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.

Effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions

2019 ◽  
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Dynamic Balance ◽  
The Elderly ◽  
Static Balance ◽  
Timed Up And Go ◽  
Task Conditions ◽  
And Control ◽  
Single Versus

Abstract Background: The aim of this study was to evaluate the effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions. Methods: The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1kg, 2kg and 3kg in each hand) loads on dynamic and static balance of 42 older adults (21 males and 21 females), aged ≥ 60 years were studied. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results: The TUG speed of female participants was generally slower than that of male participants. Cognitive task influenced the participants’ dynamic balance during the dual-task conditions, while the static balance was not affected in this phase. The dynamic and static balance measures were more influenced when performing the multi-tasks than when doing the dual-tasks. The effects of various levels of physical demand on the dynamic balance varied greatly under dual- and multi-task conditions. Conclusions: The findings add to the understanding of the factors influencing the elderly balance and control under cognitive and physical functioning.

scholarly journals Participant Factors That Contribute to Magnetic Resonance Imaging Motion Artifacts in Children With Mild Traumatic Brain Injury or Orthopedic Injury

2021 ◽  
Author(s):  
Ashley L. Ware ◽  
Ayushi Shukla ◽  
Sunny Guo ◽  
Adrian Onicas ◽  
Bryce L. Geeraert ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Motion Artifacts ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Diffusion Weighted Images ◽  
Orthopedic Injury ◽  
Diffusion Weighted ◽  
And Diffusion

Abstract Background: Motion can compromise image quality and confound results, especially in pediatric research. This study evaluated qualitative and quantitative approaches to motion artifacts detection and correction, and whether motion artifacts relate to injury history, age, or sex in children with mild traumatic brain injury or orthopedic injury relative to typically developing children. The concordance between qualitative and quantitative motion ratings was also examined.Method: Children aged 8-16 years with mild traumatic brain injury (n=141) or orthopedic injury (n=73) were recruited from the emergency department and completed an MRI scan roughly 2 weeks post-injury. Typically developing children (n=41) completed a single MRI scan. T1- and diffusion-weighted images were visually inspected and rated for motion artifacts by trained examiners. Quantitative estimates of motion artifacts were derived from FreeSurfer and FSL. Results: Age (younger > older) and sex (boys > girls) were significantly associated with motion artifacts on both T1- and diffusion-weighted images. Children with mild traumatic brain or orthopedic injury had significantly more motion-corrupted diffusion-weighted volumes than typically developing children, but mild traumatic brain injury and orthopedic injury groups did not differ from each other. The exclusion of motion-corrupted volumes did not significantly change diffusion tensor imaging metrics. Discussion: Results indicate that automated quantitative estimates of motion artifacts, which are less labour-intensive than manual methods, are appropriate. Results have implications for the reliability of structural magnetic resonance imaging research and highlight the importance of considering motion artifacts in studies of pediatric mild traumatic brain injury.

Use of an instrumented dual-task timed up and go test in children with traumatic brain injury

2020 ◽  
Vol 76 ◽  
pp. 193-197
Author(s):  
Mark A. Newman ◽  
Mark A. Hirsch ◽  
Richard D. Peindl ◽  
Nahir A. Habet ◽  
Tobias J. Tsai ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Dual Task ◽  
Timed Up And Go

scholarly journals Military-Specific Normative Data for Cognitive and Motor Single- and Dual-Task Assessments for Use in Mild Traumatic Brain Injury Assessment

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 176-183 ◽  
Author(s):  
Morgan K McGrath ◽  
Susan M Linder ◽  
Mandy Miller Koop ◽  
Nicole Zimmerman ◽  
Maj Aaron J Ballantyne ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Personnel ◽  
Dual Task ◽  
Military Service ◽  
Postural Stability ◽  
Cleveland Clinic ◽  
Single Task ◽  
Task Conditions

ABSTRACT Introduction Military personnel and civilian athletes are both at risk for mild traumatic brain injury. However, these groups are unique in their training and typical daily activities. A fundamental gap in the evaluation of military personnel following mild traumatic brain injury is the lack of military-specific normative reference data. This project aimed to determine if a separate normative sample should be used for military personnel on their performance of the Cleveland Clinic Concussion application and a recently developed dual-task module. Methods Data were collected from healthy military personnel (n = 305) and civilians (n = 281) 18 to 30 years of age. Participants completed the following assessments: simple and choice reaction time, Trail Making tests A&B, processing speed test, single-task postural stability, single-task cognitive assessment, and dual-task assessment. Results Civilian participants outperformed military service members on all cognitive tasks under single- and dual-task conditions (P ≤ 0.04). The military group outperformed civilians on all postural stability tasks under single- and dual-task conditions (P ≤ 0.01). Conclusion Differences in cognitive performance and postural stability measures may be influenced by demographic differences between military and civilian cohorts. Thus, military-specific normative datasets must be established to optimize clinical interpretation of Cleveland Clinic Concussion assessments.

Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Chang Yoon Baek ◽  
Woo Nam Chang ◽  
Beom Yeol Park ◽  
Kyoung Bo Lee ◽  
Kyoung Yee Kang ◽  
...  
Keyword(s):  
Dual Task ◽  
Cognitive Task ◽  
Gait Training ◽  
Control Group ◽  
Task Condition ◽  
Dual Task Condition ◽  
Single Task ◽  
Gait Parameters ◽  
Task Training ◽  
Task Conditions

Abstract Objective This study aimed to investigate the effects of dual-task gait training using a treadmill on gait ability, dual-task interference, and fall efficacy in people with stroke. Methods Patients with chronic stroke (N = 34) were recruited and randomly allocated to the experimental or control group. Both groups underwent gait training on a treadmill and a cognitive task. In the experimental group, gait training was conducted in conjunction with the cognitive task, whereas in the control group, the training and the cognitive task were conducted separately. Each intervention was provided for 60 minutes, twice a week, for a period of 6 weeks for both groups. The primary outcomes were as follows: gait parameters (speed, stride, variability, and cadence) under single-task and dual-task conditions, correct response rate (CRR) under single-task and dual-task conditions, and dual-task cost (DTC) in gait parameters and CRR. The secondary outcome was the fall efficacy scale. Results Dual-task gait training using a treadmill improved all gait parameters in the dual-task condition, speed, stride, and variability in the single-task condition, and CRR in both conditions. Difference between the groups was observed in speed, stride, and variability in the dual-task condition. Furthermore, dual-task gait training on a treadmill improved DTC in speed, variability, and cadence along with that in CRR, indicating true improvement of DTC, which led to significant improvement in DTC in speed and variability compared with single-task training. Conclusions Dual-task gait treadmill training was more effective in improving gait ability in dual-task training and DTI than single-task training involving gait and cognitive task separately in people with chronic stroke.

scholarly journals The Effect of Performing a Dual Task on Postural Control in Children with Autism

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Maria Pia Bucci ◽  
Catherine Doyen ◽  
Yves Contenjean ◽  
Kelley Kaye
Keyword(s):  
Eye Movements ◽  
Dual Task ◽  
Postural Stability ◽  
Center Of Pressure ◽  
Children With Autism ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Dual Task Condition ◽  
Pursuit Eye Movements ◽  
Task Conditions

The aim of the study was to explore the effect of eye movements (saccades and pursuits) on postural stability in children with autism versus typically developing children of comparable age. Postural stability was recorded with a platform (Techno Concept) in seven children with autism (mean age: 6 ± 0.8) while fixating a target or making saccades or pursuit eye movements. Data was compared to that of seven age-matched typically developing children. Surface area and mean speed of the center of pressure (CoP) were measured. Autistic children (AC) were more instable than typically developing children (TD), both in simple as well as dual task conditions. Performing a dual task thus affects AC and TD children in a different way. AC stability is not improved during saccades or pursuit eye movements in the dual task condition; in contrast, saccades significantly improve postural stability in TD children. The postural instability observed in AC during simple as well as dual task supports the hypothesis that such children have deficits in cerebellar functions.

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.

scholarly journals Development of postural control during gait in typically developing children: The effects of dual-task conditions

2012 ◽  
Vol 35 (3) ◽  
pp. 428-434 ◽  
Author(s):  
Sujitra Boonyong ◽  
Ka-Chun Siu ◽  
Paul van Donkelaar ◽  
Li-Shan Chou ◽  
Marjorie H. Woollacott
Keyword(s):  
Postural Control ◽  
Dual Task ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Task Conditions

scholarly journals Goalkeeper game: a new assessment instrument in neurology showed higher predictive power than moca for gait performance in people with parkinson’s disease

2018 ◽  
Author(s):  
Rafael B. Stern ◽  
Matheus d’Alencar ◽  
Yanina L. Uscapi ◽  
Marco D. Gubitoso ◽  
Antonio C. Roque ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Predictive Power ◽  
Assessment Instrument ◽  
Single Individual ◽  
Timed Up And Go ◽  
Gait Performance ◽  
Task Conditions ◽  
Moca Score

ObjectiveTo investigate the use of the Goalkeeper Game (GG) to assess gait automaticity decline under dual task conditions in people with Parkinson’s disease (PPD) and compare its predictive power with the one of the MoCA test.Materials and Methods74 PPD (H&Y stages: 23 in stage 1; 31 in stage 2; 20 in stage 3), without dementia (MoCA cut-off 23), tested in ON period with dopaminergic medication were submitted to single individual cognitive/motor evaluation sessions. The tests applied were: MoCA, GG, dynamic gait index (DGI) task and timed up and go test (TUG) under single and dual-task (DT) conditions. GG test resulted in 9 measures extracted via a statistical model. The predictive power of the GG measures and the MoCA score with respect to gait performance, as assessed by DGI and DT-TUG, were compared.ResultsThe predictive models based on GG measures and MoCA score obtained, respectively, sensitivities of 65% and 56% for DGI scores and 59% and 57% for DT-TUG cost at a 50% specificity. GG application proved to be feasible and aroused more motivation in PPDs than MoCa.ConclusionGG, a friendly and ludic game, was able to reach a good power of gait performance prediction in people at initial and intermediate stages of PD evolution.

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