The effects of a secondary task on gait in axial spondyloarthritis

Abstract

Studies on the effects of dual tasking in patients with chronic inflammatory rheumatic diseases are limited. The aim of this study was to assess dual tasking while walking in patients with axial spondyloarthritis (axSpA) in comparison to healthy controls. Thirty patients with axSpA and thirty healthy controls underwent a 10-m walk test at a self-selected comfortable walking speed in single- and dual-task conditions. Foot-worn inertial sensors were used to compute spatiotemporal gait parameters. Analysis of spatiotemporal gait parameters showed that the secondary manual task negatively affected walking performance in terms of significantly decreased mean speed (p < 0.001), stride length (p < 0.001) and swing time (p = 0.008) and increased double support (p = 0.002) and stance time (p = 0.008). No significant interaction of group and condition was observed. Both groups showed lower gait performance in dual task condition by reducing speed, swing time and stride length, and increasing double support and stance time. Patients with axSpA were not more affected by the dual task than matched healthy controls, suggesting that the secondary manual task did not require greater attention in patients with axSpA. Increasing the complexity of the walking and/or secondary task may increase the sensitivity of the dual-task design to axial spondyloarthritis.

Impact of daily physical therapy over 2 weeks on spinal mobility including objective electronic measurements and function in patients with axial spondyloarthritis

“… 24 , 46 – 50 There is some evidence that gait is altered in patients with axSpA leading to reduced speed, cadence, stride length, and swing time. 51 , 52 …”

Bike desk una propuesta de intervención para mejorar el nivel de actividad física y el rendimiento cognitivo en escolares de Educación Primaria

“…Las personas que dedican mayor tiempo a la actividad física (AF) muestran menores riesgos de desarrollar síndrome metabólico, enfermedades cardiovasculares, diabetes, cáncer, hipertensión, obesidad y problemas de salud mental, como ansiedad y depresión (Belmonte Darraz et al, 2021;Esteban-Cornejo et al, 2015;Parvin et al, 2020;Wu et al, 2022). Los beneficios de la actividad física son múltiples, siendo su principal objetivo la mejora de la condición física en las diferente poblaciones (Cobo-Cuenca et al, 2019;Huang et al, 2019;Kritsilis et al, 2018;Ruiz et al, 2006) pero además, la evidencia de las últimas décadas ha mostrado la influencia de la práctica regular de actividad física en la mejorar la calidad de vida (Arbinaga et al, 2011;Ruiz et al, 2016), mejora en los procesos cognitivos (Bahdur et al, 2019;Kvalø et al, 2019;Latorre-Román et al, 2020;Van Der Niet et al, 2016), mejora de las relaciones sociales y personales (Alves Donato et al, 2021;Gentile et al, 2011) y mecanismo de prevención para las enfermedades degenerativas (Buchman et al, 2020;Ma et al, 2022;Soulard et al, 2021).…”