Ankle stiffness modulation during different gait speeds in individuals post-stroke. 2022

Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
University of Nebraska at Omaha, Omaha, NE, USA. Electronic address: ehedrick@unomaha.edu.

Neurotypical individuals alter their ankle joint quasi-stiffness in response to changing walking speed; however, for individuals post-stroke, the ability to alter their ankle quasi-stiffness is unknown. Individuals post-stroke commonly have weak plantarflexor muscles, which may limit their ability to alter ankle quasi-stiffness. The objective was to investigate the relationship between ankle quasi-stiffness and propulsion, at two walking speeds. We hypothesized that in individuals post-stroke, there would be no difference in their paretic ankle quasi-stiffness between walking at a self-selected versus a fast speed. However, we hypothesized that ankle quasi-stiffness would correlate with gait speed and propulsion across individuals. Twenty-eight participants with chronic stroke walked on an instrumented treadmill at their self-selected and fast-walking speeds. Multilevel models were used to determine the relationships between ankle quasi-stiffness, speed, and propulsion. Overall, ankle quasi-stiffness did not increase within individuals from a self-selected to a fast gait speed (p = 0.69). A 1 m/s increase in speed across participants predicted an increase in overall ankle quasi-stiffness of 0.02 Nm/deg./kg (p = 0.03) and a 1 N/BW change in overall propulsion across participants predicted a 0.265 Nm/deg./kg increase in overall ankle quasi-stiffness (p < 0.0001). Individuals post-stroke did not modulate their ankle quasi-stiffness with increased speed, but across individuals there was a positive relationship between ankle quasi-stiffness and both speed and peak propulsion. Walking speed and propulsion are limited in individuals post-stroke, therefore, improving either could lead to a higher functional status. Understanding post-stroke ankle stiffness may be important in the design of therapeutic interventions and exoskeletons, where these devices augment the biological ankle quasi-stiffness to improve walking performance.

UI MeSH Term Description Entries
D010291 Paresis A general term referring to a mild to moderate degree of muscular weakness, occasionally used as a synonym for PARALYSIS (severe or complete loss of motor function). In the older literature, paresis often referred specifically to paretic neurosyphilis (see NEUROSYPHILIS). "General paresis" and "general paralysis" may still carry that connotation. Bilateral lower extremity paresis is referred to as PARAPARESIS. Hemiparesis,Muscle Paresis,Brachial Paresis,Crural Paresis,Lower Extremity Paresis,Monoparesis,Muscular Paresis,Upper Extremity Paresis,Brachial Pareses,Crural Pareses,Extremity Pareses, Lower,Extremity Pareses, Upper,Extremity Paresis, Lower,Extremity Paresis, Upper,Hemipareses,Lower Extremity Pareses,Monopareses,Muscle Pareses,Muscular Pareses,Pareses,Pareses, Brachial,Pareses, Crural,Pareses, Lower Extremity,Pareses, Muscle,Pareses, Muscular,Pareses, Upper Extremity,Paresis, Brachial,Paresis, Crural,Paresis, Lower Extremity,Paresis, Muscle,Paresis, Muscular,Paresis, Upper Extremity,Upper Extremity Pareses
D005684 Gait Manner or style of walking. Gaits
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000071939 Stroke Rehabilitation Restoration of functions to the maximum degree possible in a person or persons suffering from a stroke. Rehabilitation, Stroke
D000072797 Walking Speed The rate at which steps are made while walking. Gait Speed,Walking Pace,Gait Speeds,Pace, Walking,Paces, Walking,Speed, Gait,Speed, Walking,Speeds, Gait,Speeds, Walking,Walking Paces,Walking Speeds
D000842 Ankle The region of the lower limb between the FOOT and the LEG. Tarsus,Regio tarsalis,Ankles
D000843 Ankle Joint The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS. Ankle Syndesmosis,Articulatio talocruralis,Distal Tibiofibular Joint,Inferior Tibiofibular Joint,Talocrural Joint,Tibiofibular Ankle Syndesmosis,Tibiofibular Syndesmosis,Ankle Joints,Ankle Syndesmoses,Ankle Syndesmosis, Tibiofibular,Distal Tibiofibular Joints,Inferior Tibiofibular Joints,Joint, Ankle,Joints, Ankle,Syndesmosis, Ankle,Talocrural Joints,Tibiofibular Ankle Syndesmoses,Tibiofibular Joint, Distal,Tibiofibular Syndesmoses
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D016138 Walking An activity in which the body advances at a slow to moderate pace by moving the feet in a coordinated fashion. This includes recreational walking, walking for fitness, and competitive race-walking. Ambulation
D020521 Stroke A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810) Apoplexy,Cerebral Stroke,Cerebrovascular Accident,Cerebrovascular Apoplexy,Vascular Accident, Brain,CVA (Cerebrovascular Accident),Cerebrovascular Accident, Acute,Cerebrovascular Stroke,Stroke, Acute,Acute Cerebrovascular Accident,Acute Cerebrovascular Accidents,Acute Stroke,Acute Strokes,Apoplexy, Cerebrovascular,Brain Vascular Accident,Brain Vascular Accidents,CVAs (Cerebrovascular Accident),Cerebral Strokes,Cerebrovascular Accidents,Cerebrovascular Accidents, Acute,Cerebrovascular Strokes,Stroke, Cerebral,Stroke, Cerebrovascular,Strokes,Strokes, Acute,Strokes, Cerebral,Strokes, Cerebrovascular,Vascular Accidents, Brain

Related Publications

Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
August 2019, Journal of biomechanics,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
March 2020, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
June 2017, Clinical biomechanics (Bristol, Avon),
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
March 2000, Archives of physical medicine and rehabilitation,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
August 2005, Gait & posture,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
June 2018, Journal of biomechanics,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
November 2021, Journal of physical therapy science,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
December 2001, Experimental brain research,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
October 2019, Gait & posture,
Erica H Hinton, and Aaron Likens, and Hao-Yuan Hsiao, and Benjamin I Binder-Markey, and Stuart A Binder-Macleod, and Brian A Knarr
January 2014, Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference,
Copied contents to your clipboard!