ArticleHuman movement science2020
Gait complexity is acutely restored in older adults when walking to a fractal-like visual stimulus.
Article in Human movement science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07243535 (Comparison Between a Session of Walking Synchronized to Fractal- VS Isochronous-Based Cues on Gait Variability and Corticospinal Measures in Athletes With a Reconstructed Anterior Cruciate Ligament), which is not on this map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Comparison Between a Session of Walking Synchronized to Fractal- VS Isochronous-Based Cues on Gait Variability and Corticospinal Measures in Athletes With a Reconstructed Anterior Cruciate Ligament: A Crossover Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
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- Stride-to-Stride Fluctuations and Temporal Patterns of Muscle Activity Exhibit a Stronger Relationship in Running-Induced Fatigue.Scandinavian journal of medicine & science in sports · 2026Article
- Human movement patterns predict task-unrelated thought.PloS one · 2026Article
- The individuality of plantar pressure indices enables the reduction of descriptive gait data required for diagnostic purposes.Scientific reports · 2025Article
- Precision in Brief: The Bayesian Hurst-Kolmogorov Method for the Assessment of Long-Range Temporal Correlations in Short Behavioral Time Series.Entropy (Basel, Switzerland) · 2025Article
- Changes in torque complexity with fatigue are related to motor unit behaviour.Scientific reports · 2025Article
- Pink noise promotes sooner state transitions during bimanual coordination.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Females Present Reduced Minimum Toe Clearance During Walking As Compared to Males in Active Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Stride-to-stride fluctuations and temporal patterns of muscle activity exhibit similar responses during walking to variable visual cues.Journal of biomechanics · 2024Article
- Real-Time Visual Kinematic Feedback During Overground Walking Improves Gait Biomechanics in Individuals Post-Stroke.Annals of biomedical engineering · 2024Article
- The constrained-disorder principle defines the functions of systems in nature.Frontiers in network physiology · 2024Review
- Assessment of spatiotemporal characteristics of gait, trough the Phyphox® app: a case series.Journal of medical case reports · 2023Article
- NONAN GaitPrint: An IMU gait database of healthy young adults.Scientific data · 2023Article
- Muscle activity variability patterns and stride to stride fluctuations of older adults are positively correlated during walking.Scientific reports · 2023Article
- Gait Variability at Different Walking Speeds.Journal of functional morphology and kinesiology · 2023Article
- Stride-to-Stride Fluctuations of Human Gait Are Affected By Chronobiology: An Exploratory Study.Advanced biology · 2023Article
- A portable visual biofeedback device can accurately measure and improve hip extension angle in individuals post-stroke.Clinical biomechanics (Bristol, Avon) · 2023Article
- Better than DFA? A Bayesian Method for Estimating the Hurst Exponent in Behavioral Sciences.ArXiv · 2023Article
- Leveraging a virtual alley with continuously varying width modulates step width variability during self-paced treadmill walking.Neuroscience letters · 2023Article
- Stride-to-stride time intervals are independently affected by the temporal pattern and probability distribution of visual cues.Neuroscience letters · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
Typically, gait rehabilitation uses an invariant stimulus paradigm to improve gait related deficiencies. However, this approach may not be optimal as it does not incorporate gait complexity, or in more precise words, the variable fractal-like nature found in the gait fluctuations commonly observed in healthy populations. Aging which also affects gait complexity, resulting in a loss of adaptability to the surrounding environment, could benefit from gait rehabilitation that incorporates a variable fractal-like stimulus paradigm. Therefore, the present study aimed to investigate the effect of a variable fractal-like visual stimulus on the stride-to-stride fluctuations of older adults during overground walking. Additionally, our study aimed to investigate potential retention effects by instructing the participants to continue walking after turning off the stimulus. Older adults walked 8 min with i) no stimulus (self-paced), ii) a variable fractal-like visual stimulus and iii) an invariant visual stimulus. In the two visual stimuli conditions, the participants walked 8 additional minutes after the stimulus was turned off. Gait complexity was evaluated with the widely used fractal scaling exponent calculated through the detrended fluctuation analysis of the stride time intervals. We found a significant ~20% increase in the scaling exponent from the no stimulus to the variable fractal-like stimulus condition. However, no differences were found when the older adults walked to the invariant stimulus. The observed increase was towards the values found in the past to characterize healthy young adults. We have also observed that these positive effects were retained even when the stimulus was turned off for the fractal condition, practically, acutely restoring gait complexity of older adults. These very promising results should motivate researchers and clinicians to perform clinical trials in order to investigate the potential of visual variable fractal-like stimulus for gait rehabilitation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.