#20: La propulsión en la hemiparesia: más allá de la flexión plantar| Hemispherics

En este episodio profundizamos en el concepto de propulsión parética, los diferentes fenotipos de la misma y qué elementos biomecánicos son relevantes para comprenderla. Hablamos de valoración, razonamiento clínico y tratamiento de la propulsión, intentando ir más allá de fortalecer los flexores plantares. Referencias del episodio: (1) Hsiao (2016). Mechanisms used to increase peak propulsive force following 12-weeks of gait training in individuals poststroke (https://pubmed.ncbi.nlm.nih.gov/26776931/). (2) Hsiao (2015). Contribution of Paretic and Nonparetic Limb Peak Propulsive Forces to Changes in Walking Speed in Individuals Poststroke (https://journals.sagepub.com/doi/10.1177/1545968315624780). (3) Bowden (2006). Anterior-Posterior Ground Reaction Forces as a Measure of Paretic Leg Contribution in Hemiparetic Walking (https://www.ahajournals.org/doi/10.1161/01.STR.0000204063.75779.8d). (4) Awad (2020). These legs were made for propulsion: advancing the diagnosis and treatment of post-stroke propulsion deficits (https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00747-6). (5) Alingh (2020). Effectiveness of rehabilitation interventions to improve paretic propulsion in individuals with stroke – A systematic review (https://www.clinbiomech.com/article/S0268-0033(19)30452-8/fulltext). (6) Dean (2020). Altered post-stroke propulsion is related to paretic swing phase kinematics (https://www.clinbiomech.com/article/S0268-0033(18)30183-9/fulltext). (7) Roelker (2019). Paretic propulsion as a measure of walking performance and functional motor recovery post-stroke: A review (https://pubmed.ncbi.nlm.nih.gov/30408710/). (8) Awad (2020). Central Drive to the Paretic Ankle Plantarflexors Affects the Relationship Between Propulsion and Walking Speed After Stroke (https://europepmc.org/article/med/31834220). Lista reproducción YouTube de Charlas ReWalk interesantes sobre propulsión: https://www.youtube.com/playlist?list=PLDMoJYbJISYpYqRM6-HGgzxtew3MsrATS