Mechanisms used to increase peak propulsive force following 12-weeks of gait training in individuals poststroke

Journal of Biomechanics
HaoYuan HsiaoStuart A Binder-Macleod

Abstract

Current rehabilitation efforts for individuals poststroke focus on increasing walking speed because it is a predictor of community ambulation and participation. Greater propulsive force is required to increase walking speed. Previous studies have identified that trailing limb angle (TLA) and ankle moment are key factors to increases in propulsive force during gait. However, no studies have determined the relative contribution of these two factors to increase propulsive force following intervention. The purpose of this study was to quantify the relative contribution of ankle moment and TLA to increases in propulsive force following 12-weeks of gait training for individuals poststroke. Forty-five participants were assigned to 1 of 3 training groups: training at self-selected speeds (SS), at fastest comfortable speeds (Fast), and Fast with functional electrical stimulation (FastFES). For participants who gained paretic propulsive force following training, a biomechanical-based model previously developed for individuals poststroke was used to calculate the relative contributions of ankle moment and TLA. A two-way, mixed-model design, analysis of covariance adjusted for baseline walking speed was performed to analyze changes in TLA ...Continue Reading

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Citations

Sep 25, 2016·Journal of Neuroengineering and Rehabilitation·Louis N AwadStuart A Binder-Macleod
Feb 20, 2018·Topics in Stroke Rehabilitation·Katlin GentheTrisha M Kesar
Nov 1, 2016·Neurorehabilitation and Neural Repair·James M Finley, Amy J Bastian
Dec 19, 2018·Neurorehabilitation and Neural Repair·Michael D LewekAmanda Doty
Dec 14, 2019·Journal of Neurologic Physical Therapy : JNPT·Louis N AwadStuart A Binder-Macleod
Jul 28, 2017·Science Translational Medicine·Louis N AwadConor J Walsh
May 23, 2018·Voprosy kurortologii, fizioterapii, i lechebnoĭ fizicheskoĭ kultury·V I Berezutsky
Mar 19, 2020·Spinal Cord Series and Cases·Akhil John KurienGrace Rebekah
Jun 7, 2017·Journal of Neuroengineering and Rehabilitation·Christopher Schenck, Trisha M Kesar
Mar 28, 2018·Journal of Physical Therapy Science·Shingo MiyataKeita Uchiyama
Aug 5, 2020·Journal of Neuroengineering and Rehabilitation·Purnima PadmanabhanRyan T Roemmich
Jun 30, 2019·Systematic Reviews·Claudiane Arakaki FukuchiMarcos Duarte
Oct 23, 2020·Journal of Neuroengineering and Rehabilitation·Louis N AwadMark G Bowden
Jan 24, 2018·The Journal of Experimental Biology·Jaehyun BaeConor J Walsh
Aug 17, 2021·Frontiers in Neurorobotics·Franchino PorciunculaLouis N Awad

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