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Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
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Speed-Dependent Interjoint Coordination During Treadmill Running in a Poststroke Athlete: A Case Report.
Noboru Chiba1, Tadayoshi Minamisawa2
1Department of Occupational Therapy Yamagata Prefectural University of Health Sciences Yamagata Japan.
Clinical Case Reports
|October 27, 2025
Summary
High-functioning runners with stroke exhibit limb-specific adaptations. Retraining distal push-off and interjoint timing can enhance running efficiency post-stroke.
Area of Science:
- Biomechanics
- Neurorehabilitation
- Human Movement Science
Background:
- Stroke survivors often exhibit altered gait patterns, impacting running.
- High-functioning individuals post-stroke may retain the ability to run, but with compensatory strategies.
Purpose of the Study:
- To investigate the biomechanical adaptations in the paretic and nonparetic limbs of high-functioning post-stroke runners.
- To identify key timing differences and joint coupling strategies during running at various speeds.
Main Methods:
- Kinematic analysis of lower limb joints during running.
- Comparison of joint coupling and timing between paretic and nonparetic limbs.
- Assessment of gait parameters at speeds including and exceeding 6 km/h.
Main Results:
- The paretic limb demonstrated rigid distal coupling.
- The nonparetic limb adapted its mechanics with increasing speed.
- At speeds of 6 km/h and above, a reversal in hip-ankle timing occurred, with the ankle leading.
Conclusions:
- Post-stroke running involves distinct limb-specific adaptations.
- Altered interjoint timing, particularly the ankle leading the hip at higher speeds, is a key characteristic.
- Rehabilitation should focus on improving distal push-off and interjoint timing for enhanced running efficiency.
