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Fascicle Arrangement in Skeletal Muscles

Fascicles are bundles of muscle fibers in a skeletal muscle. Muscle fascicle arrangement is directly associated with the power and range of motion of various muscles. The configuration of these fascicles can vary, leading to different functional outcomes.
The four primary types of muscle based on fascicle arrangement are:

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Stroke-specific Movement Patterns During Passage Through a Narrow-Opening: A Cross-Sectional Study.

Daisuke Muroi1,2, Hiroshi Matsui3, Takayuki Tomono4

  • 1Division of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Health Care Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan.

Neurorehabilitation
|July 2, 2026
PubMed
Summary

Individuals with stroke exhibit distinct movement patterns when navigating narrow openings, with narrower spaces prompting specific strategies. These findings aid clinicians in assessing mobility challenges in constrained environments.

Keywords:
activities of daily livinggaitneurological rehabilitationphysical therapypostural balancestroke

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Area of Science:

  • Rehabilitation Medicine
  • Biomechanics
  • Neuroscience

Background:

  • Individuals post-stroke often face challenges with trunk rotation and foot placement during gait, particularly in confined spaces.
  • Understanding these movement adaptations is crucial for effective rehabilitation and fall prevention strategies.

Purpose of the Study:

  • To classify distinct movement patterns employed by individuals with stroke when traversing narrow openings.
  • To identify clinical and environmental factors associated with stroke-specific gait patterns in constrained environments.

Main Methods:

  • A study involving 23 individuals with stroke, 23 age-matched adults, and 12 young adults walking through varying opening widths.
  • Movement patterns were classified by three physical therapists, with inter-rater reliability assessed.
  • Generalized linear mixed models were used to analyze associations between pattern selection and clinical/environmental factors.

Main Results:

  • Five distinct passing patterns were identified: pivot, early pivot, early pivot with reverse trunk rotation, multiple steps, and no-rotation.
  • Stroke-specific patterns (early pivot with reverse trunk rotation and multiple steps) were more prevalent in narrower openings.
  • While narrower openings influenced pattern selection, Timed Up and Go (TUG) performance was not significantly linked to the multi-step strategy.

Conclusions:

  • Opening width is a significant factor influencing the selection of stroke-specific movement patterns during gait.
  • Multi-step strategies may indicate heightened stability requirements, whereas pivot-like strategies might correlate with better mobility.
  • These insights can assist clinicians in evaluating and addressing gait difficulties in constrained environments for stroke survivors.