ArticleArchives of physical medicine and rehabilitation2017
Decreased Anticipatory Postural Adjustments During Gait Initiation Acutely Postconcussion.
Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Trial
- Postural adjustment and muscle activity during each phase of gait initiation in chronic ankle instability: an observational study.BMC sports science, medicine & rehabilitation · 2024Article
- Increased Auditory Dual Task Cost During Gait Initiation in Adult Patients With Persistent Concussion Symptoms.Archives of physical medicine and rehabilitation · 2024Article
- Daily walking kinematic characteristics of the elderly in different residential settings: experimental study on Chinese community-living elderly and long-term nursing home residents.Aging clinical and experimental research · 2023Article
- Assessment of balance in people with mild traumatic brain injury using a balance systems model approach.Gait & posture · 2023Article
- An assessment of current concussion identification and diagnosis methods in sports settings: a systematic review.BMC sports science, medicine & rehabilitation · 2022Article
- Anticipatory and reactive responses to underfoot perturbations during gait in healthy adults and individuals with a recent mild traumatic brain injury.Clinical biomechanics (Bristol, Avon) · 2021Article
- Sport-related concussion adopt a more conservative approach to straight path walking and turning during tandem gait.Journal of clinical and translational research · 2021Article
- Dynamic postural control correlates with activities of daily living and quality of life in patients with knee osteoarthritis.BMC musculoskeletal disorders · 2021Article
- 12-Week Exercise Training of Knee Joint and Squat Movement Improves Gait Ability in Older Women.International journal of environmental research and public health · 2021Article
- Impairments in Dynamic Postural Control across Concussion Clinical Milestones.Journal of neurotrauma · 2021Article
- Differential Effects of Acute and Multiple Concussions on Gait Initiation Performance.Archives of physical medicine and rehabilitation · 2020Article
- Repetitive Head Impacts in Football Do Not Impair Dynamic Postural Control.Medicine and science in sports and exercise · 2019Article
- Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review.Sports medicine (Auckland, N.Z.) · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo investigate anticipatory postural adjustments (APAs) during the transitional movement task of gait initiation (GI) in individuals acutely after a concussion.
designCohort study.
settingUniversity research center.
participantsA population-based sample of participants (N=84) divided into 2 equal groups of acutely postconcussion and healthy student athletes.
interventionParticipants were tested on 2 occasions: a preinjury baseline test and then the concussion group was retested acutely postconcussion and the healthy student athlete group again at a similar time. All participants completed 5 trials of GI on 4 forceplates.
main outcome measuresThe dependent variables were the displacement and velocity of the center of pressure (COP) during the APA phase and initial step kinematics. Comparisons were made with a 2 (group) × 2 (time) repeated-measures analysis of variance.
resultsThere was a significant interaction for COP posterior displacement (P<.001) and lateral displacement (P<.001). Posteriorly, post hoc testing identified a significant reduction in the concussion group (pretest: 5.7±1.6cm; posttest: 2.6±2.1cm; P<.001), but no difference in the healthy student athlete group (pretest: 4.0±1.6cm; posttest: 4.0±2.5cm; P=.921). Laterally, post hoc testing identified a significant reduction in the concussion group (pretest: 5.8±2.1cm; posttest: 3.8±1.8cm; P<.001), but no difference in the healthy student athlete group (pretest: 5.0±2.5cm; posttest: 5.2±2.4cm; P=.485).
conclusionsThe results of this study suggest difficulty in the planning and execution of GI acutely postconcussion, and posterior APA displacement and velocity are highly effective measures of impaired postural control. Finally, the APA phase is linked to the supplementary motor area, which suggests a supraspinal contribution to postconcussion impaired postural control.
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