hip and trunk proprioception was associated with immediate changes in gait regularity and symmetry, as well as patients' awareness of their motor strategies in subacute stroke. The integration of objective and subjective assessments may support more personalized rehabilitation planning. Prospective studies are warranted to further investigate these findings.
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