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Neuromechanical Interlimb Interactions and Rehabilitation of Walking after Stroke

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Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 7))

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Abstract

Bipedal humans operate using elements of quadrupedal neuronal limb control during locomotion. This has significant implications for supporting transfer of the huge body of quadrupedal animal literature to human rehabilitation. In particular, this has translational applications for neurological rehabilitation after stroke where interlimb coordination is compromised. The data supports including arm activity in addition to leg activity as a component of gait retraining after stroke. An additional component is to consider strength training of the less affected limb to improve motor output of the more affected limb when that limb is too weak to be initially incorporated in functional rehabilitation. The major concept is to use activity related to the less affected limbs to modulate output of the more affected limbs after stroke. A key example is to incorporate arm activity into rehabilitation of leg motion in stepping after stroke.

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Author information

Authors and Affiliations

  1. Centre for Biomedical Research, Rehabilitation Neuroscience Laboratory, School of Exercise Science, Physical, and Health Education, and Division of Medical Sciences at the University of Victoria, Victoria, Canada

    E. Paul Zehr, Trevor S. Barss, Chelsea Kaupp, Taryn Klarner & Yao Sun

  2. ICORD, Vancouver, BC, Canada

    E. Paul Zehr, Trevor S. Barss, Chelsea Kaupp, Taryn Klarner & Yao Sun

  3. University of Brasilia, Brasilia, Brazil

    Rinaldo A. Mezzarane

  4. Kyorin University, Hachioji, Japan

    Tsuyoshi Nakajima

  5. Chiba University, Chiba, Japan

    Tomoyoshi Komiyama

Authors
  1. E. Paul Zehr
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  2. Trevor S. Barss
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  3. Chelsea Kaupp
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  4. Taryn Klarner
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  5. Rinaldo A. Mezzarane
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  6. Tsuyoshi Nakajima
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  7. Yao Sun
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  8. Tomoyoshi Komiyama
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Corresponding author

Correspondence to E. Paul Zehr .

Editor information

Editors and Affiliations

  1. Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark

    Winnie Jensen

  2. Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark

    Ole Kæseler Andersen

  3. Biomedical Engineering Department, University of Houston, Houston, Texas, USA

    Metin Akay

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© 2014 Springer International Publishing Switzerland

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Zehr, E.P. et al. (2014). Neuromechanical Interlimb Interactions and Rehabilitation of Walking after Stroke. In: Jensen, W., Andersen, O., Akay, M. (eds) Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation. Biosystems & Biorobotics, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-08072-7_40

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  • DOI: https://doi.org/10.1007/978-3-319-08072-7_40

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08071-0

  • Online ISBN: 978-3-319-08072-7

  • eBook Packages: EngineeringEngineering (R0)

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