{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:45:40Z","timestamp":1771328740151,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Imaging"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Individuals post-stroke walk slowly and with more effort, which puts them at higher\u00a0risks for falls. The slow walking speed results from insufficient propulsive forces generated by the paretic leg. Current rehabilitative efforts to improve walking function target increasing propulsive forces, but overlook the muscle-tendon unit.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentations<\/jats:title>\n                <jats:p>Two individuals with chronic post-stroke hemiparesis are presented. In both individuals post-stroke, paretic ankle plantarflexors presented with increased muscle tone. Gait kinetics revealed asymmetric propulsive forces, specifically, insufficient propulsive forces by the paretic legs, consistent with previous literature. Sonography\u00a0revealed increased thickness of paretic Achilles tendon at the calcaneal insertion, in both stroke cases, in contrast to comparable Achilles tendon thickness between limbs in the non-neurologically impaired controls.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Tendon unit integrity should be considered in individuals post-stroke who demonstrate abnormal muscle tone and insufficient propulsion during gait.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12880-020-00431-0","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T10:14:42Z","timestamp":1585908882000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Altered Achilles tendon morphology in individuals with chronic post-stroke hemiparesis: a case report"],"prefix":"10.1186","volume":"20","author":[{"given":"Jing Nong","family":"Liang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai-Yu","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,4,3]]},"reference":[{"issue":"12","key":"431_CR1","doi-asserted-by":"publisher","first-page":"2433","DOI":"10.1016\/j.apmr.2017.05.018","volume":"98","author":"MM Ng","year":"2017","unstructured":"Ng MM, Hill KD, Batchelor F, Burton E. 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J Appl Physiol (1985). 2010;108(3):670\u20135.","journal-title":"J Appl Physiol (1985)"},{"issue":"12","key":"431_CR8","doi-asserted-by":"publisher","first-page":"e0144007","DOI":"10.1371\/journal.pone.0144007","volume":"10","author":"JN Liang","year":"2015","unstructured":"Liang JN, Brown DA. Impaired H-reflex gain during postural loaded locomotion in individuals post-stroke. PLoS One. 2015;10(12):e0144007.","journal-title":"PLoS One"},{"key":"431_CR9","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.3389\/fphys.2019.01232","volume":"10","author":"JN Liang","year":"2019","unstructured":"Liang JN, Lee YJ, Akoopie E, Kleven BC, Koch T, Ho KY. Impaired H-reflex adaptations following slope walking in individuals with post-stroke hemiparesis. Front Physiol. 2019;10:1232.","journal-title":"Front Physiol"},{"issue":"5","key":"431_CR10","doi-asserted-by":"publisher","first-page":"A1","DOI":"10.2519\/jospt.2018.0302","volume":"48","author":"RL Martin","year":"2018","unstructured":"Martin RL, Chimenti R, Cuddeford T, Houck J, Matheson JW, McDonough CM, et al. Achilles pain, stiffness, and muscle power deficits: midportion Achilles tendinopathy revision 2018. 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Participant gave written consent to participate in the study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of clinical details and\/or clinical images was obtained from the participant. A copy of the consent form is available for review by the Editor of the journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"34"}}