SynthesisFrontiers in neurology2019
Anticipatory Postural Adjustments During Gait Initiation in Stroke Patients.
Synthesis in Frontiers in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Anticipatory postural adjustments during gait initiation in people with parkinson's disease: a systematic review.Acta neurologica Belgica · 2026Pooled it
- Effects of Manual Therapy on Parkinson's Gait: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- Anticipatory postural adjustments in older versus young adults: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- IMU-Based Analysis of Task-Dependent Associations Between Anticipatory Postural Adjustments and Gait Speed Under Dual-Task Conditions.Sensors (Basel, Switzerland) · 2026Article
- Comparison of kinetic adaptations in gait initiation following exergaming and balance training in athletes with chronic ankle instability.Scientific reports · 2026Article
- Reliability and Validity of the Spanish Version of the Brief-BESTest in Stroke Patients.Journal of clinical medicine · 2024Article
- Working memory load modulates anticipatory postural adjustments during step initiation.Experimental brain research · 2024Article
- Principal Component Analysis Enhanced with Bootstrapped Confidence Interval for the Classification of Parkinsonian Patients Using Gaussian Mixture Model and Gait Initiation Parameters.Sensors (Basel, Switzerland) · 2024Article
- The benefit of knowledge: postural response modulation by foreknowledge of equilibrium perturbation in an upper limb task.European journal of applied physiology · 2024Article
- Vertical Center-of-Mass Braking and Motor Performance during Gait Initiation in Young Healthy Adults, Elderly Healthy Adults, and Patients with Parkinson's Disease: A Comparison of Force-Plate and Markerless Motion Capture Systems.Sensors (Basel, Switzerland) · 2024Article
- Color-induced cognitive conflicts affect muscle activity prior to gait initiation in the Go/No-go task.Frontiers in human neuroscience · 2024Article
- The effects of combined transcranial brain stimulation and a 4-week visuomotor stepping training on voluntary step initiation in persons with chronic stroke-a pilot study.Frontiers in neurology · 2024Article
- Effect of a visual dual task on postural stability-A comparative study using linear and nonlinear methods.Health science reports · 2023Article
- The effect of complex cognitive context on the dynamic stability during gait initiation in older women.Frontiers in aging neuroscience · 2023Article
- Validity and Reliability of Smartphone App for Evaluating Postural Adjustments during Step Initiation.Sensors (Basel, Switzerland) · 2022Article
- Article
- Measurements of the centre of pressure of individual legs reveal new characteristics of reduced anticipatory postural adjustments during gait initiation in patients with post-stroke hemiplegia.Journal of rehabilitation medicine · 2021Article
- Postural Adjustments and Biomechanics During Gait Initiation and Obstacle Negotiation: A Comparison Between Akinetic-Rigid and Hyperkinetic Parkinson's Disease.Frontiers in physiology · 2021Article
- Startle Increases the Incidence of Anticipatory Muscle Activations but Does Not Change the Task-Specific Muscle Onset for Patients After Subacute Stroke.Frontiers in neurology · 2021Article
- Preceding Postural Control in Forelimb Reaching Movements in Cats.Frontiers in systems neuroscience · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prior to gait initiation (GI), anticipatory postural adjustments (GI-APA) are activated in order to reorganize posture, favorably for gait. In healthy subjects, the center of pressure (CoP) is displaced backward during GI-APA, bilaterally by reducing soleus activities and activating the tibialis anterior (TA) muscles, and laterally in the direction of the leading leg, by activating hip abductors. In post-stroke hemiparetic patients, TA, soleus and hip abductor activities are impaired on the paretic side. Reduction in non-affected triceps surae activity can also be observed. These may result in a decreased ability to execute GI-APA and to generate propulsion forces during step execution. A systematic review was conducted to provide an overview of the reorganization which occurs in GI-APA following stroke as well as of the most effective strategies for tailoring gait-rehabilitation to these patients. Sixteen articles were included, providing gait data from a total of 220 patients. Stroke patients show a decrease in the TA activity associated with difficulties in silencing soleus muscle activity of the paretic leg, a decreased CoP shift, lower propulsive anterior forces and a longer preparatory phase. Regarding possible gait-rehabilitation strategies, the selected studies show that initiating gait with the paretic leg provides poor balance. The use of the non-paretic as the leading leg can be a useful exercise to stimulate the paretic postural muscles.
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