scholarly journals Functional Balance and Motor Impairment Correlations with Gait Parameters during Timed Up and Go Test across Three Attentional Loading Conditions in Stroke Survivors

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Haidzir Manaf ◽  
Maria Justine ◽  
Mazlifah Omar
Keyword(s):  
Negative Correlation ◽  
Dual Task ◽  
Motor Impairment ◽  
Rank Correlation ◽  
Stroke Survivors ◽  
Loading Conditions ◽  
Timed Up And Go ◽  
Strong Negative Correlation ◽  
Functional Balance ◽  
Gait Parameters

The aim of this study was to determine whether stroke survivor’s gait performance during dual-task Timed Up and Go (TUG) test is correlated with the level of functional balance and motor impairment. Thirty stroke survivors (22 men, 8 women) were recruited for this study. The level of functional balance (Berg Balance Scale) and motor impairment (Fugl-Meyer assessment lower extremity) were assessed prior to the TUG test. TUG test was conducted under three attentional loading conditions (single, dual motor, and dual-cognitive). The time and number of steps were used to quantify gait parameters. The Spearmen’s rank correlation coefficient was used to evaluate the relationship between these variables. There was moderate to strong negative correlation between functional balance and gait parameters (range −0.53 to −0.73,P<0.05). There was a weak negative correlation observed between the time taken to complete the single task and motor impairment (rs=-0.43;P=0.02) dual motor task and motor impairment (rs=-0.41;P=0.02). However, there were no significant correlations between lower limb motor impairment and the number of steps in all conditions. These findings suggest that functional balance may be an influential domain of successful dual-task TUG in stroke.

scholarly journals Validity of the GAITRite Walkway Compared to Functional Balance Tests for Fall Risk Assessment in Geriatric Outpatients

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 77
Author(s):  
Johannes Riis ◽  
Stephanie M. Byrgesen ◽  
Kristian H. Kragholm ◽  
Marianne M. Mørch ◽  
Dorte Melgaard
Keyword(s):  
Risk Assessment ◽  
Dual Task ◽  
Fall Risk ◽  
Timed Up And Go ◽  
Balance Test ◽  
Fall Risk Assessment ◽  
Functional Balance ◽  
Balance Tests ◽  
Gait Parameters ◽  
Task Conditions

This study examined the concurrent validity between gait parameters from the GAITRite walkway and functional balance test commonly used in fall risk assessment. Patients were sampled from one geriatric outpatient clinic. One physiotherapist evaluated the patients on the GAITRite walkway with three repetitions in both single- and dual-task conditions. Patients were further evaluated with Bergs Balance scale (BBS), Dynamic Gait index (DGI), Timed Up and Go (TUG), and Sit To Stand test (STS). Correlations between quantitative gait parameters and functional balance test were analyzed with Spearman’s rank correlations. Correlations strength was considered as follows: negligible <0.1, weak 0.10–0.39, moderate 0.40–0.69, and strong ≥0.70. We included 24 geriatric outpatients in the study with a mean age of 80.6 years (SD: 5.9). Patients received eight (SD: 4.5) different medications on average, and seven (29.2%) patients used walkers during ambulation. Correlations between quantitative gait parameters and functional balance test ranged from weak to moderate in both single- and dual-task conditions. Moderate correlations were observed for DGI, TUG, and BBS, while STS showed weak correlations with all GAITRite parameters. For outpatients analyzed on the GAITRite while using walkers, correlations showed no clear pattern across parameters with large variation within balance tests.

Comparison of Gait Parameters Across Three Attentional Loading Conditions During Timed Up and Go Test in Stroke Survivors

2014 ◽  
Vol 21 (2) ◽  
pp. 128-136 ◽  
Author(s):  
Haidzir Manaf ◽  
Maria Justine ◽  
Goh Hui Ting ◽  
Lydia Abd Latiff
Keyword(s):  
Stroke Survivors ◽  
Loading Conditions ◽  
Timed Up And Go ◽  
Gait Parameters

scholarly journals Effect of Dual-Task Conditions on Gait Performance during Timed Up and Go Test in Children with Traumatic Brain Injury

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Rabiatul Adawiah Abdul Rahman ◽  
Fazira Rafi ◽  
Fazah Akhtar Hanapiah ◽  
Azlina Wati Nikmat ◽  
Nor Azira Ismail ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Dual Task ◽  
Cognitive Task ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Timed Up And Go ◽  
Gait Performance ◽  
Gait Parameters ◽  
Task Conditions

Background. Tasks requiring simultaneous mobility and cognition (dual tasks) have been associated with incidence of falls. Although these deficits have been documented in individuals with neurologic disorder, the effect of dual task in children with traumatic brain injury has not been fully explored. Objective. To investigate the effect of dual-task (dual-motor and dual-cognitive task) conditions on spatiotemporal gait parameters during timed up and go test in children with traumatic brain injury. Methods and Material. A total of 14 children with traumatic brain injury and 21 typically developing children participated in this case-control study. Functional balance was assessed before the actual testing to predict the risk of falls. Timed up and go test was performed under single-task and dual-task (dual-motor and dual-cognitive task) conditions. Spatiotemporal gait parameters were determined using the APDM Mobility Lab system. The descriptive statistics and t-test were used to analyze demographic characteristics and repeated measure ANOVA test was used to analyze the gait parameters. Results. Under dual-task (dual-motor and dual-cognitive task) conditions during the timed up and go test, gait performance significantly deteriorated. Furthermore, the total time to complete the timed up and go test, stride velocity, cadence, and step time during turning were significantly different between children with traumatic brain injury and typically developing children. Conclusions. These findings suggest that gait parameters were compromised under dual-task conditions in children with traumatic brain injury. Dual-task conditions may become a component of gait training to ensure a complete and comprehensive rehabilitation program.

scholarly journals Dual-Tasking Effects on Gait and Turning Performance of Stroke Survivors with Diabetic Peripheral Neuropathy

2021 ◽  
Vol 28 (2) ◽  
pp. 63-71
Author(s):  
Kamaruzaman Tajuddin ◽  
Maria Justine ◽  
Nadia Mohd Mustafah ◽  
Lydia Latif ◽  
Haidzir Manaf
Keyword(s):  
Peripheral Neuropathy ◽  
Diabetic Peripheral Neuropathy ◽  
Cross Sectional Study ◽  
Stroke Survivors ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Dual Tasking ◽  
Mixed Analysis ◽  
Gait Parameters ◽  
Main Effects

Background: Stroke survivors depend on the unaffected leg during walking and standing. The presence of diabetic peripheral neuropathy (DPN) affecting both legs may further affect the postural balance and gait instability and increase the risk for falls in such patients. Thus, this study was conducted to investigate the effect of dual taskings on the gait and turning performance of stroke survivors with DPN. Methods: Forty stroke survivors were recruited (20 with DPN and 20 without DPN) in this cross-sectional study design. Instrumented timed up and go (iTUG) tests were conducted in three different tasking conditions (single task, dual motor and dual cognitive). APDM® Mobility Lab system was used to capture the gait parameters during the iTUG tests. A two-way mixed analysis of variance was used to determine the main effects of gait performance on three taskings during the iTUG test. Results: Spatiotemporal gait parameters and turning performance (turning time and turning step times) were more affected by the tasking conditions in stroke survivors with DPN compared to those without DPN (P < 0.05). Conclusion: Stroke survivors with DPN had difficulty walking while turning and performing a secondary task simultaneously.

scholarly journals Faktor Predisposisi Pengetahuan, Sikap, Nilai dan Budaya Eks Wanita Pekerja Seksual dengan Kejadian HIV/AIDS di Wilayah Kediri

2019 ◽  
Vol 7 (1) ◽  
pp. 53
Author(s):  
Indah Jayani ◽  
Fatma Sayekti Ruffaida
Keyword(s):  
Social Services ◽  
Negative Correlation ◽  
Health Workers ◽  
Rank Correlation ◽  
Sampling Technique ◽  
Deficiency Syndrome ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Hiv Aids

Human Immunodeficiency Virus (HIV)/ Immuno Deficiency Syndrome (AIDS) is a global health problem as a cause of a high mortality rate. The phenomenon of an increase in HIV/AIDS infection in the Kediri region was mostly obtained from the former Sexual Workers Woman (WPS). The purpose of the study was to determine the correlation between knowledge, attitudes, values and culture with the prevalence of HIV/AIDS among former sexual worker women in Kediri, East Java Province. This study was a correlation analytic study with a cross sectional. The population in this study was 448 with a proportional stratifed sampling technique which obtained a sample of 58 people. The instrument used in data collection is questionnaire. The results of the analysis with the Spearman rank correlation test showed there was a strong negative correlation between knowledge with HIV/AIDS events (ρ=0,00; r=-0,571), a strong negative correlation between attitudes and HIV/AIDS events (ρ=0,00; r=-0,538), a strong negative correlation between value and HIV/AIDS events (ρ=0,00; r=-0,784) and a strong negative correlation between cultures and HIV/AIDS events was indicated by (ρ=0,00; r=-0,456) among former WPS in Kediri, East Java Province 2017. Based on the results, the suggestions for health workers and related social services should continue to improve services by providing continuous education to former WPS related to how HIV/AIDS prevention and transmission are carried out, providing assistance, monitoring bio, psycho, socio-spiritual to change attitudes maladaptive becomes adaptive, and to disseminate culture to reduce the risk of HIV/ AIDS.

Gait parameters during the Timed Up-and-Go dual-task test: A validation study of video-recorded data

2020 ◽  
Vol 81 ◽  
pp. 2-3
Author(s):  
A.C. Åberg ◽  
H.B. Åhman ◽  
F. Olsson ◽  
O. Tarassova ◽  
Y. Cedervall ◽  
...  
Keyword(s):  
Validation Study ◽  
Dual Task ◽  
Timed Up And Go ◽  
Gait Parameters ◽  
Recorded Data

The Effects of Ankle Joint Mobilization on Dorsiflexion Range and Gait Parameters in Chronic Stroke Survivors: A Systematic Review and Meta-analysis

2021 ◽  
pp. 251660852098287
Author(s):  
Hariharasudhan Ravichandran ◽  
Balamurugan Janakiraman
Keyword(s):  
Ankle Joint ◽  
Meta Analysis ◽  
Step Length ◽  
Chronic Stroke ◽  
Gait Velocity ◽  
Stroke Survivors ◽  
Timed Up And Go ◽  
Unaffected Side ◽  
Joint Mobilization ◽  
Gait Parameters

Background: Ankle dorsiflexion movement restriction is a common presentation in most of the chronic stroke survivors. Spasticity and connective tissue changes around ankle, limits dorsiflexion, and interferes with balance and gait performances. Improving functional range of dorsiflexion is essential in post-stroke rehabilitation. Objectives: This meta-analysis analyzed the effects of ankle mobilization techniques in improving dorsiflexion range and gait parameters among chronic stroke survivors. Method: Articles published up to July 2020 were searched in CINAHL, PubMed, Embase, PsyINFO, and OpenGrey. English version of randomized controlled trials (RCTs) assessing the effects of ankle joint mobilization among chronic stroke subjects, with dorsiflexion range of motion (ROM) and gait parameters as outcome, were included. Characteristics of participants, interventions, outcome measure, and measures of variability were extracted. Methodological quality of included trials was assessed using PEDro scale and Cochrane Collaboration tool for the risk of bias. Pooled standardized mean difference was calculated using random effects model for dorsiflexion ROM, gait velocity, step length, cadence, and timed up and go (TUG). Results: Eight RCTs including 226 stroke patients, with mean methodological score of 6 out of 10 in PEDro, were eligible for this meta-analysis. Ankle joint mobilization demonstrated statistically significant improvement on passive dorsiflexion ROM, gait velocity, step length (affected side), and cadence outcomes. Nonsignificance was found in step length (unaffected side) and in TUG. Conclusion: The ankle mobilization techniques are effective in improving passive dorsiflexion ROM, gait velocity, and cadence in chronic stroke survivors. However, the retention effect of ankle mobilization among stroke subjects is not known.

scholarly journals The Impact of Diabetic Peripheral Neuropathy on Spatiotemporal Gait Parameters in Stroke Survivors: A Case-Control Study

2021 ◽  
Vol 50 (1) ◽  
pp. 191-199
Author(s):  
Amirah Mustapa ◽  
Maria Justine ◽  
Nadia Mohd Mustafah ◽  
Haidzir Manaf
Keyword(s):  
Peripheral Neuropathy ◽  
Diabetic Peripheral Neuropathy ◽  
Case Control Study ◽  
Case Control ◽  
Stroke Survivors ◽  
Healthy Controls ◽  
Gait Performance ◽  
Functional Balance ◽  
Gait Parameters ◽  
Control Study

The deterioration of gait performance following stroke is related to the impairment of sensorimotor function on the paretic side. Improper gait performance in post-stroke with additional diabetic peripheral neuropathy (DPN) on paretic and non-paretic legs may create destabilizing effects, including serious injuries and falls. Therefore, this study aimed to investigate the effect of DPN on spatiotemporal gait parameters in stroke survivors and determine the correlation of movement functioning and functional balance post-stroke with gait parameters. Ten stroke survivors with DPN, 10 stroke survivors without DPN and 10 healthy controls participated in this case-control study. Movement functioning and functional balance were assessed before the actual testing. Spatiotemporal gait parameters were recorded using the Nexus Vicon motion analysis system. Kruskal-Wallis test was used to analyze the gait parameters and Spearman’s rank-order correlation coefficient was used to identify the correlation between variables. Results showed that stroke survivors with DPN had longer stride time (temporal gait parameter, p = 0.001), lower cadence (p = 0.001) and greater gait variability than those without DPN and the healthy controls. The gait parameters were significantly correlated with movement functioning and functional balance in stroke survivors with DPN (p < 0.05). These findings suggested that DPN possibly affected the gait parameters in stroke survivors. DPN could also play a role in movement functioning and functional balance in stroke survivors.

scholarly journals The Effect of Cognitive and Motor Dual-task Training on Improvement of Balance and Some Spatiotemporal Gait Parameters in People With Idiopathic Parkinson's Disease

2019 ◽  
Vol 5 (4) ◽  
pp. 190-198
Author(s):  
Tahereh Pourkhani ◽  
◽  
Hassan Daneshmandi ◽  
Ali Asghar Norasteh ◽  
Babak Bakhshayesh Eghbali ◽  
...  
Keyword(s):  
Dual Task ◽  
Controlled Trial ◽  
Training Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Yahr Stage ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Background: Parkinson disease (PD) is characterized by motor and non-motor symptoms that affect patients’ functions, especially while performing dual-tasks a critical factor in everyday living. However, many controversies exist about the benefits of dual-task training in patients with PD. Objectives: This study assessed the efficacy of motor and cognitive dual-task training in improving balance and gait parameters in people with idiopathic PD. Materials & Methods: A single-blind controlled trial was conducted on PD patients living in Guilan Province of Iran, in 2018-2019. A total of 30 PD patients (Hoehn and Yahr stage II-III while on medication) were assigned to the cognitive dual-task training group (n=10), motor dual-task training group (n=10), and single-task control group (n=10). All groups received 30 sessions of different exercises for 10 consecutive weeks. The patients’ balance and some spatiotemporal gait parameters were respectively assessed with timed up and go test and HD VideoCam-Kinovea before and after training and then 1 month later. Results: Both dual-task and single-task trainings improved the outcome measures (timed up and go test (F=535.54; P=0.000), stride length (F=87.41; P=0.00), stride time (F=102.11; P=0.00), cadence (F=286.36; P=0.00), swing time (F=48.90; P=0.00), and stance time (F=40.56; P=0.00)). These improvements were maintained at 1-month follow-up, although the effect slightly reduced. No significant differences were found between the study groups (P>0.05). Conclusion: Motor/cognitive dual-task training and single-task training were found to be significantly and equally effective in improving balance and gait parameters in people with PD.

scholarly journals Turning Ability in Stroke Survivors: A Review of Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Haidzir Manaf ◽  
Maria Justine ◽  
Mazlifah Omar ◽  
Khairil Anuar Md Isa ◽  
Zoolfaiz Salleh
Keyword(s):  
Dual Task ◽  
Muscle Activity ◽  
Research Literature ◽  
Stroke Survivors ◽  
Muscle Coordination ◽  
Time Pattern ◽  
Gait Parameters ◽  
Plastic Bag ◽  
Base Of Support ◽  
Parameters Measurement

The aim of this paper is to explore the research literature on the turning ability among stroke survivors. Stroke is one of the top five leading causes of death and disability in Malaysia. Stroke survivors reported a higher rate of fall incidences with turning while walking has been the major contributor in most of the incidences. The attentional task requires stroke survivors to have higher cognitive and attention function, and sound muscle coordination in order to perform multitask activities such as driving, walking and turning while talking, carrying an object (holding a plastic bag), navigating corners and overcoming obstacles within the base of support. Most of the previous studies have focused on the kinematic and gait parameters measurement of turning ability among stroke survivors. However, studies conducted on muscle activity using electromyography to evaluate the time pattern of muscle contraction during turning event is lacking. With regards to dual-task ability among stroke survivors, there is insufficient information or research into dual task (motor and cognitive) ability during turning. Further studies are needed to understand the effects of dual-task activity on muscle activity and gait parameters and how this impairment affects the turning ability. This needs to be addressed in order to prevent falls among stroke survivors.

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