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Mechanical and energetic determinants of impaired gait following stroke: segmental work and pendular energy transduction during treadmill walking

ABSTRACT Systems biology postulates the balance between energy production and conservation in optimizing locomotion. Here, we analyzed how mechanical energy production and conservation influenced metabolic energy expenditure in stroke survivors during treadmill walking at different speeds. We used the body center of mass (BCoM) and segmental center of mass to calculate mechanical energy production: external and each segment's mechanical work (Wseg). We also estimated energy conservation by applying the pendular transduction framework (i.e. energy transduction within the step; Rint). Energy conservation was likely optimized by the paretic lower-limb acting as a rigid shaft while the non-paretic limb pushed the BCoM forward at the slower walking speed. Wseg production was characterized by greater movements between the limbs and body, a compensatory strategy used mainly by the non-paretic limbs. Overall, Wseg production following a stroke was characterized by non-paretic upper-limb compensation, but also by an exaggerated lift of the paretic leg. This study also highlights how post-stroke subjects may perform a more economic gait while walking on a treadmill at preferred walking speeds. Complex neural adaptations optimize energy production and conservation at the systems level, and may fundament new insights onto post-stroke neurorehabilitation. This article has and associated First Person interview with the first author of the paper.
Male, Health Professions, FOS: Mechanical engineering, Walking, Energetic, Mechanical energy, Engineering, Lift (data mining), Biology (General), Gait, energetics, Treadmill, Physics, Q, Rehabilitation, Stroke Rehabilitation, Middle Aged, Power (physics), stroke, oxygen consumption, Adaptation, Physiological, Mechanical engineering, Biomechanical Phenomena, Stroke, Analysis of Electromyography Signal Processing, Mechanic, Physical Sciences, Medicine, Female, Stroke (engine), Postural Stability, Research Article, QH301-705.5, Science, Biomedical Engineering, Oxygen consumption, Physical Therapy, Sports Therapy and Rehabilitation, gait, FOS: Medical engineering, Quantum mechanics, rehabilitation, Oxygen Consumption, 616, Health Sciences, Humans, Work (physics), Data mining, Aged, Gait Analysis and Fall Prevention in Elderly, Principles and Interventions in Stroke Rehabilitation, Computer science, Physical medicine and rehabilitation, Neurorehabilitation, Exercise Test, Energy Metabolism, Physical therapy, mechanics
Male, Health Professions, FOS: Mechanical engineering, Walking, Energetic, Mechanical energy, Engineering, Lift (data mining), Biology (General), Gait, energetics, Treadmill, Physics, Q, Rehabilitation, Stroke Rehabilitation, Middle Aged, Power (physics), stroke, oxygen consumption, Adaptation, Physiological, Mechanical engineering, Biomechanical Phenomena, Stroke, Analysis of Electromyography Signal Processing, Mechanic, Physical Sciences, Medicine, Female, Stroke (engine), Postural Stability, Research Article, QH301-705.5, Science, Biomedical Engineering, Oxygen consumption, Physical Therapy, Sports Therapy and Rehabilitation, gait, FOS: Medical engineering, Quantum mechanics, rehabilitation, Oxygen Consumption, 616, Health Sciences, Humans, Work (physics), Data mining, Aged, Gait Analysis and Fall Prevention in Elderly, Principles and Interventions in Stroke Rehabilitation, Computer science, Physical medicine and rehabilitation, Neurorehabilitation, Exercise Test, Energy Metabolism, Physical therapy, mechanics
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).15 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 10% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Average impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 10%
