Evidence map›Paper›PMID 41368651›Full record

Trial reportNeural plasticity2025

High-Intensity Gait Training With Functional Electrical Stimulation Enhances Corticospinal Excitability of Paretic Ankle Muscles in Individuals Post-Stroke.

Vyoma Parikh, Anjali Sivaramakrishnan, Justin Liu, Jiang Xu, Catherine F Mason, Trisha M Kesar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neural plasticity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vyoma ParikhDivision of Physical Therapy, Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0009-0006-0392-5836
Anjali SivaramakrishnanDepartment of Physical Therapy, School of Health Professions, The University of Texas at San Antonio, Health Science Center, San Antonio, Texas, USA.ORCID 0000-0001-8763-9699
Justin LiuDepartment of Medicine, Emory University, Atlanta, Georgia, USA.
Jiang XuUniversity of Science and Technology, Wuhan, China.
Catherine F MasonDivision of Physical Therapy, Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-5201-0353
Trisha M KesarDivision of Physical Therapy, Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0000-0001-6436-1487

Funding

Biomechanical and neural mechanisms of post-stroke gait trainingR01HD095975 · NICHD · EMORY UNIVERSITY · PI KESAR, TRISHA · 2019 to 2024
$2.9M
Cortical and spinal correlates of stroke gait rehabilitationK01HD079584 · NICHD · EMORY UNIVERSITY · PI KESAR, TRISHA · 2014 to 2018
$632k
NICHD NIH HHS K01 HD079584NICHD NIH HHS R01 HD095975
6 · The paper itself

Abstract

Introduction: High-intensity readmill training (FAST) and functional electrical stimulation (FES) are both evidence-supported interventions that improve gait function post-stroke, but their neural mechanisms are unclear. Here, we tested the hypothesis that FAST-FES training, which incorporates task-specific sensorimotor stimulation to paretic ankle muscles, would induce greater upregulation of lesioned corticospinal tract (CST) excitability compared to dose-matched training without FES in individuals post-stroke. Methods: In this repeated-measures crossover study, 11 participants >6 months post-stroke (66.25 ± 8.15 years, six females) received FAST-FES or FAST gait training protocols (comprising three training sessions) in a randomized order, with an intervening >3-week washout period. FES was applied to the paretic dorsi- and plantar-flexor muscles during the paretic swing and terminal stance phases of gait, respectively. CST excitability was measured before and after each training protocol from bilateral tibialis anterior and soleus muscles in three different test positions: sit-rest, sit-active, and quiet standing. Results: We found a significant main effect of intervention on training-induced change in motor evoked potential (MEP) amplitude ( Conclusions: FAST-FES training increased corticospinal excitability in paretic ankle muscles without upregulating nonparetic ankle corticospinal drive, suggesting preferential induction of neuroplasticity in the lesioned CST.

Indexed as

AnkleElectric Stimulation TherapyGaitMuscle, SkeletalPyramidal TractsStrokeStroke RehabilitationAgedCross-Over StudiesElectromyographyEvoked Potentials, MotorFemaleHumansMaleMiddle Agedelectrical stimulationgaitlower extremitytranscranial magnetic stimulation

Identifiers

PMID41368651
PMCPMC12685428

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.