Baseline predictors of treatment gains in peak propulsive force in individuals poststroke
| Author(s) | Hsiao, HaoYuan | |
| Author(s) | Higginson, Jill S. | |
| Author(s) | Binder-Macleod, Stuart A. | |
| Ordered Author | HaoYuan Hsiao, Jill S. Higginson and Stuart A. Binder-Macleod | |
| UD Author | Hsiao, HaoYuan | en_US |
| UD Author | Higginson, Jill S. | en_US |
| UD Author | Binder-Macleod, Stuart A. | en_US |
| Date Accessioned | 2016-05-12T14:02:19Z | |
| Date Available | 2016-05-12T14:02:19Z | |
| Copyright Date | Copyright © Hsiao et al. 2016 | en_US |
| Publication Date | 2016-01-15 | |
| Description | Publisher's PDF. | en_US |
| Abstract | BACKGROUND: Current rehabilitation for individuals poststroke focuses on increasing walking speed because it is an indicator of community walking ability and quality of life. Propulsive force generated from the paretic limb is critical to walking speed and may reflect actual neural recovery that restores the affected neural systems. A wide variation across individuals in the improvements in paretic propulsive force was observed following an intervention that targeted paretic propulsive force. This study aimed to determine if specific baseline characteristics can be used to predict patients who would respond to the intervention. METHODS: Participants (N = 19) with chronic poststroke hemiparesis walked at their self-selected and maximal walking speeds on a treadmill before and after a 12-week gait training program. Propulsive forces from the paretic limb were analyzed. Pearson correlation coefficient was used to determine the relationships between (1) treatment gains in walking speed and propulsive force following intervention, and (2) treatment gains in propulsive force and baseline propulsive forces. RESULTS: Treatment gains in self-selected walking speed were correlated to treatment gains in paretic propulsive force following intervention. In addition, changes in paretic propulsive force between self-selected and maximal walking speeds at baseline were strongly correlated to treatment gains in paretic propulsive force. CONCLUSIONS: The capacity to modulate paretic propulsive force, rather than the absolute propulsive force during self-selected or maximal walking speed, predicted treatment gains in propulsive force following the intervention. Findings from this research could help to inform clinicians and researchers to target the appropriate patient population for rehabilitation interventions. | en_US |
| Department | University of Delaware. Biomechanics and Movement Science Program. | en_US |
| Department | University of Delaware. Department of Mechanical Engineering. | en_US |
| Department | University of Delaware. Department of Physical Therapy. | en_US |
| Citation | Hsiao, HaoYuan, Jill S. Higginson, and Stuart A. Binder-Macleod. "Baseline predictors of treatment gains in peak propulsive force in individuals poststroke." Journal of neuroengineering and rehabilitation 13.1 (2016): 1. | en_US |
| DOI | 10.1186/s12984-016-0113-1 | en_US |
| ISSN | 1743-0003 | en_US |
| URL | http://udspace.udel.edu/handle/19716/17704 | |
| Language | en_US | en_US |
| Publisher | BioMed Central | en_US |
| dc.rights | This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated. | en_US |
| dc.source | Journal of NeuroEngineering and Rehabilitation | en_US |
| dc.source.uri | http://jneuroengrehab.biomedcentral.com/ | en_US |
| Title | Baseline predictors of treatment gains in peak propulsive force in individuals poststroke | en_US |
| Type | Article | en_US |
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