Single-task and dual-task tandem gait test performance after concussion

2017 ◽  
Vol 20 (7) ◽  
pp. 622-626 ◽  
Author(s):  
David R. Howell ◽  
Louis R. Osternig ◽  
Li-Shan Chou
Keyword(s):  
Dual Task ◽  
Test Performance ◽  
Single Task ◽  
Tandem Gait

Single-task and dual-task tandem gait test performance after concussion

2017 ◽  
Vol 51 (11) ◽  
pp. A57.1-A57
Author(s):  
David R Howell ◽  
Louis R Osternig ◽  
Li-Shan Chou
Keyword(s):  
Dual Task ◽  
Test Performance ◽  
Single Task ◽  
Tandem Gait

scholarly journals Tandem Gait Test-Retest Reliability Among Healthy Child and Adolescent Athletes

2019 ◽  
Vol 54 (12) ◽  
pp. 1254-1259 ◽  
Author(s):  
David R. Howell ◽  
Anna N. Brilliant ◽  
William P. Meehan
Keyword(s):  
Dual Task ◽  
Healthy Child ◽  
Outcome Measure ◽  
Child And Adolescent ◽  
Adolescent Athletes ◽  
Single Task ◽  
Retest Reliability ◽  
Task Conditions ◽  
Test Retest Reliability ◽  
Tandem Gait

Context The tandem gait test is a method for assessing dynamic postural control and part of the Sport Concussion Assessment Tool, versions 3 and 5. However, its reliability among child and adolescent athletes has yet to be established. Objective To examine the test-retest reliability of the single-task and dual-task tandem gait test among healthy child and adolescent athletes. Design Descriptive laboratory study. Setting Sports injury-prevention center. Patients or Other Participants Uninjured and healthy athletes between the ages of 9 and 18 years. Intervention(s) Tandem gait measures repeated 3 times across the period of approximately 1 month. Main Outcome Measure(s) Participants completed the tandem gait test under single-task and dual-task (ie, while simultaneously executing a cognitive task) conditions. Our primary outcome measure was completion time during the single-task and dual-task conditions. We also assessed cognitive accuracy and response rate while participants completed the dual-task tandem gait test. Results Thirty-two child and adolescent athletes completed the study (mean age = 14.3 ± 2.4 years; females = 16). Single-task tandem gait times were similar across the 3 testing sessions (14.4 ± 4.8, 13.5 ± 4.2, and 13.8 ± 4.8 seconds; P = .45). Dual-task tandem gait times steadily improved across the test timeline (18.6 ± 6.9, 16.6 ± 4.5, and 15.8 ± 4.7 seconds; P = .02). Bivariate correlations indicated moderately high to high agreement from test 1 to test 2 (single-task r = .627; dual-task r = 0.655) and from test 2 to test 3 (single-task r = 0.852; dual-task r = 0.775). Both the single-task (intraclass correlation coefficient; ICC [3,1] = 0.86; 95% confidence interval [CI] = 0.73, 0.93) and dual-task (ICC [3,1] = 0.84; 95% CI = 0.69, 0.92) conditions demonstrated high reliability across testing sessions. Conclusions Tandem gait outcome measures demonstrated high test-retest reliability in both the single- and dual-task conditions. The overall reliability was within the acceptable range for clinical practice, but improvements across tests suggested a moderate practice effect. Tandem gait represents a reliable, dynamic, postural-control test that requires minimal space, cost, and time.

Single-Task and Dual-Task Tandem Gait Performance Across Clinical Concussion Milestones in Collegiate Student-Athletes

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jessie R. Oldham ◽  
David R. Howell ◽  
Christopher A. Knight ◽  
Jeremy R. Crenshaw ◽  
Thomas A. Buckley
Keyword(s):  
Dual Task ◽  
Student Athletes ◽  
Single Task ◽  
Gait Performance ◽  
Tandem Gait

scholarly journals Factors Contributing to Single- and Dual-Task Timed “Up & Go” Test Performance in Middle-Aged and Older Adults Who Are Active and Dwell in the Community

2016 ◽  
Vol 96 (3) ◽  
pp. 284-292 ◽  
Author(s):  
Hui-Ya Chen ◽  
Pei-Fang Tang
Keyword(s):  
Mental Status ◽  
Dual Task ◽  
Test Performance ◽  
Walking Speed ◽  
Common Factor ◽  
Mental Function ◽  
Single Task ◽  
Examination Score ◽  
Mini Mental Status Examination ◽  
Mental Status Examination

Background Dual-task Timed “Up & Go” (TUG) tests are likely to have applications different from those of a single-task TUG test and may have different contributing factors. Objective The purpose of this study was to compare factors contributing to performance on single- and dual-task TUG tests. Design This investigation was a cross-sectional study. Methods Sixty-four adults who were more than 50 years of age and dwelled in the community were recruited. Interviews and physical examinations were performed to identify potential contributors to TUG test performance. The time to complete the single-task TUG test (TUGsingle) or the dual-task TUG test, which consisted of completing the TUG test while performing a serial subtraction task (TUGcognitive) or while carrying water (TUGmanual), was measured. Results Age, hip extensor strength, walking speed, general mental function, and Stroop scores for word and color were significantly associated with performance on all TUG tests. Hierarchical multiple regression models, without the input of walking speed, revealed different independent factors contributing to TUGsingle performance (Mini-Mental Status Examination score, β=−0.32), TUGmanual performance (age, β=0.35), and TUGcognitive performance (Stroop word score, β=−0.40; Mini-Mental Status Examination score, β=−0.31). Limitations At least 40% of the variance in the performance on the 3 TUG tests was not explained by common clinical measures, even when the factor of walking speed was considered. However, this study successfully identified some important factors contributing to performance on different TUG tests, and other studies have reported similar findings for single-task TUG test and dual-task gait performance. Conclusions Although the TUGsingle and the TUGcognitive shared general mental function as a common factor, the TUGmanual was uniquely influenced by age and the TUGcognitive was uniquely influenced by focused attention. These results suggest that both common and unique factors contribute to performance on single- and dual-task TUG tests and suggest important applications of the combined use of the 3 TUG tests.

scholarly journals Clinical feasibility and utility of a dual-task tandem gait protocol for pediatric concussion management

2020 ◽  
Author(s):  
Mathew J. Wingerson ◽  
Corrine N. Seehusen ◽  
Gregory Walker ◽  
Julie C. Wilson ◽  
David R. Howell
Keyword(s):  
Dual Task ◽  
Motor Performance ◽  
Clinical Utility ◽  
Correlation Coefficients ◽  
Single Task ◽  
Task Trial ◽  
Task Conditions ◽  
And Control ◽  
Test Completion ◽  
Tandem Gait

Abstract Context: Clinical management of sport-related concussion requires the assessment of various factors, including motor performance. The tandem gait test, a measure of post-injury motor performance, has demonstrated clinical utility, but is limited by time availability and test uniformity. Objective: To assess intrasession reliability between tandem gait test trials and determine the number trials necessary for optimal utility and feasibility in clinical decision-making following concussion. Design: Cross-Sectional Study Setting: Pediatric Sport Medicine Clinic Participants: Adolescent athletes who recently sustained a concussion (n=44; age=15.4±1.8 years; 39% female) and were seen for care within 14 days (7.3±3.2 days) of their injury, as well as uninjured control participants (n=73; age=15.8±1.3 years; 41% female). All participants completed three single-task and three dual-task tandem gait trials. Outcome Measures: We collected test completion time and cognitive performance for each trial and calculated Pearson correlation coefficients between trials and Intraclass Correlation Coefficients to determine intrasession reliability. We also compared performance between groups, and calculated area under the curve (AUC) values to identify the ability of each trial to distinguish between groups. Results: Both the concussion and control group demonstrated high intrasession reliability between tandem gait trials under single (R ≥ 0.82; ICC≥ 0.93) and dual-task conditions (R ≥ 0.79; ICC≥ 0.92). The greatest group classification values were obtained from the second single-task trial (AUC = 0.89) and first dual-task trial (AUC = 0.83). Test completion time provided excellent between-group discrimination in single-task and dual-task conditions. However, cognitive performance during dual-task trials demonstrated only marginally significant clinical utility (AUC ≤ 0.67). Conclusion: Tandem gait assessments may only require two trials under single-task and one trial under dual-task conditions to effectively discriminate between concussion and control groups. This approach may improve the feasibility (time requirement) of the test, while maintaining excellent discriminatory ability.

Effects of Concurrent Manual Task Performance on Connected Speech Acoustics in Individuals With Parkinson Disease

2019 ◽  
Vol 62 (7) ◽  
pp. 2099-2117 ◽  
Author(s):  
Jason A. Whitfield ◽  
Zoe Kriegel ◽  
Adam M. Fullenkamp ◽  
Daryush D. Mehta
Keyword(s):  
Task Performance ◽  
Speech Production ◽  
Dual Task ◽  
Motor Task ◽  
Task Condition ◽  
Connected Speech ◽  
Speech Acoustics ◽  
Single Task ◽  
Manual Task ◽  
Task Conditions

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

THE RELIABILITY OF CLINICAL BALANCE TESTS UNDER SINGLE-TASK AND DUAL-TASK TESTING PARADIGMS IN UNINJURED ACTIVE YOUTH AND YOUNG ADULTS

2020 ◽  
Vol 15 (4) ◽  
pp. 487-500
Author(s):  
Thaer S. Manaseer ◽  
Jackie L. Whittaker ◽  
Codi Isaac ◽  
Kathryn Schneider ◽  
Mary Roduta Roberts ◽  
...  
Keyword(s):  
Young Adults ◽  
Dual Task ◽  
Single Task ◽  
Balance Tests ◽  
Youth And Young Adults

Digital Biomarkers of Cognitive Frailty: The Value of Detailed Gait Assessment Beyond Gait Speed

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
He Zhou ◽  
Catherine Park ◽  
Mohammad Shahbazi ◽  
Michele K. York ◽  
Mark E. Kunik ◽  
...  
Keyword(s):  
Older Adults ◽  
Steady State ◽  
Dual Task ◽  
Gait Speed ◽  
Stride Length ◽  
Cognitive Frailty ◽  
Single Task ◽  
Double Support ◽  
Gait Parameters ◽  
Digital Biomarkers

<b><i>Background:</i></b> Cognitive frailty (CF), defined as the simultaneous presence of cognitive impairment and physical frailty, is a clinical symptom in early-stage dementia with promise in assessing the risk of dementia. The purpose of this study was to use wearables to determine the most sensitive digital gait biomarkers to identify CF. <b><i>Methods:</i></b> Of 121 older adults (age = 78.9 ± 8.2 years, body mass index = 26.6 ± 5.5 kg/m<sup>2</sup>) who were evaluated with a comprehensive neurological exam and the Fried frailty criteria, 41 participants (34%) were identified with CF and 80 participants (66%) were identified without CF. Gait performance of participants was assessed under single task (walking without cognitive distraction) and dual task (walking while counting backward from a random number) using a validated wearable platform. Participants walked at habitual speed over a distance of 10 m. A validated algorithm was used to determine steady-state walking. Gait parameters of interest include steady-state gait speed, stride length, gait cycle time, double support, and gait unsteadiness. In addition, speed and stride length were normalized by height. <b><i>Results:</i></b> Our results suggest that compared to the group without CF, the CF group had deteriorated gait performances in both single-task and dual-task walking (Cohen’s effect size <i>d</i> = 0.42–0.97, <i>p</i> &#x3c; 0.050). The largest effect size was observed in normalized dual-task gait speed (<i>d</i> = 0.97, <i>p</i> &#x3c; 0.001). The use of dual-task gait speed improved the area under the curve (AUC) to distinguish CF cases to 0.76 from 0.73 observed for the single-task gait speed. Adding both single-task and dual-task gait speeds did not noticeably change AUC. However, when additional gait parameters such as gait unsteadiness, stride length, and double support were included in the model, AUC was improved to 0.87. <b><i>Conclusions:</i></b> This study suggests that gait performances measured by wearable sensors are potential digital biomarkers of CF among older adults. Dual-task gait and other detailed gait metrics provide value for identifying CF above gait speed alone. Future studies need to examine the potential benefits of gait performances for early diagnosis of CF and/or tracking its severity over time.

Learning of across- and within-task contingencies modulates partial-repetition costs in dual-tasking

2021 ◽  
Author(s):  
Lasse Pelzer ◽  
Christoph Naefgen ◽  
Robert Gaschler ◽  
Hilde Haider
Keyword(s):  
Dual Task ◽  
Discrimination Task ◽  
Experimental Approach ◽  
Feature Binding ◽  
Dual Tasking ◽  
Single Task ◽  
Task Set ◽  
Task Processing ◽  
Tone Discrimination ◽  
Task Sets

AbstractDual-task costs might result from confusions on the task-set level as both tasks are not represented as distinct task-sets, but rather being integrated into a single task-set. This suggests that events in the two tasks are stored and retrieved together as an integrated memory episode. In a series of three experiments, we tested for such integrated task processing and whether it can be modulated by regularities between the stimuli of the two tasks (across-task contingencies) or by sequential regularities within one of the tasks (within-task contingencies). Building on the experimental approach of feature binding in action control, we tested whether the participants in a dual-tasking experiment will show partial-repetition costs: they should be slower when only the stimulus in one of the two tasks is repeated from Trial n − 1 to Trial n than when the stimuli in both tasks repeat. In all three experiments, the participants processed a visual-manual and an auditory-vocal tone-discrimination task which were always presented concurrently. In Experiment 1, we show that retrieval of Trial n − 1 episodes is stable across practice if the stimulus material is drawn randomly. Across-task contingencies (Experiment 2) and sequential regularities within a task (Experiment 3) can compete with n − 1-based retrieval leading to a reduction of partial-repetition costs with practice. Overall the results suggest that participants do not separate the processing of the two tasks, yet, within-task contingencies might reduce integrated task processing.

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