Evidence map›Paper›PMID 42037688›Full record

ArticleFrontiers in neurology

Protocol for a multicenter prospective sequential intervention study: the effect of adaptive closed-loop postural training on gait disorders in hemiparetic stroke patients.

Liping Zhou, Jinping Li, Ying Xu, Xianglian Kang, Jiahui Li, Bo Liang, Bo Chen, Qingjia Guo, Xinzhi Zhang, Zhengfei Wang and 6 more

Abstract read
In one paragraph

Article in Frontiers in neurology. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Liping ZhouDepartment of Community Health, Advanced Medical and Dental Institute, University Sains Malaysia, Kepala Batas, Pulau Pinang, Malaysia.
Jinping LiDepartment of Medical Engineering, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Ying XuDepartment of Neurorehabilitation, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Xianglian KangDepartment of Medical Engineering, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Jiahui LiDepartment of Neurorehabilitation, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Bo LiangDepartment of Neurorehabilitation, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Bo ChenDepartment of Neurorehabilitation, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Qingjia GuoDepartment of Rehabilitation Medicine, The Affiliated Changshu Hospital of Soochow University, The First People's Hospital of Changshu, Changshu, Jiangsu, China.
Xinzhi ZhangDepartment of Rehabilitation Medicine, The Affiliated Changshu Hospital of Soochow University, The First People's Hospital of Changshu, Changshu, Jiangsu, China.
Zhengfei WangDepartment of Rehabilitation Medicine, The Affiliated Changshu Hospital of Soochow University, The First People's Hospital of Changshu, Changshu, Jiangsu, China.
Tinghui HuangDepartment of Rehabilitation Medicine, Gangcheng Rehabilitation Hospital of Zhangjiagang, Zhangjiagang, Jiangsu, China.
Mindan XuDepartment of Rehabilitation Medicine, Gangcheng Rehabilitation Hospital of Zhangjiagang, Zhangjiagang, Jiangsu, China.
Zhicheng BaoDepartment of Rehabilitation Medicine, The Affiliated Kunshan Hospital of Jiangsu University, The First People's Hospital of Kunshan, Kunshan, Jiangsu, China.
Nur Arzuar Abdul RahimDepartment of Clinical Medicine, Advanced Medical and Dental Institute, University Sains Malaysia, Kepala Batas, Pulau Pinang, Malaysia.
Ying Hou *Department of Neurorehabilitation, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Hazwani Ahmad Yusof *Department of Community Health, Advanced Medical and Dental Institute, University Sains Malaysia, Kepala Batas, Pulau Pinang, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Stroke often leads to hemiparetic gait, which negatively affects the quality of life and increases socioeconomic burdens. Conventional therapies have limited effectiveness in improving gait. Postural regulation deficits are a key factor contributing to gait disorders. The Gusu Constraint Standing Training (GCST), a novel posture adjustment approach, shows promise in improving central gait disorders. We hypothesize that GCST optimizes gait in hemiparetic stroke patients by enhancing their postural adaptation criticality and improving gait control through the common neural pathways and nodes shared by posture and gait. However, the specific effects and underlying mechanisms of GCST require further study. Methods and analysis: This multicenter, prospective, sequential study will recruit 180 hemiparetic stroke patients (recovery phase: 3-6 months; chronic phase: ≥6 months post-stroke) across four hospitals, along with 30 healthy controls. GCST is divided into a structured, stepwise intervention (steps A-E) implemented sequentially based on predefined performance criteria. Assessments will be conducted at baseline, after the completion of each intervention step, and at follow-ups. The primary outcome is the minimal knee flexion angle of the hemiparetic limb during the swing phase, quantified using the three-dimensional gait analysis. Secondary outcomes include gait, postural, neuromuscular, and functional measures. Outcome assessors will be blinded to participants' stroke phase. Longitudinal data will be analyzed using linear mixed-effects models. Healthy controls will provide normative reference values. Ethics and dissemination: Approved by each hospital's ethics committees, the study will require informed consent from participants. The results will be shared through academic conferences and peer-reviewed journals while ensuring participant confidentiality. Clincial trial registration: https://www.chictr.org.cn/showproj.html?proj=235182, Identifier ChiCTR2400094903.

Indexed as

gait disordersGusu Constraint Standing Traininghemipareticposture adjustmentstroke rehabilitation

Identifiers

PMID42037688
PMCPMC13105997

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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.