Motion analysis evaluation of adolescent athletes during dual-task walking following a concussion: A multicenter study

Solomito, Matthew J.; Kostyun, Regina; Wu, Yen-Hsun; Mueske, Nicole M.; Wren, Tishya A. L.; Chou, Li-Shan; Õunpuu, Sylvia

doi:10.1016/j.gaitpost.2018.06.165

Cited by 12 publications

(29 citation statements)

References 27 publications

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“…Previous studies in different areas investigated the acute effects of dual-task practicing on injury prevention (e.g., posture and balance) and motor enhancement (e.g., gaiting, walking, and running) in young healthy individuals [5], children [6,7], elderly people [8], patients with Parkinson and Alzheimer diseases [9], and patients with brain injuries [10]. In these studies, dual-tasks were used to identify participants' motor and cognitive capabilities by combining motor and cognitive demands to overload the working memory [11].…”

Section: Introductionmentioning

confidence: 99%

The Acute and Chronic Effects of Dual-Task on the Motor and Cognitive Performances in Athletes: A Systematic Review

Moreira

Dieguez

Bredt

et al. 2021

IJERPH

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Athletes must distribute their attention to many relevant cues during a match. Therefore, athletes’ ability to deal with dual-tasks may be different from the non-athlete population, demanding a deeper investigation within the sports domain. This study aimed to systematically review the acute and chronic effects of dual-tasks in motor and cognitive performances in athletes from different modalities. The search for articles followed all the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The keywords used were: “dual-task” OR “double task” OR “multi-task” OR “divided attention” OR “secondary task” OR “second task” AND “working memory” OR “visual” OR “decision making” OR “gaze behavior” OR “attention” AND “sports” OR “athletes” OR “players”. The Scopus, Pubmed, and Web of Science databases were screened for studies comparing single and dual-tasks, in which the participants were athletes competing at any level, and in which at least one of the following variables were investigated: working memory, decision-making, visual search behavior, perception, anticipation, attention, or motor tasks. Articles were screened using pre-defined selection criteria, and methodological quality was assessed by two researchers independently. Following the eligibility criteria, we included 18 articles in the review: 13 on the acute effects, and five on the chronic effects. This review showed that the acute effect of dual-tasks impairs the motor and cognitive performances of athletes (dual-task cost). However, training with dual-tasks (chronic effect) improved working memory skills and attentional control. We conclude that dual-tasks acutely and chronically impacts motor and cognitive performance.

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Section: Introductionmentioning

confidence: 99%

The Acute and Chronic Effects of Dual-Task on the Motor and Cognitive Performances in Athletes: A Systematic Review

Moreira

Dieguez

Bredt

et al. 2021

IJERPH

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“…Eight of the twenty-three articles (35%) employed prospective designs, with assessments at two to five time points over the course of the study [ 6 , 7 , 11 , 18 , 24 , 25 , 33 , 38 ]. Fifteen articles (65%) utilised cross-sectional designs [ 12 , 13 , 15 , 16 , 20 , 21 , 22 , 23 , 28 , 31 , 32 , 36 , 39 , 40 , 41 ]. The total number of participants used across the studies was 1030, with 474 participants categorised as concussed subjects and 556 participants categorised as non-concussed controls.…”

Section: Resultsmentioning

confidence: 99%

“…Grade II concussion parameters described by the American Academy of Neurology (AAN) were detailed in seven articles [ 11 , 21 , 22 , 23 , 24 , 25 , 28 ] and seven articles used the latest Consensus Statement on Concussion in Sport (CsoCiS) [ 6 , 7 , 18 , 31 , 32 , 38 , 40 ]. One article used the Veteran Health Affairs/Department of Defence mTBI criteria for concussion diagnosis [ 36 ] and seven articles did not state the method of concussion diagnosis [ 13 , 15 , 20 , 33 , 39 , 41 ]. Concussions were diagnosed by certified athletic trainers and/or medical professionals in 17 articles [ 6 , 7 , 11 , 12 , 13 , 15 , 21 , 24 , 25 , 28 , 31 , 32 , 33 , 38 , 39 , 40 , 41 ]; however, the remaining six did not state who diagnosed the concussions of the participants [ 16 , 18 , 20 , 22 , 23 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Protocols incorporating a cognitive task alongside a gait assessment are becoming frequently utilised to evaluate the effects of concussion [ 11 , 12 , 13 ]. The Stroop test, which involves participants responding to an auditory or visual cue whilst undergoing locomotion, requires equipment to facilitate the test and record the accuracy and speed of responses [ 6 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. Other more common cognitive dual tasks include reciting the months of the year in reverse order, subtracting by sixes or sevens from a given number, or spelling common five letter words in reverse, while walking along a level walkway [ 7 , 11 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

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Methodological Critique of Concussive and Non-Concussive Dual Task Walking Assessments: A Scoping Review

Mitchell

Cronin

2023

IJERPH

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Objective: To understand the methodological approaches taken by various research groups and determine the kinematic variables that could consistently and reliably differentiate between concussed and non-concussed individuals. Methods: MEDLINE via PubMed, CINAHL Complete via EBSCO, EBSCOhost, SPORTDiscus, and Scopus were searched from inception until 31 December 2021, using key terms related to concussion, mild traumatic brain injury, gait, cognition and dual task. Studies that reported spatiotemporal kinematic outcomes were included. Data were extracted using a customised spreadsheet, including detailed information on participant characteristics, assessment protocols, equipment used, and outcomes. Results: Twenty-three studies involving 1030 participants met the inclusion criteria. Ten outcome measures were reported across these articles. Some metrics such as gait velocity and stride length may be promising but are limited by the status of the current research; the majority of the reported variables were not sensitive enough across technologies to consistently differentiate between concussed and non-concussed individuals. Understanding variable sensitivity was made more difficult given the absence of any reporting of reliability of the protocols and variables in the respective studies. Conclusion: Given the current status of the literature and the methodologies reviewed, there would seem little consensus on which gait parameters are best to determine return to play readiness after concussion. There is potential in this area for such technologies and protocols to be utilised as a tool for identifying and monitoring concussion; however, improving understanding of the variability and validity of technologies and protocols underpins the suggested directions of future research. Inertial measurement units appear to be the most promising technology in this aspect and should guide the focus of future research. Impact: Results of this study may have an impact on what technology is chosen and may be utilised to assist with concussion diagnosis and return to play protocols.

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“…11,12,24,40,172,182,183 Several studies indicate that examination techniques most sensitive for detecting concussion-related motor function impairments may necessitate special equipment (eg, force plates or accelerometers) and/or advanced analyses (eg, entropy analyses or complexity metric analyses), thus limiting clinical implementability and practicality. 93,172,173,180,199…”

Section: IIImentioning

confidence: 99%

Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury

Quatman‐Yates¹,

Hunter‐Giordano²,

Shimamura³

et al. 2020

Journal of Orthopaedic & Sports Physical Therapy

111

100

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Physical therapists must screen all individuals who have experienced a potential concussive event and document the presence or absence of symptoms, impairments, and functional limitations that may relate to a concussive event. Screening for Indicators of Emergency ConditionsA Physical therapists must screen patients who have experienced a recent potential concussive event for signs of medical emergency or severe pathology (eg, more serious brain injury, medical conditions, or cervical spine injury) that warrant further evaluation by other health care providers. Referral for further evaluation should be made as indicated (FIGURE 1). Differential DiagnosisA Physical therapists must evaluate for potential signs and symptoms of an undiagnosed concussion in patients who have experienced a concussive event but have not been diagnosed with concussion. Evaluation should include triangulation of information from patient/family/witness reports, the patient's past medical history, physical observation/examination, and the use of an age-appropriate symptom scale/checklist (see FIGURE 1 for diagnostic criteria).

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Motion analysis evaluation of adolescent athletes during dual-task walking following a concussion: A multicenter study

Cited by 12 publications

References 27 publications

The Acute and Chronic Effects of Dual-Task on the Motor and Cognitive Performances in Athletes: A Systematic Review

The Acute and Chronic Effects of Dual-Task on the Motor and Cognitive Performances in Athletes: A Systematic Review

Methodological Critique of Concussive and Non-Concussive Dual Task Walking Assessments: A Scoping Review

Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury

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