Voluntary stepping behavior under single- and dual-task conditions in chronic stroke survivors: A comparison between the involved and uninvolved legs

2010 ◽  
Vol 20 (6) ◽  
pp. 1082-1087 ◽  
Author(s):  
Itshak Melzer ◽  
Melissa Goldring ◽  
Yehudit Melzer ◽  
Elad Green ◽  
Irit Tzedek
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Mahnaz Hejazi-Shirmard ◽  
Laleh Lajevardi ◽  
Mehdi Rassafiani ◽  
Ghorban Taghizadeh

Abstract This study was designed to investigate the effects of anxiety and dual-task on reach and grasp motor control in chronic stroke survivors compared with age- and sex-matched healthy subjects (HC). Reach and grasp kinematic data of 68 participants (high-anxiety stroke (HA-stroke), n = 17; low-anxiety stroke (LA-stroke), n = 17; low-anxiety HC, n = 17; and high-anxiety HC, n = 17) were recorded under single- and dual-task conditions. Inefficient reach and grasp of stroke participants, especially HA-stroke were found compared with the control groups under single- and dual-task conditions as evidenced by longer movement time (MT), lower and earlier peak velocity (PV) as well as delayed and smaller hand opening. The effects of dual-task on reach and grasp kinematic measures were similar between HCs and stroke participants (i.e., increased MT, decreased PV that occurred earlier, and delayed and decreased hand opening), with greater effect in stroke groups than HCs, and in HA-stroke group than LA-stroke group. The results indicate that performing a well-learned upper limb movement with concurrent cognitive task leads to decreased efficiency of motor control in chronic stroke survivors compared with HCs. HA-stroke participants were more adversely affected by challenging dual-task conditions, underlying importance of assessing anxiety and designing effective interventions for it in chronic stroke survivors.


2009 ◽  
Vol 90 (6) ◽  
pp. 927-933 ◽  
Author(s):  
Itshak Melzer ◽  
Irit Tzedek ◽  
Michal Or ◽  
Gali Shvarth ◽  
Oranit Nizri ◽  
...  

2013 ◽  
Vol 31 (2) ◽  
pp. 102
Author(s):  
F.M.H. Lam ◽  
M.J. Huang ◽  
H.J. Liu ◽  
K.C. Lim ◽  
M.Y.C. Pang ◽  
...  

2016 ◽  
Vol 1 (1) ◽  
pp. 134
Author(s):  
Haidzir Manaf ◽  
Nadia Mohd Mustafah ◽  
Saiful Adli Bukry ◽  
Maria Justine

Turning is an attentionally demanding task for stroke survivors especially when it involves challenging environments. The aim of this study was to investigate turning characteristics under dual-task conditions (dual motor and dual cognitive) in stroke survivors and healthy controls. We compared the turning characteristics based on the following: (1) staggering, (2) number of steps, (3) time was taken, and (4) strategy used to complete a 180º turn. We found that stroke survivors presented with turning difficulty, especially under dual cognitive task. Forthcoming research is needed to investigate further the social impact of stroke survival in their current environment.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies, Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Dual-task; stroke; turning; Timed Up & Go test


2017 ◽  
Vol 6 (3) ◽  
pp. 134-139 ◽  
Author(s):  
Joon-Ho Shin ◽  
Hyun Choi ◽  
Jung Ah Lee ◽  
Seon-deok Eun ◽  
Dohoon Koo ◽  
...  

2019 ◽  
Vol 62 (7) ◽  
pp. 2099-2117 ◽  
Author(s):  
Jason A. Whitfield ◽  
Zoe Kriegel ◽  
Adam M. Fullenkamp ◽  
Daryush D. Mehta

Purpose Prior investigations suggest that simultaneous performance of more than 1 motor-oriented task may exacerbate speech motor deficits in individuals with Parkinson disease (PD). The purpose of the current investigation was to examine the extent to which performing a low-demand manual task affected the connected speech in individuals with and without PD. Method Individuals with PD and neurologically healthy controls performed speech tasks (reading and extemporaneous speech tasks) and an oscillatory manual task (a counterclockwise circle-drawing task) in isolation (single-task condition) and concurrently (dual-task condition). Results Relative to speech task performance, no changes in speech acoustics were observed for either group when the low-demand motor task was performed with the concurrent reading tasks. Speakers with PD exhibited a significant decrease in pause duration between the single-task (speech only) and dual-task conditions for the extemporaneous speech task, whereas control participants did not exhibit changes in any speech production variable between the single- and dual-task conditions. Conclusions Overall, there were little to no changes in speech production when a low-demand oscillatory motor task was performed with concurrent reading. For the extemporaneous task, however, individuals with PD exhibited significant changes when the speech and manual tasks were performed concurrently, a pattern that was not observed for control speakers. Supplemental Material https://doi.org/10.23641/asha.8637008


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