Association between fall risk and assessments of single-task and dual-task walking among community-dwelling individuals with chronic stroke: A prospective cohort study

Tsang, Charlotte Sau Lan; Miller, Tiev; Pang, Marco Yiu Chung

doi:10.1016/j.gaitpost.2022.01.019

Cited by 5 publications

(17 citation statements)

References 28 publications

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“…50 One study examined participants during level walking and level walking with obstacle crossing. 51 Bloem et al did not explain the physical components associated with their study's gait-related motor tasks. 21 The most common cognitive tasks were counting tasks.…”

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 80%

“…39,41,44,45 These included counting upward 41,45 or backward, 39,44 in various intervals. Other common cognitive tasks included the Stroop task 20,22,49,51 and "Stops Walking When Talking" test. 21,37,38,50 For the Stroop tasks, three studies required participants to complete auditory Stroop tasks 22,49,51 ; one study required participants to complete a color-word Stroop task.…”

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

“…Other common cognitive tasks included the Stroop task 20,22,49,51 and "Stops Walking When Talking" test. 21,37,38,50 For the Stroop tasks, three studies required participants to complete auditory Stroop tasks 22,49,51 ; one study required participants to complete a color-word Stroop task. 20 For the "Stops Walking When Talking" test, one study engaged participants in a complex conversation 37 while another study had participants recite the alphabet in an alternating fashion.…”

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

“…Twelve studies had participants complete the motor task as a single task before assessing the dual task. 19,22,[39][40][41][42]44,46,[48][49][50][51] Of these studies, two studies had participants complete the cognitive task as a single task before assessing the dual task. 19,42 Four studies had participants engage in two dual-task conditions.…”

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

“…19,42 Four studies had participants engage in two dual-task conditions. [48][49][50][51] Three studies had participants complete a fixed protocol where tasks were provided in a specific order. 19,41,49 Two studies randomized the order of tasks performed by participants.…”

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

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Dual-task assessments for predicting future falls in neurologic conditions: A systematic review

Peters,

Lauinger,

Mayr

et al. 2024

Am J Phys Med Rehabil

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This review investigated the ability of dual-task tests to predict falls in people with neurological disorders (ND). Databases were searched to identify prospective cohort studies that analyzed dual-task testing and falls in people with NDs. Reviewers screened studies for eligibility and extracted key information like participant characteristics, intervention details, outcome measures, and significant outcomes. Reviewers assessed methodological quality of eligible studies using the Standard Quality Assessment Criteria. 18 studies of strong methodological qualified with 1750 participants were included in the review. Dual-task performances was predictive of future falls in people with Huntington’s disease, spinal cord injury, and moderate cognitive impairment, although only one independent study was included for each disability type. In people with stroke, thirty-seven percent of eligible studies showed dual-task assessments to be predictive of future falls. No dual-task tests predicted prospective falling in people with Alzheimer’s or Parkinson’s disease. Complex dual-tasks appeared to be more predictive of fall risk than simpler dual-tasks. Results suggest that disability type, severity of disability, and task complexity play a role in the predictive ability of dual-task assessments and future falling in NDs. Future studies may benefit from using this review to guide the design of effective dual-task assessments and fall interventions.

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Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 80%

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

Section: Assessment Of Motor and Cognitive Tasks And Dual Taskmentioning

confidence: 99%

See 3 more Smart Citations

Dual-task assessments for predicting future falls in neurologic conditions: A systematic review

Peters,

Lauinger,

Mayr

et al. 2024

Am J Phys Med Rehabil

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Towards a comprehensive framework for complex walking tasks: Characterization, behavioral adaptations, and clinical implications in ageing and neurological populations

Grosboillot,

Gallou-Guyot,

Lamontagne

et al. 2024

Ageing Research Reviews

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Comparing the effects of dual-task training and single-task training on walking, balance and cognitive functions in individuals with Parkinson’s disease: A systematic review

Lin,

Zhang,

Zhang

et al. 2024

Chinese Medical Journal

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Background: This systematic review aimed to examine whether dual-task (DT) training was superior to single-task (ST) training in improving DT walking, balance and cognitive function for individuals with Parkinson’s disease (PD). Methods: Literature search was performed in the following electronic databases: PubMed, the Cochrane Library, Web of Science, and Metstr covering inception to May 10, 2023. And in order to facilitate comparison across trials, we calculated the effect size (Hedges’ g) of gait, balance, cognitive, and other parameters under both ST and DT conditions, using the mean change score and standard deviation (SD) of change score of the experimental and control groups. Randomized controlled trials that examined the effects of DT motor and cognitive training in individuals with Parkinson’s disease were included for this systematic review. Results: A total of 335 participants recruited from six articles (five studies) were involved in this review. In terms of walking function, only double support time and stride time variability showed significant between-group difference (Hedges’ g = 0.34, 0.18, respectively). Compared to ST training group, DT training group had a more improvement effect in laboratory balance measurement (Hedges’ g = 0.18, 0.25), but no significant improvement in clinical balance measurement. No significant between-group differences were observed, thus its training effect on cognitive function was inconclusive. Conclusions: The DT training failed to achieve promising results better than ST training in improving DT walking and balance functions for individuals with PD. Any firm conclusion cannot be drawn at present, due to the limited number of eligible publications. Larger sample size and high-quality studies are needed to investigate the effectiveness of DT training in individuals with PD.

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Association between fall risk and assessments of single-task and dual-task walking among community-dwelling individuals with chronic stroke: A prospective cohort study

Cited by 5 publications

References 28 publications

Dual-task assessments for predicting future falls in neurologic conditions: A systematic review

Dual-task assessments for predicting future falls in neurologic conditions: A systematic review

Towards a comprehensive framework for complex walking tasks: Characterization, behavioral adaptations, and clinical implications in ageing and neurological populations

Comparing the effects of dual-task training and single-task training on walking, balance and cognitive functions in individuals with Parkinson’s disease: A systematic review

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