Understanding the dual-task costs of walking: a StartReact study

Nonnekes, Jorik; Dibilio, Valeria; Barthel, Claudia; Solis‐Escalante, Teodoro; Bloem, Bastiaan R.; Weerdesteyn, Vivian

doi:10.1007/s00221-020-05817-8

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…(1) idosos frágeis ou que usavam acessórios para mobilidade (n = 4) 16,17,18,19 ; (2) idade <60 anos (n = 17) 20,21,22,23,24,25,26,27,28,29,31,32,33,34,35,36,37 e (3) idosos com patologias (n = 10). 37,38,39,40,41,42,43,44,45,46 Por fim, 34 artigos foram lidos na íntegra e incluídos na revisão integrativa, a última atualização da busca foi realizada em 23/11/2021.…”

Section: Resultsunclassified

Paradigma de dupla tarefa no contexto de quedas de idosos: uma revisão integrativa

Nascimento

2022

Rev. Cont. Saúde

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Com o envelhecimento, o desempenho cognitivo, a marcha e o equilíbrio são afetados. Diante disso, idosos apresentam dificuldade para executar simultaneamente duas ou mais tarefas em situações cotidianas da vida. Objetivo: Sumarizar estudos que investigaram a relação entre marcha, equilíbrio e quedas de idosos utilizando o paradigma de dupla tarefa. Metodologia: Revisão integrativa da literatura que incluiu estudos publicados entre os anos os anos de 2008 e 2021, realizada nas bases eletrônicas de dados PubMed, CINAHL e Web of Science com os descritores MeSH: marcha OU caminhada OU equilíbrio OU postura OU idade (60 anos ou mais) OU quedas OU quedas acidentais OU dupla tarefa OU dupla tarefa OU paradigma de dupla tarefa OU tarefa cognitiva. Resultados: 1.280 estudos foram encontrados e 34 selecionados. Verificou-se que o paradigma de dupla tarefa é uma estratégia útilà identificação prévia de idosos caidores, além de que exercícios de dupla tarefa podem beneficiar o desempenho da marcha e do equilíbrio, reduzindo o risco de quedas. Conclusão: Paradigmas de dupla tarefa são medidas eficazes à identificação de distúrbios da marcha e do equilíbrio. No contexto de queda de idosos, o emprego dessa metodologia apresenta vantagens em relação aos exercícios fundamentados na tarefa única. Estudos futuros devem buscar homogeneidade entre as medidas de avaliação e buscar um melhor detalhamento dos exercícios empregados.

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Section: Resultsunclassified

Paradigma de dupla tarefa no contexto de quedas de idosos: uma revisão integrativa

Nascimento

2022

Rev. Cont. Saúde

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“…Dual task (DT) refers to a paradigm that an individual performs two attention-demanding tasks with different goals simultaneously. Taking two tasks concurrently has negative effects on the performance of both tasks (Nonnekes et al, 2020 ). The difference between the performance on each single task and DT provides an index of DT ability.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Microbleeds Were Related With Poor Cognitive Performances on the Dual Task Condition in Older Adults

Yang

Qin

et al. 2022

Front. Aging Neurosci.

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Background: The dual task (DT) was commonly used to assess the risk of falls in older adults and patients with neurological disorders. However, the performance on DT conditions has not been well investigated in patients with cerebral microbleed (CMB). This study is aimed to compare the performance in DT tests between older adults with and without CMB, and to explore the association between CMB and cognitive performances of DT.Methods: This is a cross-sectional study. A total of 211 old adults participated, involving 68 CMB patients. The task protocol involved two global cognition tests, two single cognitive tests (serial 7 subtraction and semantic fluency), two single motor tasks [8-m walking and timed up and go test (TUG)], and three DT tests [walking and serial subtraction (WSS), walking and semantic fluency (WSF), and TUG and serial subtraction (TUGSS)]. The time taken to complete each task and the number of correct responses were recorded. For each DT condition, the correct response rate (CRR) and the dual-task effect (DTE) for the correct number were calculated.Results: Compared with subjects without CMB, CMB patients had worse cognitive performances on DT condition in CRR of WSS (p = 0.003), WSF (p = 0.030) and TUGSS (p = 0.006), and DTE of WSS (p = 0.017). Binary logistic regression analysis showed that the presence of CMB was an independent risk factor for the impairment group for CRR of TUGSS (OR, 2.54; 95% CI, 1.11–5.82; p = 0.027) with the adjustment for confounders, rather than CRR of WSS and WSF, or DTE of WSS. Multiple linear regression analysis showed that CRR of TUGSS decreased with the increase of CMB number grades (β, −0.144; 95% CI, −0.027, −0.002; p = 0.028).Conclusion: The present study indicated that CMBs were closely associated with poor cognitive performances on DT in the elderly. Strongest effect size was seen for CRR of TUGSS, where performance deficits increased in proportion to the degree of CMB burden.

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The correlation between physical and emotional stabilities: a cross-sectional observational preliminary study

2022

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Background Postural stability and gait are affected by an individual’s emotional state. Physical therapy practice does not usually include an explicit assessment of the individual’s emotional status. In contrast, complementary movement therapies often include the assessment of “grounding quality”, which refers to the individual’s physical and emotional stabilities. This study examined the correlation between conventional physical stability measures and grounding quality. Method A computerized balance board and an inertial sensor system measured the postural stability and gait parameters of 36 healthy volunteers (aged 19–35 years). Grounding was assessed using an observation-based assessment tool (Grounding Assessment Tool [GAT]). Spearman’s correlation and Cohen’s standard were used to assess correlation. Results No correlation was observed between gait parameters and GAT scores. However, significant negative moderate correlations were noted between postural sway measures and scores of several GAT items in the more demanding stance conditions. Conclusion Although grounding quality and sway measures are somewhat correlated, they focus on different aspects of movement stability. A comprehensive assessment and holistic intervention strategies require incorporating multiple approaches to stability assessment. Further research is necessary to determine the contribution of combining these approaches among individuals with balance impairments. KEY MESSAGES Gait stability measures were not correlated to “grounding quality” (a measure of emotional regulation and emotional awareness). Postural sway measures were found to be correlated to “grounding quality” items in the more demanding stance conditions. A comprehensive evaluation of an individual’s stability may facilitate reliable and valid objective measurement instruments for both physical and emotional aspects of the movement.

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Understanding the dual-task costs of walking: a StartReact study

Cited by 4 publications

References 21 publications

Paradigma de dupla tarefa no contexto de quedas de idosos: uma revisão integrativa

Paradigma de dupla tarefa no contexto de quedas de idosos: uma revisão integrativa

Cerebral Microbleeds Were Related With Poor Cognitive Performances on the Dual Task Condition in Older Adults

The correlation between physical and emotional stabilities: a cross-sectional observational preliminary study

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