{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:48:41Z","timestamp":1777891721519,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2024,4,24]]},"abstract":"<jats:p>BACKGROUND: Stroke often induces gait abnormality, such as buckling knee pattern, compromising walking ability. Previous studies indicated that an adequate trailing limb angle (TLA) is critical for recovering walking ability. OBJECTIVE: We hypothesized that correcting gait abnormality by immobilizing the knee joint using a knee orthosis (KO) would improve walking patterns and increase the TLA, and investigated whether walking training using a KO would increase the TLA in post-stroke patients. METHODS: In a randomized controlled trial, thirty-four participants were assigned to KO (walking training using a KO) and non-KO (without using a KO) groups. Twenty-nine completed the three-week gait training protocol. TLA was measured at baseline and after training. A two-way repeated ANOVA was performed to evaluate TLA increases with training type and time as test factors. A t-test compared TLA changes (\u0394TLA) between the two groups. RESULTS: ANOVA showed a main effect for time (F\u200a=\u200a64.5, p\u200a&lt;\u200a0.01) and interaction (F\u200a=\u200a15.4, p\u200a&lt;\u200a0.01). \u0394TLA was significantly higher in the KO group (14.6\u00b15.8) than in the non-KO group (5.0\u00b17.0, p\u200a&lt;\u200a0.001). CONCLUSION: Walking training using a KO may be practical and effective for increasing TLA in post-stroke patients.<\/jats:p>","DOI":"10.3233\/nre-230372","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T11:10:14Z","timestamp":1713870614000},"page":"485-494","source":"Crossref","is-referenced-by-count":1,"title":["Increased trailing limb angle in hemiplegic patients after training with a knee orthosis: A randomized controlled trial"],"prefix":"10.1177","volume":"54","author":[{"given":"Shun","family":"Ito","sequence":"first","affiliation":[{"name":"PHYSIPO Co., Ltd, Sendai, Japan"},{"name":"Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai, Japan"},{"name":"Fukushima Medical University School of Health Sciences, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Okanuka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kohnan Hospital, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Nanka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kohnan Hospital, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuma","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kohnan Hospital, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuto","family":"Oki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kohnan Hospital, Sendai, 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