We read with interest the recent article titled “Gait Impairments in Patients Without
Lower Limb Hypertonia Early Poststroke Are Related to Weakness of Paretic Knee Flexors.”
It focuses on a key aspect of stroke rehabilitation, that is, the effect of lower
limb paresis on walking outcomes.
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References
- Gait impairments in patients without lower limb hypertonia early poststroke are related to weakness of paretic knee flexors.Arch Phys Med Rehabil. 2019; 100: 1091-1101
- Biomechanical motor patterns in normal walking.J Mot Behav. 1983; 15: 302-330
- Whittle's gait analysis.5th ed. Churchill Livingstone, London, England2012
- Strength training for walking in neurologic rehabilitation is not task specific: a focused review.Am J Phys Med Rehabil. 2014; 93: 511-522
- Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach.Phys Ther. 1994; 74: 872-885
Article info
Publication history
Published online: July 23, 2019
Footnotes
Disclosures: none.
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Copyright
© 2019 by the American Congress of Rehabilitation Medicine
ScienceDirect
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- Response to the Comment on “Gait Impairments in Patients Without Lower Limb Hypertonia Early After Stroke Are Related to Weakness of Paretic Knee Flexors”Archives of Physical Medicine and RehabilitationVol. 100Issue 10
- PreviewWe thank the authors of the letter to the editor for reading our recent article1 and their comments regarding the reported relationships between gait impairments and the paretic knee flexors weakness in patients without lower limb muscle hypertonia early after stroke. The comments pertain to only one of the several study aims and the concerns reflect an oversimplification of the actual conclusions. In essence, the main concern is that clinicians may misinterpret our conclusions to suggest that the paretic knee flexors should be the sole or prime target of strengthening programs aimed at improving gait after stroke.
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