Technology-guided Precision Training of the Paretic Lower Extremity to Enhance Recovery of Locomotion Post Stroke: A Hypothesis-driven Perspective

Gad Alon*

Maximising locomotor independence following stroke remains a central goal of neurorehabilitation. Traditional manual techniques, while foundational, are insufficient to fully restore locomotion independence. This paper offers an interpretation of published evidence regarding post-stroke rehabilitation and advocates for a construct of hypothesis-driven approach combined with clinical observation that integrates readily accessible, technology-based precision training designed primarily to target the paretic lower extremity. It emphasises using technologies capable of both assessment and collection of objective performance data over time, advocates for individualised intervention derived from each patient’s baseline locomotion measurements and stresses the need for a quantitative, outcome-driven training program aimed at recovering less dependent locomotion ability. The paper proposes a practical definition and description of independent and dependent locomotion and explores common barriers to recovering independence in locomotion post-stroke. It presents the rationale and mechanisms that govern the selection of therapeutic technologies, including functional electrical stimulation (FES), treadmills, and motorised plinth/tables that hypothetically support recovery of locomotion. The proposed novel composition of precision locomotion training and the added value of incorporating effective and efficient hybrid technologies are highlighted as critical to the recovery of locomotion ability in post-stroke rehabilitation.

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Published on: Dec 19, 2025 Pages: 19-23

Full Text PDF Full Text HTML DOI: 10.17352/2455-5487.000110
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