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Peer-reviewedCC BY-NC-NDJournal of physical therapy science

Proposed step training with auditory feedback for post-stroke hemiparetic patients with knee hyperextension.

  1. 1Department of Prosthetics and Orthotics and Assistive Technology, Niigata University of Health and Welfare: 1398 Shimamicho, Kita Ward, Niigata City, Niigata 950-3198, Japan.
  2. 2Niigata Orthotics Research and Development Center, Niigata University of Health and Welfare, Japan.

Abstract

[Purpose] The aim of this study was to evaluate the efficacy of a treatment combining auditory feedback regarding knee flexion angle with gait training utilizing proprioceptive feedback in reducing knee hyperextension, focusing on knee joint angles in gait. [Participants and Methods] Six post-stroke hemiparetic patients underwent the intervention, and we measured the knee flexion angle and the shank tilt angle while they were walking with their own ankle-foot orthoses pre- and post-intervention and evaluate the therapeutic effects. [Results] The knee flexion angles in each phase of the gait cycle did not differ significantly between pre- and post-intervention, but the forward tilt angles of the lower leg in the mid-stance phase and the terminal stance phase were significantly higher post-intervention. [Conclusion] These findings suggest that the treatment described in this study alleviated knee hyperextension.

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BibTeX
@article{kikuchi2026proposed,
  title = {{Proposed step training with auditory feedback for post-stroke hemiparetic patients with knee hyperextension.}},
  author = {Shinnosuke Kikuchi and Minoru Murayama},
  journal = {Journal of physical therapy science},
  year = {2026},
  month = nov,
  doi = {10.1589/jpts.38.486},
  url = {https://europepmc.org/article/MED/42968854},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Proposed step training with auditory feedback for post-stroke hemiparetic patients with knee hyperextension.
AU  - Shinnosuke Kikuchi
AU  - Minoru Murayama
PY  - 2026
DA  - 2026/11/01
JO  - Journal of physical therapy science
DO  - 10.1589/jpts.38.486
UR  - https://europepmc.org/article/MED/42968854
AB  - [Purpose] The aim of this study was to evaluate the efficacy of a treatment combining auditory feedback regarding knee flexion angle with gait training utilizing proprioceptive feedback in reducing knee hyperextension, focusing on knee joint angles in gait. [Participants and Methods] Six post-stroke hemiparetic patients underwent the intervention, and we measured the knee flexion angle and the shank tilt angle while they were walking with their own ankle-foot orthoses pre- and post-intervention and evaluate the therapeutic effects. [Results] The knee flexion angles in each phase of the gait cycle did not differ significantly between pre- and post-intervention, but the forward tilt angles of the lower leg in the mid-stance phase and the terminal stance phase were significantly higher post-intervention. [Conclusion] These findings suggest that the treatment described in this study alleviated knee hyperextension.
SN  - 0915-5287
SN  - 2187-5626
ER  -