We thank the authors of the letter to the editor for reading our recent article
1and 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.
- Chow J.W.
- Stokic D.S.
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
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Archives of Physical Medicine and Rehabilitation
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- 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
Published online: July 22, 2019
© 2019 by the American Congress of Rehabilitation Medicine
ScienceDirectAccess this article on ScienceDirect
- Muscle Weakness and Gait Outcomes: Little Has Changed in 25 YearsArchives of Physical Medicine and RehabilitationVol. 100Issue 10