Initial Step Research Articles

Characteristics of unsuccessful reactive responses to lateral loss of balance in people with stroke

ABSTRACT Purpose The effectiveness of reactive responses to a sudden loss of balance is a critical factor that determines whether a fall will occur. We examined the strategies and kinematics associated with successful and unsuccessful balance recovery following lateral loss of balance in people with stroke (PwS). Methods Eleven PwS were included in the analysis. They were exposed to unannounced right and left horizontal surface translations and demonstrated both successful and unsuccessful balance responses at the same perturbation magnitude. Reactive step strategies and kinematics were investigated comparatively in successful and unsuccessful recovery tests. Results The crossover strategy was used in most of the unsuccessful tests (7/11) while the unloaded-leg side-step in the successful tests (6/11). There were no significant differences in the reactive step initiation time in unsuccessful vs. successful tests. However, the step execution time, step length and center of mass displacement were significantly higher during the first recovery step in unsuccessful tests. Conclusions PwS have difficulties in controlling and decelerating the moving center of mass following a lateral loss of balance. The increased step time and step length of the first reactive step in unsuccessful vs. successful tests suggest the crossover step strategy may be ineffective for PwS.

Is step initiation in response to facial expressions modulated by lateralized auditory cues?

Is step initiation in response to facial expressions modulated by lateralized auditory cues?

Accelerometer approach for anticipatory postural adjustments assessment during step initiation in patients with leprosy

Anticipatory postural adjustments (APAs) involve a complex coordination of sensorimotor information that can be impaired in diseases that affect nerve conduction. Assessing APAs typically requires costly video recording technology, posing a challenge to the study of postural changes. This hurdle is compounded in impoverished communities affected by diseases such as leprosy, which often receive limited government support. Recent years have seen the validation of inertial sensors in wearable devices and smartphones for APA analysis in diverse populations, including adults, the elderly and people with Parkinson’s disease. This progress offers economically efficient alternatives for the study of APA in leprosy. Do patterns of activation of anticipatory postural adjustment differ between leprosy patients and healthy controls? We also investigated the validity and replicability of APAs recorded in leprosy patients using inertial measurements and video capture recordings. Thirty healthy individuals in the control group and 30 individuals with leprosy in the leprosy group performed ten gait initiation trials. To record the APA for gait initiation, the participants stood on a 2 m platform. Each participant was informed that the experimenter would give an signal, after which the participant would initiate a two-step walk on the platform. Inertial recordings (low-cost method) and video capture recordings (gold-standard method) from center of mass displacements were used to extract the APA before gait initiation. The results show that APAs are similar between groups (control and leprosy), but leprosy patients have less consistent APAs. In addition, this study highlights the reproducibility and high correlation between the values of variables obtained from both instruments, the video recording as gold standard method and portable digital inertial sensor as a low-cost alternative method. These promising findings support the use of affordable inertial sensors to track and record APAs in underserved populations that lack easy access to gold standard methods such as video recording. This approach has the potential to improve the therapeutic care and rehabilitation of these patients. Although not currently part of official protocols for leprosy patients, this assessment method could prove particularly valuable in situations where significant sensorimotor impairments are suspected or documented.

Alcohol use and its associated factors among Ethiopian military personnel

BackgroundStudies indicate that alcohol use is more prevalent in the military and that such use is related to coping mechanisms for stress. Alcohol use could result in health and social...

DSB-induced oxidative stress: Uncovering crosstalk between DNA damage response and cellular metabolism

While that ROS causes DNA damage is well documented, there has been limited investigation into whether DNA damages and their repair processes can conversely induce oxidative stress. By generating a site-specific DNA double strand break (DSB) via I-SceI endonuclease expression in S. cerevisiae without damaging other cellular components, this study demonstrated that DNA repair does trigger oxidative stress. Deleting genes participating in the initiation of the resection step of homologous recombination (HR), like the MRX complex, resulted in stimulation of ROS. In contrast, deleting genes acting downstream of HR resection suppressed ROS levels. Additionally, blocking non-homologous end joining (NHEJ) also suppressed ROS. Further analysis identified Rad53 as a key player that relays DNA damage signals to alter redox metabolism in an HR-specific manner. These results suggest both HR and NHEJ can drive metabolism changes and oxidative stress, with NHEJ playing a more prominent role in ROS stimulation. Further analysis revealed a correlation between DSB-induced ROS increase and enhanced activity of NADPH oxidase Yno1 and various antioxidant enzymes. Deleting the antioxidant gene SOD1 induced synthetic lethality in HR-deficient mutants like mre11Δ and rad51Δ upon DSB induction. These findings uncover a significant interplay between DNA repair mechanisms and cellular metabolism, providing insights into understanding the side effects of genotoxic therapies and potentially aiding development of more effective cancer treatment strategies.

Efficacy of shock wave therapy and ultrasound therapy in non-insertional Achilles tendinopathy: a randomised clinical trial.

Physiotherapists and physicians continue to seek effective conservative treatments for Achilles tendinopathy. This study aimed to subjectively and objectively determine the therapeutic efficacy of radial shock wave therapy (RSWT) and ultrasound therapy in non-insertional Achilles tendinopathy. Thirty-nine patients with non-insertional Achilles tendinopathy were randomly assigned to three experimental groups, i.e., RSWT (group A), ultrasound therapy (group B), and placebo ultrasound (group C) groups. Before the intervention and at weeks 1 and 6 after the treatment, the patients were assessed using the Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire and posturographic measurements of step initiation performed on the force platforms under two different conditions (non-perturbed transit and perturbed transit). Six weeks after therapy, all groups exhibited significantly increased VISA-A scores against the measurement at week 1 after therapy. The post-therapy percentage changes in VISA-A scores were significantly greater in group A compared to group B. The three-way ANOVA demonstrated that treatment type affected sway range in the frontal plane and mean velocity of the centre of foot pressure displacements in the sagittal and frontal planes during quiet standing before step initiation. The Bonferroni post-hoc test showed that the means of all those variables were significantly smaller for group A than for group B patients. The three-way ANOVA revealed an effect of the platform arrangement on transit time and double-support period. The Bonferroni post-hoc test revealed statistically longer transit time for the perturbed vs. non-perturbed trials; a reverse relationship was observed for the double-support period. The VISA-A showed that RSWT was significantly more effective than sonotherapy for alleviation of pain intensity as well as function and activity improvement in patients with non-insertional Achilles tendinopathy. Therefore, RSWT therapy can be used in clinical practice by physiotherapists to alleviate the symptoms of non-insertional Achilles tendinopathy. Objective data registered by force platforms during quiet standing before and after step initiation did not prove useful for monitoring the progress of treatment applied to patients with non-insertional Achilles tendinopathy between consecutive therapy interventions.Clinical trial registration:https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12617000860369, identifier (ACTRN12617000860369).

Standing balance recovery strategies of young adults in a densely populated environment following external perturbations

The recovery strategies used by young adults to maintain standing balance following external force-controlled perturbations in densely populated group formations was investigated in this work. In particular, the moment of step initiation as well and the characteristics of the first recovery steps and hand-raising were studied here. The experimental data considered in this work are part of a larger dataset relying on a new experimental paradigm inspired by Feldmann and Adrian (2023). In this experiment, 20 participants (8 females, 12 males, 24.8±3.7yo) equipped with motion capture suits were asked to stand in tightly packed formation before receiving a force-controlled perturbation. In total, four group configurations and two interpersonal distancing conditions have been investigated here. The standing balance recovery strategies observed in this dense groups experiment were then compared with the observed behaviour of single individuals following external perturbations (Chatagnon et al., 2023). Results suggest that the moment of initiation for recovery steps was affected by the initial interpersonal distancing conditions. The first recovery steps within the studied dense groups were observed to be slower, smaller and more dispersed than those of single individuals for comparable level of perturbation intensity. However, the relationship between the average speed of first recovery steps and the length of these steps remained similar to the one of single individuals. This suggests that the first recovery step duration remained almost constant during both the dense groups experiment and the experiment with single individuals. Finally, we observed a significant occurrence of participants raising their hands, as physical interactions played an important role in this dense groups experiment. This behaviour was mainly observed to be initiated before recovery steps.

EMG-based prediction of step direction for a better control of lower limb wearable devices

Background and objectivesLower-limb wearable devices can significantly improve the quality of life of subjects suffering from debilitating conditions, such as amputations, neurodegenerative disorders, and stroke-related impairments. Current control approaches, limited to forward walking, fall short of replicating the complexity of human locomotion in complex environments, such as uneven terrains or crowded places. Here we propose a high-level controller based on two Support Vector Machines exploiting four surface electromyography (EMG) signals of the thigh muscles to detect the onset (Toe-off intention decoder) and the direction (Directional EMG decoder) of the upcoming step. Methods and materialsWe validated a preliminary version of the approach by acquiring EMG signals from ten healthy subjects, performing steps in four directions (forward, backward, right, and left), in three different settings (ground-level walking, stairs, and ramps), and in both steady-state and static conditions. Both the Toe-off intention and Directional EMG decoders have been tested with a 5-fold cross-validation repeated five times, using linear and radial-basis-function kernels, and by changing the classification output timing, from 200 ms before to 50 ms after the toe-off. ResultsThe Toe-off intention decoder reached a median accuracy of 83.34 % (interquartile range (IQR): 6.48) and specificity of 92.72 % (IQR: 3.62) in its radial-basis-function version, while the Directional EMG decoder's median accuracy ranged between 73.92 % (IQR: 5.8), 200 ms before the toe-off, to 92.91 % (IQR: 4.11), 50 ms after the toe-off, with the radial-basis-function kernel implementation. For both the Toe-off intention and Directional EMG decoders the radial-basis-function version achieved better performances than the linear one (Wilcoxon signed rank test, p < 0.05). Conclusions and significanceThe combination of the two decoders proved to be a promising solution to detect the step initiation and classify its direction, paving the way for wearable devices with a broader range of movements and more degrees of freedom, ultimately promoting usability in uncontrolled settings and better reactions to external perturbations. Additionally, the encumbrance of the setup is limited to the thigh of the leg of interest, which simplifies the implementation in compact devices, concurrently limiting the sensors worn by the subject.

Guidelines for a simplified Value-Added Tax Act

Purpose: The goal of the study is to provide guidelines for a simplified South African Value-Added Tax (VAT) Act. Motivation: The current VAT Act lacks logical structure and is therefore complex to teach, apply in practice and administer. The study on which this article reports investigated the structure of the VAT Act as an element of legal complexity. Design/Methodology/Approach: The research was conducted in two phases: a literature review, followed by semi-structured interviews. Main findings: Existing empirical studies confirm that the poor structure, layout and organisation of the VAT Act contribute to its complexity. In addition, research confirms that improvements to structure, layout and organisation enhance the readability of statutes. Interviewees agreed that the current incoherent structure of the VAT Act contributes to its complexity. The findings confirm that the complexity of the VAT Act raises compliance and administrative costs. Practical implications/Managerial impact: The literature review and interview findings contribute to the development of guidelines for a simplified South African VAT Act, which is the contribution of this study. The principles include adhering to a VAT vendor’s lifecycle, grouping sections together, introducing headings and subheadings, using clear signposting, employing international benchmarks and seeking a solution that addresses local challenges most effectively. Novelty/Contribution: One recommendation that stands out is to completely rewrite the VAT Act. As a first step in this rewrite project, it is recommended that an index be developed using the guidelines. This is an initial step towards simplification of the South African VAT Act.

A current study of psychological well-being in educational institutions: A systematic literature review

The issue of psychological well-being in education has emerged as an increasingly critical topic in recent years. This is due to the significance of psychological well-being in enhancing the performance of e ducational institutions, encompassing students, teachers, and the process of formulating school policies. This study sought to discover recent research on psychological well-being from an academic perspective. A total of 27 research articles were successfully gathered and reviewed based on the established criteria. This article review was conducted utilizing two databases (SCOPUS and WoS) and the following keywords: "psychological well-being" combined with "AND" and other search terms such as "school", "teacher", and "student". This systematic review offers a synthesis of results that can serve as the initial step in developing constructs of psychological well-being in educational institutions, thus implying the importance of psychological well-being for teachers and students. The results of the analysis from this systematic literature review have been discussed and concluded in this study.

Shoe sole impedes leg muscle activation and impairs dynamic balance responding to a standing-slip

The shoe sole is identified as a fall risk factor since it may impede the afferent information about the outside world collected by the plantar sensory units. However, no study has directly quantified how the shoe sole compromises body balance and increases fall risk. This study aimed to inspect how the sole affects human balance after an unexpected standing-slip. It was hypothesized that individuals wearing the sole, relative to their barefoot counterparts, would exhibit 1) more impaired stability and 2) disrupted lower limb muscle activation following a standing-slip. Twenty young adults were evenly randomized into two groups: soled and barefoot. The soled group wore a pair of customized 10-mm thick soles, while the other group was bare-footed. Full-body kinematics and leg muscle electromyography (EMG) were collected during a standardized and unexpected standing-slip. The EMG electrodes were placed on the tibialis anterior, gastrocnemius, rectus femoris, and biceps femoris bilaterally. Dynamic stability, spatiotemporal gait parameters, and the EMG latency of the leg muscles were compared between groups. The sole impeded the initiation of the recovery step possibly because it interfered with the accurate detection of the external perturbation and subsequently activated the leg muscles later in the soled group than in the barefoot group. As a result, individuals in the soled group experienced a longer slip distance and were more unstable than the barefoot group at the recovery foot liftoff. The findings of this study could augment our understanding of how the shoe sole impairs body balance and increases the fall risk.

Neural Correlates of Analogical Reasoning on Syntactic Patterns.

Analogical reasoning is central to thought and learning. However, previous neuroscience studies have focused mainly on neural substrates for visuospatial and semantic analogies. There has not yet been research on the neural correlates of analogical reasoning on syntactic patterns generated by the syntactic rules, a key feature of human language faculty. The present investigation took an initial step to address this paucity. Twenty-four participants, whose brain activity was monitored by fMRI, engaged in first-order and second-order relational judgments of syntactic patterns as well as simple and complex working memory tasks. After scanning, participants rated the difficulty of each step during analogical reasoning; these ratings were related to signal intensities in activated regions of interest using Spearman correlation analyses. After prior research, differences in activation levels during second-order and first-order relational judgments were taken as evidence of analogical reasoning. These analyses showed that analogical reasoning on syntactic patterns recruited brain regions consistent with those supporting visuospatial and semantic analogies, including the anterior and posterior parts of the left middle frontal gyrus, anatomically corresponding to the left rostrolateral pFC and the left dorsolateral pFC. The correlation results further revealed that the posterior middle frontal gyrus might be involved in analogical access and mapping with syntactic patterns. Our study is the first to investigate the process of analogical reasoning on syntactic patterns at the neurobiological level and provide evidence of the specific functional roles of related regions during subprocesses of analogical reasoning.

Hybrid deep model for brain age prediction in MRI with improved chi-square based selected features

Ageing and its related health conditions bring many challenges not only to individuals but also to society. Various MRI techniques are defined for the early detection of age-related diseases. Researchers continue the prediction with the involvement of different strategies. In that manner, this research intends to propose a new brain age prediction model under the processing of certain steps like preprocessing, feature extraction, feature selection, and prediction. The initial step is preprocessing, where improved median filtering is proposed to reduce the noise in the image. After this, feature extraction takes place, where shape-based features, statistical features, and texture features are extracted. Particularly, Improved LGTrP features are extracted. However, the curse of dimensionality becomes a serious issue in this aspect that shrinks the efficiency of the prediction level. According to the “curse of dimensionality,” the number of samples required to estimate any function accurately increases exponentially as the number of input variables increases. Hence, a feature selection model with improvement has been introduced in this paper termed an improved Chi-square. Finally, for prediction purposes, a Hybrid classifier is introduced by combining the models like Bi-GRU and DBN, respectively. In order to enhance the effectiveness of the hybrid method, Upgraded Blue Monkey Optimization with Improvised Evaluation (UBMOIE) is introduced as the training system by tuning the optimal weights in both classifiers. Finally, the performance of the suggested UBMIOE-based brain age prediction method was assessed over the other schemes to various metrics.

Postural control before and after transitional locomotor tasks in children on the autism spectrum: A case-control study

BackgroundInstrumented measurements of postural control provide a more accurate insight into the motor development of children with autism. This study aimed to identify postural control deficits in autistic children during quiet standing before and after transient locomotor task. It was hypothesized that the parameters that characterize the trajectory of center of foot pressure (COP) displacement would be higher in autistic children compared to typically developing children. MethodsSixteen autistic children aged 6–10 but without a comorbidity diagnosis, were enrolled in the study group. The control group comprised 16 typically developing peers.The assessment of the transitional task comprised four different conditions: unperturbed and perturbed transition, stepping up, and stepping down tasks. Analysis of the COP signal was carried out for three distinct phases, i.e., phase 1 – quiet standing before step initiation, phase 2 – transit, and phase 3 - quiet standing until measurement completion. FindingsThe two-way ANOVA with a 2 × 4 factorial design (group × testing condition) revealed a group effect on all posturographic variables in the antero-posterior and medio-lateral directions of phase 1 and in the antero-posterior direction of phase 3. The Bonferroni post-hoc test showed the means of all those variables were significantly higher for the autistic than for typically developing children. Group allocation also had an effect on the time of transit and step length, which turned out to be significantly longer in autistic children compared to healthy peers. InterpretationAutistic children show increased postural sway before and after transitional locomotor tasks compared to typically developing children.The trial was prospectively registered in the Australian and New Zealand Clinical Trials Registry (no. ACTRN12621001113842; date registered: 23.08.2021).

Transcriptome-wide analysis of the function of Ded1 in translation preinitiation complex assembly in a reconstituted in vitro system.

We have developed a deep sequencing-based approach, Rec-Seq, that allows simultaneous monitoring of ribosomal 48S preinitiation complex (PIC) formation on every mRNA in the translatome in an in vitro reconstituted system. Rec-Seq isolates key early steps in translation initiation in the absence of all other cellular components and processes. Using this approach, we show that the DEAD-box ATPase Ded1 promotes 48S PIC formation on the start codons of >1000 native mRNAs, most of which have long, structured 5'-untranslated regions (5'UTRs). Remarkably, initiation measured in Rec-Seq was enhanced by Ded1 for most mRNAs previously shown to be highly Ded1-dependent by ribosome profiling of ded1 mutants in vivo, demonstrating that the core translation functions of the factor are recapitulated in the purified system. Our data do not support a model in which Ded1acts by reducing initiation at alternative start codons in 5'UTRs and instead indicate it functions by directly promoting mRNA recruitment to the 43S PIC and scanning to locate the main start codon. We also provide evidence that eIF4A, another essential DEAD-box initiation factor, is required for efficient PIC assembly on almost all mRNAs, regardless of their structural complexity, in contrast to the preferential stimulation by Ded1 of initiation on mRNAs with long, structured 5'UTRs.

A simple and effective genotyping workflow for rapid detection of CRISPR genome editing.

Genetically engineered mouse models play a pivotal role in the modeling of diseases, exploration of gene functions, and the development of novel therapies. In recent years, clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein 9 (Cas9)-mediated genome editing technology has revolutionized the process of developing such models by enabling precise genome modifications of the multiple interested genes simultaneously. Following genome editing, an efficient genotyping methodology is crucial for subsequent characterization. However, current genotyping methods are laborious, time-consuming, and costly. Here, using targeting the mouse trypsinogen genes as an example, we introduced common applications of CRISPR-Cas9 editing and a streamlined cost-effective genotyping workflow for CRISPR-edited mouse models, in which Sanger sequencing is required only at the initial steps. In the F0 mice, we focused on identifying the presence of positive editing by PCR followed by Sanger sequencing without the need to know the exact sequences, simplifying the initial screening. In the F1 mice, Sanger sequencing and algorithms decoding were used to identify the precise editing. Once the edited sequence was established, a simple and effective genotyping strategy was established to distinguish homozygous and heterozygous status by PCR from tail DNA. The genotyping workflow applies to deletions as small as one nucleotide, multiple-gene knockout, and knockin studies. This simplified, efficient, and cost-effective genotyping shall be instructive to new investigators who are unfamiliar with characterizing CRISPR-Cas9-edited mouse strains.NEW & NOTEWORTHY This study presents a streamlined, cost-effective genotyping workflow for clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein 9 (Cas9) edited mouse models, focusing on trypsinogen genes. It simplifies initial F0 mouse screening using PCR and Sanger sequencing without needing exact sequences. For F1 mice, precise editing is identified through Sanger sequencing and algorithm decoding. The workflow includes a novel PCR strategy for distinguishing homozygous and heterozygous statuses in subsequent generations, effective for small deletions, multiple-gene knockouts, and knockins.

Numerical and experimental assessment of tilted-helical fiber orientation effects on deformation of pneumatic soft actuators

Pneumatic actuation of fiber-reinforced soft-material slender structures, and specifically inflatable cylinders, plays a key role in soft robotics, particularly for generating sought deformations in terms of, e.g. elongation, expansion, torsion, and bending. Fiber-reinforced tubes were widely investigated, in particular by considering regular helical patterns for the fibers, and multiple sets of fibers were introduced for achieving relatively richer deformations such as coiling (i.e. combined bending and torsion). However, coiling can be obtained even by introducing a single tilted-helical fiber, thus potentially simplifying actuator design and implementation. Therefore, in this study, we numerically investigated the effect of fiber orientation on the coiling behavior of tilted-helical fiber-reinforced cylindrical actuators. Specifically, we used finite element numerical simulations to determine the effect of fiber pitch and tilt angle on the curvature and twist angle of an inflated cylindrical actuator, and we assessed numerical results based on corresponding experiments. Finally, we addressed a preliminary design chart based on the inverse map linking coiling to the corresponding pitch and tilt angle. Our results take an initial step for the design of tilted-helical fiber-reinforced actuators, with potential application to a wider class of inflatable soft actuators to program a desired coiled configuration through the integration of a single tilted-helical fiber.

Deep hybrid model for attack detection in IoT-fog architecture with improved feature set and optimal training

IoT-Fog computing provides a wide range of services for end-based IoT systems. End IoT devices interface with cloud nodes and fog nodes to manage client tasks. Critical attacks like DDoS and other security risks are more likely to compromise IoT end devices while they are collecting data between the fog and the cloud layer. It’s important to find these network vulnerabilities early. By extracting features and placing the danger in the network, DL is crucial in predicting end-user behavior. However, deep learning cannot be carried out on Internet of Things devices because to their constrained calculation and storage capabilities. In this research, we suggest a three-stage Deep Hybrid Detection Model for Attack Detection in IoT-Fog Architecture. Improved Z-score normalization-based data preparation will be carried out in the initial step. On the basis of preprocessed data, features like IG, raw data, entropy, and enhanced MI are extracted in the second step. The collected characteristics are used as input to hybrid classifiers dubbed optimized Deep Maxout and Deep Belief Network (DBN) in the third step of the process to classify the assaults based on the input dataset. A hybrid optimization model called the BMUJFO (Blue Monkey Updated Jellyfish Optimization) technique is presented for the best Deep Maxout training. Additionally, the suggested model produced higher accuracy, precision, sensitivity, and specificity results, with values of 95.26 percent, 94.84%, 96.28%, and 97.84%, respectively.

Working memory load modulates anticipatory postural adjustments during step initiation.

Working memory (WM) can influence selective attention. However, the effect of WM load on postural standing tasks has been poorly understood, even though these tasks require attentional resources. The purpose of this study was to examine whether WM load would impact anticipatory postural adjustments (APAs) during step initiation. Sixteen healthy young adults performed stepping tasks alone or concurrently with a WM task in a dual-task design. The stepping tasks involved volitional stepping movements in response to visual stimuli and comprised of simple and choice reaction time tasks and the Flanker task which consisted of congruent and incongruent (INC) conditions. In the dual-task condition, subjects were required to memorize either one or six digits before each stepping trial. Incorrect weight transfer prior to foot-lift, termed APA errors, reaction time (RT), and foot-lift time were measured from the vertical force data. The results showed that APA error rate was significantly higher when memorizing six-digit than one-digit numerals in the INC condition. In addition, RT and foot-lift time were significantly longer in the INC condition compared to the other stepping conditions, while there was no significant effect of WM load on RT or foot-lift time. These findings suggest that high WM load reduces the cognitive resources needed for selective attention and decision making during step initiation.

Visual cue spatial context affects performance of anticipatory postural adjustments

Past research indicates that anticipatory postural adjustment (APA) errors may be due to the incorrect selection of responses to visual stimuli. In the current study we used the Simon task as a methodological tool to challenge the response selection stage of processing by presenting visual cues with conflicting spatial context; in this case generating a step response to a left pointing arrow which appears to the participant's right side or vice versa. We expected greater mediolateral APA errors, delayed APA and step onset times, and greater lateral CoP displacement prior to stepping for visual cues with incongruent spatial contexts compared to cues with congruent. Thirteen healthy young adults completed step initiation trials (n = 40) from a force platform while whole-body kinematic motion was tracked. Participants were presented with arrows pointing to the left or right, indicating to step with the left or right limb, respectively. These arrows were presented on the same side as the desired step direction (congruent) or the opposite side (incongruent). Results revealed that incongruent trials resulted in significantly more incidences of mediolateral APA errors and greater mediolateral CoP deviations during the APA compared to congruent visual cue context trials. No effects were observed for the temporal outcomes, suggesting that young adults can maintain temporal execution of steps despite these motor control errors. This study demonstrates that the spatial context of visual information significantly impacts the success of response selection processes during step initiation, furthering our knowledge of how humans integrate visual information to initiate whole body movement.