Anticipatory Postural Adjustments During Gait Initiation in Stroke Patients

Conclusion This systematic review provides an update on GI-APA reorganization following stroke. Stroke patients present atypical GI-APA patterns, longer GI-APA duration and lower GI-APA amplitude compared to healthy people, regardless of which leg is used as the leading or trailing leg. GI is facilitated when the non-paretic leg is used as the trailing leg because the weakness of the paretic leg leads to difficulties in supporting body weight during the upcoming stance phase. Further experiments should include distinct groups of patients in order to describe GI-APA features in acute, subacute and chronic stroke, and the influence of spasticity and of the lesion site. Understanding the changes in each population could be relevant for personalizing rehabilitation strategies. Author Contributions AD wrote the manuscript. TV and TH performed the bibliographical search and selected the articles to be included in the review. EY, J-LH, and SC reviewed the manuscript. Conflict of Interest Statement The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. References 1. Delafontaine A, Gagey O, Colnaghi S, Do M-C, Honeine J-L. Rigid ankle foot orthosis deteriorates mediolateral balance control and vertical braking during gait initiation. Front Hum Neurosci. (2017) 11:214. doi: 10.3389/fnhum.2017.00214 PubMed Abstract | CrossRef Full Text | Google Scholar 2....
Source: Frontiers in Neurology - Category: Neurology Source Type: research