Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, July 16, 2026

Hip flexor and ankle dorsiflexor strength associated with gait speed in post-stroke hemiparesis: Cross-sectional study

 Where are the EXACT PROTOCOLS that will fix these problems? Oh, YOU'RE SO FUCKING INCOMPETENT YOU DIDN'T THINK OF SOLVING THE PROBLEM?

Just lazily describing it is good enough for you?

Hip flexor and ankle dorsiflexor strength associated with gait speed in post-stroke hemiparesis: Cross-sectional study

, , Saad M. Bindawas PhD a

Abstract

Objectives Lower-limb flexor muscle strength, including hip flexor (HF) and ankle dorsiflexor (AD) strength, is important for limb advancement and walking after stroke. However, their individual and combined associations with gait speed (GS) in adults with post-stroke hemiparesis are not well understood, especially in KSA. Thus, the present study examined the individual and combined associations of HF and AD strength with GS in this population. Methods This cross-sectional study included 60 ambulatory adults with post-stroke hemiparesis who were recruited from a tertiary rehabilitation hospital in Riyadh. Isometric HF and AD strength (N·m/kg) were measured using standardized handheld dynamometry. GS (m/s) was assessed using an electronic walkway. Associations were analyzed based on Pearson's correlation coefficients (r) and linear regression, both unadjusted and adjusted for age, sex, stroke type, stroke chronicity, hemiparesis side, and body mass index.

Results

HF strength was more strongly correlated with GS (r = 0.45; 95% confidence interval [CI], 0.22–0.63; P < 0.001) than AD strength (r = 0.27; 95% CI, 0.01–0.49; P = 0.041). In the adjusted regression models, HF strength remained significantly associated with GS (β = 0.74; P = 0.001), explaining 41% of the variance. AD was not significantly associated with GS when both variables were included. These coefficients were partially adjusted because the models excluded relevant muscle groups, such as knee extensors and ankle plantar flexors.

Conclusion

HF strength was associated with GS in post-stroke hemiparesis, whereas AD strength did not provide additional explanatory value. These findings may support prioritizing proximal lower-limb strengthening during stroke rehabilitation.
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