Trial reportAmerican journal of physical medicine & rehabilitation2025
Forced-Rate Aerobic Cycling Improves Locomotor Function and Gait Biomechanics in Individuals With Chronic Stroke: A Randomized Controlled Trial.
Trial report in American journal of physical medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
11 authors.
Funding
Abstract
objectiveWhile cycling and walking are different motor tasks, both require the rapid reciprocal activation and relaxation of lower extremity muscles in a synergistic manner, promoting coordination patterns similar to walking. The aim of this secondary analysis was to examine the effects of forced-rate cycling on gait biomechanics after stroke.
designA randomized controlled trial was conducted investigating the neuroplastic effects of forced-rate cycling on upper extremity motor recovery in individuals ( n = 60) after stroke. In this secondary analysis, a subset of participants ( N = 45) completed biomechanical gait assessment at baseline and postintervention.
resultsGait velocity increased in the cycling group by 0.08 m/sec and in the control group by 0.02 m/sec, though a group difference was not observed ( P = 0.195). Walking capacity (6-min walk test) significantly improved by 53.3 m for the cycling group versus 15.6 m for the control group ( P = 0.0036). Improvements in spatiotemporal characteristics in the cycling group included increased step length, cadence, and time spent in single-limb support, in addition to paretic limb kinetics.
conclusionsImprovements in gait velocity after forced-rate cycling were accompanied by normalization of gait biomechanics rather than exaggerated compensatory strategies, supporting the use of aerobic cycling as a viable and safe intervention to improve locomotor control after stroke.
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