Abstract:
BACKGROUND:Although walking speed is the most common measure of gait performance post-stroke, improved walking speed following rehabilitation does not always indicate the recovery of paretic limb function. Over the last decade, the measure paretic propulsion (Pp, defined as the propulsive impulse generated by the paretic leg divided by the sum of the propulsive impulses of both legs) has been established as a measure of paretic limb output and recently targeted in post-stroke rehabilitation paradigms. However, the literature lacks a detailed synthesis of how paretic propulsion, walking speed, and other biomechanical and neuromuscular measures collectively relate to post-stroke walking performance and motor recovery. OBJECTIVE:The aim of this review was to assess factors associated with the ability to generate Pp and identify rehabilitation targets aimed at improving Pp and paretic limb function. METHODS:Relevant literature was collected in which paretic propulsion was used to quantify and assess propulsion symmetry and function in hemiparetic gait. RESULTS:Paretic leg extension during terminal stance is strongly associated with Pp. Both paretic leg extension and propulsion are related to step length asymmetry, revealing an interaction between spatiotemporal, kinematic and kinetic metrics that underlies hemiparetic walking performance. The importance of plantarflexor function in producing propulsion is highlighted by the association of an independent plantarflexor excitation module with increased Pp. Furthermore, the literature suggests that although current rehabilitation techniques can improve Pp, these improvements depend on the patient's baseline plantarflexor function. SIGNIFICANCE:Pp provides a quantitative measure of propulsion symmetry and should be a primary target of post-stroke gait rehabilitation. The current literature suggests rehabilitation techniques that target both plantarflexor function and leg extension may restore paretic limb function and improve gait asymmetries in individuals post stroke.
journal_name
Gait Posturejournal_title
Gait & postureauthors
Roelker SA,Bowden MG,Kautz SA,Neptune RRdoi
10.1016/j.gaitpost.2018.10.027subject
Has Abstractpub_date
2019-02-01 00:00:00pages
6-14eissn
0966-6362issn
1879-2219pii
S0966-6362(18)30490-9journal_volume
68pub_type
杂志文章,评审相关文献
GAIT & POSTURE文献大全abstract:PURPOSE:Individuals with knee osteoarthritis (OA) experience pain, frontal plane joint laxity and instability. Co-contraction can control laxity and instability but may place constraints on the variability of the knee's motion during gait. Slight variation among gait cycles is normal, but reduced variability of joint m...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.06.003
更新日期:2006-06-01 00:00:00
abstract::Active control of trunk motion is believed to enable humans to maintain stability during walking, suggesting that stability of the trunk is prioritized over other segments by the nervous system. We investigated if superior segments are more stable than inferior segments during walking and if age-related differences ar...
journal_title:Gait & posture
pub_type: 临床试验,杂志文章
doi:10.1016/j.gaitpost.2009.05.003
更新日期:2009-08-01 00:00:00
abstract::Multicentre studies are rare in three dimensional motion analyses due to challenges associated with combining waveform data from different centres. Principal component analysis (PCA) is a statistical technique that can be used to quantify variability in waveform data and identify group differences. A correction techni...
journal_title:Gait & posture
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.gaitpost.2016.10.008
更新日期:2017-01-01 00:00:00
abstract::The aim of this study was to investigate the effect of an arm sling on balance in patients with, hemiplegia following a stroke. Twenty-six patients with hemiplegia (11 men, 15 women) who had, shoulder subluxation were enrolled in the study. Balance was evaluated by the Berg Balance Scale, the, Functional Reach test, a...
journal_title:Gait & posture
pub_type: 临床试验,杂志文章
doi:10.1016/j.gaitpost.2010.09.008
更新日期:2010-10-01 00:00:00
abstract::This review investigates current protocols using Inertial Measurement Units (IMUs) in shoulder research, and outlines future paths regarding IMU use for shoulder research. Different databases were searched for relevant articles. Criteria for study selection were (1) research in healthy persons or persons with shoulder...
journal_title:Gait & posture
pub_type: 杂志文章,评审
doi:10.1016/j.gaitpost.2017.06.025
更新日期:2017-09-01 00:00:00
abstract::With increasing numbers of adults owning a cell phone, walking while texting has become common in daily life. Previous research has shown that walking is not entirely automated and when challenged with a secondary task, normal walking patterns are disrupted. This study investigated the effects of texting on the walkin...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.10.011
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Evidence of neuroplasticity after joint injury has suggested that individuals with chronic ankle instability (CAI) may have degraded movement when facing cognitive demand. To date, research into these effects have been limited to static balance models, and typically only incorporate a single type of cognitiv...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2020.03.019
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND AND AIMS:The purpose of this study was to investigate the effect of a sensory perturbation on step length and direction while crossing an obstacle from quiet stance. METHODS:Nine healthy adults were asked to step over an obstacle to land on a primary target (normal stepping condition). Following a light sig...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2009.02.016
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Reduced ability to adapt gait, particularly under challenging conditions, may be an important reason why older adults have an increased risk of falling. This study aimed to identify cognitive, psychological and physical mediators of the relationship between impaired gait adaptability and fall risk in older a...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.10.017
更新日期:2018-01-01 00:00:00
abstract::The ability to accelerate and decelerate is important for daily activities and likely more demanding than maintaining a steady-state walking speed. Walking speed is modulated by anterior-posterior (AP) ground reaction force (GRF) impulses. The purpose of this study was to investigate AP impulses across a wide range of...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.01.010
更新日期:2011-04-01 00:00:00
abstract::The Microsoft Kinect V2 for Windows, also known as the Xbox One Kinect, includes new and potentially far improved depth and image sensors which may increase its accuracy for assessing postural control and balance. The aim of this study was to assess the concurrent validity and reliability of kinematic data recorded us...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2015.03.005
更新日期:2015-07-01 00:00:00
abstract::When investigating whole-body balance in dynamic tasks, adequately tracking the whole-body centre of mass (CoM) or derivatives such as the extrapolated centre of mass (XCoM) can be crucial but add considerable measurement efforts. The aim of this study was to investigate whether reduced kinematic models can still prov...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.04.036
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate whether there are any significant differences in muscle activity between individuals living with type II diabetes mellitus (T2DM) and individuals living with T2DM and peripheral arterial disease (PAD), during gait at a self-selected speed. The influence of different stag...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.07.254
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Toe-out foot positioning is increasingly analyzed as a compensatory body-mechanical strategy to reduce pain and joint constraints in people with degenerative joint disease during gait. However, its influence during functional tasks, such as sit-to-stand, has not been reported. RESEARCH QUESTION:How uni- and...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.03.005
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Postural instability is one of most disabling motor symptoms in Parkinson's disease. Indices of multi-muscle synergies are new measurements of movement and postural stability. OBJECTIVES:Multi-muscle synergies stabilizing vertical posture were studied in Parkinson's disease patients without clinical symptom...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2015.12.035
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:High-heeled shoes are currently preferred by women due to contemporary aesthetics. However, high-heeled shoes may increase the effort required to ascend stairs and, hence, alter biomechanical performance. RESEARCH QUESTION:How do high-heel shoe parameters affect the pelvis position, lower extremities kinema...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2020.07.065
更新日期:2020-09-01 00:00:00
abstract::Visual impairment is an important risk factor for falls, but relatively little is known about how it affects stair negotiation. The present study determined how medio-lateral (ML) dynamics of stepping and single limb support stability when stepping up or down to a new level were affected by blurring the vision of heal...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2004.08.006
更新日期:2005-10-01 00:00:00
abstract::For clinical application the quantification of the actual subject-specific kinematics is necessary. Soft tissue artefact (STA) propagation to joint kinematics can nullify the clinical interpretability of stereophotogrammetric analysis. STA was assessed to be strongly subject- and task-specific. The global optimisation...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.07.008
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Compensatory pelvis, hip- and knee movements are reported after stroke to overcome insufficient foot-clearance. Ankle-foot orthoses (AFOs) are often used to improve foot-clearance, but the optimal timing of AFO-provision post-stroke is unknown. Early AFO-provision to prevent foot-drop might decrease the deve...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2018.05.012
更新日期:2018-06-01 00:00:00
abstract::The effects of type (cognitive vs. motor) and difficulty level (easy vs. hard) of a concurrent task on walking were examined in 10 boys and 4 girls (age 4-6 years) with developmental coordination disorder (DCD) and 28 age- and gender-matched unaffected children. Each child performed free walking (single task), walking...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.08.003
更新日期:2009-02-01 00:00:00
abstract::It is estimated that approximately 45% of the U.S. population will develop knee osteoarthritis, a disease that creates significant economic burdens in both direct and indirect costs. Laterally wedged insoles have been frequently recommended to reduce knee abduction moments and to manage knee osteoarthritis. However, i...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.01.025
更新日期:2016-03-01 00:00:00
abstract::The purpose of this study was to determine prospectively gait related risk factors for exercise-related lower leg pain (ERLLP) in 400 physical education students. Static lower leg alignment was determined, and 3D gait kinematics combined with plantar pressure profiles were collected. After this evaluation, all sports ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2004.12.004
更新日期:2006-01-01 00:00:00
abstract::Increased ankle muscle coactivation during gait has frequently been observed as an adaptation strategy to compensate for postural instability in adults after stroke. However, it remains unclear whether the muscle coactivation pattern increases or decreases after balance training. The aim of this study was to investiga...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.01.006
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Walking instability and a higher risk of falls are common in patients with peripheral neuropathy. However, it remains uncertain as to whether alterations in neuropathic gait are directly related to deficient sensory locomotion control or due to a slowing of walking speed. By means of a multi-speed gait asses...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2013.11.013
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Sensory feedback from the visual system along with the vestibular and somatosensory systems is essential for the regulation of normal postural control. Children with strabismus and, therefore, with abnormal binocular vision, may have an altered perception of space and use different sets of cues to determine ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2018.07.173
更新日期:2018-09-01 00:00:00
abstract::It has long been proposed that the gait alterations associated with barefoot running are mediated by alterations in sensory feedback, yet there has been no data to support this claim. Thus, the purpose of this study was to examine the role of superficial plantar cutaneous feedback in barefoot and shod running. METHOD...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.06.269
更新日期:2017-09-01 00:00:00
abstract::The aim of this study was to examine the effectiveness of visual biofeedback (VBF) signals from a force platform and accelerometer sensors placed on different body segments. The study was performed on 20 young subjects during standing on a firm and foam support surface with a VBF signal sensed from CoP, lower trunk (L...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2013.08.005
更新日期:2014-01-01 00:00:00
abstract::We propose a new method for calibrating force plates to reduce errors in center of pressure locations, forces, and moments. These errors may be caused by imperfect mounting of force plates to the ground or by installation of a treadmill atop a force plate, which may introduce distorting loads. The method, termed the P...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.06.010
更新日期:2009-01-01 00:00:00
abstract::We investigated the individual muscle contribution to arm motion to better understand the complex muscular coordination underlying three-dimensional (3D) reaching tasks of the upper limb (UL). The individual contributions of biceps, triceps, deltoid anterior, medius, posterior and pectoralis major to the control of sp...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.11.028
更新日期:2012-04-01 00:00:00
abstract::The aim of this study was to investigate the association between preoperative sagittal spinopelvic alignment and postoperative clinical outcomes after total hip arthroplasty (THA). This retrospective study included 92 patients with hip osteoarthritis who underwent primary THA between May 2013 and October 2015. Patient...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.12.010
更新日期:2017-02-01 00:00:00