We thank the authors of the letter to the editor for reading our recent article
1
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. The following is our response to each specific
point raised.To read this article in full you will need to make a payment
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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
- Force control of quadriceps muscle is bilaterally impaired in subacute stroke.J Appl Physiol. 2011; 111: 1290-1295
- Improvements in force variability and structure from vision- to memory-guided submaximal isometric knee extension in subacute stroke.J Appl Physiol. 2018; 124: 592-603
- Associations between lower limb strength and gait velocity following stroke: a systematic review.Brain Inj. 2015; 29: 409-422
- Merging of healthy motor modules predicts reduced locomotor performance and muscle coordination complexity post-stroke.J Neurophysiol. 2010; 103: 844-857
Article info
Publication history
Published online: July 22, 2019
Footnotes
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
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- Muscle Weakness and Gait Outcomes: Little Has Changed in 25 YearsArchives of Physical Medicine and RehabilitationVol. 100Issue 10
