scholarly journals Dual-task cost in people with multiple sclerosis: A case–control study

2018 ◽  
Vol 81 (7) ◽  
pp. 384-392 ◽  
Author(s):  
Jolien Lemmens ◽  
Sofie Ferdinand ◽  
Annick Vandenbroucke ◽  
Stephan Ilsbroukx ◽  
Daphne Kos
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Performance ◽  
Dual Task ◽  
Motor Performance ◽  
Hand Function ◽  
Cognitive Capacity ◽  
Fine Motor ◽  
Dual Task Cost ◽  
Task Conditions ◽  
Fine Motor Performance

Introduction Limitations in fine motor functioning and cognitive performance are frequently reported in multiple sclerosis. Studies about dual-task costs in multiple sclerosis generally explore walking and postural performance. This study aims at exploring dual-task costs when simultaneously performing fine motor and cognitive tasks. Method Eighty people with multiple sclerosis and 80 matched controls performed the nine-hole peg test and the months backward test under single and dual-task conditions. Differences in performance over time were analysed with the paired t-test; differences in dual-task costs between groups were analysed with independent t-tests. Results People with multiple sclerosis and controls showed a significant decrease in fine motor and cognitive performance in dual-task conditions compared to single-task conditions ( P < 0.01). People with multiple sclerosis with limited hand capacity showed larger dual-task costs for cognitive performance compared to other hand capacity groups ( P < 0.05). Individuals with multiple sclerosis with lower cognitive capacity showed larger dual-task costs for fine motor performance ( P < 0.01). Conclusion Both people with multiple sclerosis and controls experience dual-task costs. People with multiple sclerosis with limited hand function showed an increased dual-task cost of cognitive performance and individuals with limited cognitive capacity showed a higher dual-task cost for fine motor performance. Therefore, occupational therapists should focus on cognitive or fine motor aspects during dual-task training dependent on individuals' capacities.

Dual-Task Cost and Related Clinical Features in Patients With Multiple Sclerosis

Motor Control ◽  
2020 ◽  
pp. 1-23
Author(s):  
Cagla Ozkul ◽  
Arzu Guclu-Gunduz ◽  
Kader Eldemir ◽  
Yasemin Apaydin ◽  
Cagri Gulsen ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Features ◽  
Dual Task ◽  
Verbal Fluency ◽  
Postural Stability ◽  
Cognitive Task ◽  
Manual Dexterity ◽  
Healthy Controls ◽  
Dual Task Cost ◽  
Task Conditions

This study aimed to investigate the dual-task cost of both motor and cognitive performances in patients with multiple sclerosis (PwMS) and in healthy controls and to determine their relationships with clinical features in PwMS. The participants performed motor tasks (postural stability, walking, and manual dexterity) and cognitive tasks (mental tracking and verbal fluency) under single- and dual-task conditions. The results showed that postural stability under dual-task conditions did not change, whereas walking and manual dexterity deteriorated, regardless of the concurrent cognitive task, in PwMS (median Expanded Disability Status Scale score: 1) and the healthy controls. Verbal fluency decreased during postural stability, whereas it increased during walking, and it was maintained during manual dexterity in both groups. Mental tracking did not change during walking; it declined during manual dexterity in both groups. Mental tracking during postural stability deteriorated in PwMS, while it did not change in the healthy controls. In general, dual-task costs were associated with baseline performances of tasks rather than clinical features. Therefore, baseline performances of both tasks should be increased for improving dual-task performance in PwMS.

scholarly journals Differences in Dual Task Performance After Robotic Upper Extremity Rehabilitation in Hemiplegic Stroke Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Kuem Ju Lee ◽  
Gyulee Park ◽  
Joon-Ho Shin
Keyword(s):  
Task Performance ◽  
Cognitive Performance ◽  
Dual Task ◽  
Motor Performance ◽  
Motor Task ◽  
Robotic Rehabilitation ◽  
Task Effects ◽  
Dual Task Performance ◽  
Upper Extremity Rehabilitation ◽  
Task Conditions

Background: Cognitive–motor interference is a phenomenon in which the concomitant performance of cognitive and motor tasks results in poorer performance than the isolated performance of these tasks. We aimed to evaluate changes in dual-task performance after robotic upper extremity rehabilitation in patients with stroke-induced hemiplegia.Methods: This prospective study included patients with left upper limb weakness secondary to middle cerebral artery stroke who visited a rehabilitation hospital. Participants performed a total of 640 robot-assisted planar reaching movements during a therapist-supervised robotic intervention that was conducted five times a week for 4 weeks. Cognitive and motor performance was separately evaluated in single- and dual-task conditions. The digit span test and Controlled Oral Word Association Test (COWAT) were used to assess cognitive performance, whereas motor performance was evaluated through kinematic assessment of the motor task.Results: In single-task conditions, motor performance showed significant improvement after robotic rehabilitation, as did the scores of the COWAT subdomains of animal naming (p &lt; 0.001), supermarket item naming (p &lt; 0.06), and phonemes (p &lt; 0.05). In dual-task conditions, all motor task performance variables except mean velocity showed improvement after robotic rehabilitation. The type of cognitive task did not affect the dual-task effect, and there were no significant differences in the dual-task effects of motor, cognitive, or the sum of motor and cognitive performance after robotic rehabilitation.Conclusion: Post-stroke robotic rehabilitation has different effects on motor and cognitive function, with more consistent effects on motor function than on cognitive function. Although motor and cognitive performance improved after robotic rehabilitation, there were no changes in the corresponding dual-task effects.

Dual task cost of cognition is related to fall risk in patients with multiple sclerosis: a prospective study

2016 ◽  
Vol 31 (2) ◽  
pp. 278-284 ◽  
Author(s):  
Yasaman Etemadi
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Performance ◽  
Correct Response ◽  
Dual Task ◽  
Fall Risk ◽  
Response Rate ◽  
Dual Task Condition ◽  
Dual Task Cost ◽  
Walking Velocity ◽  
Correct Response Rate

Objective: To examine whether change in cognitive performance during dual task condition compared with a task in isolation, known as dual task cost, is related to fall risk of patients with multiple sclerosis. Design: Prospective cohort. During baseline assessment, data about balance, walking and cognitive performance of patients with multiple sclerosis were collected under a single and dual task condition. The dual task cost was calculated as a percentage of change in parameters from single to dual task conditions. Falls were recorded prospectively for six months and participants were classified as none/one time fallers and recurrent fallers (⩾2 falls). The association between dual task costs and fall status was evaluated by logistic regression. Setting: Balance research lab of university hospital. Participants: A total of 60 patients with relapsing-remitting multiple sclerosis. Interventions: Not applicable. Main outcome measures: The dual task cost of the center of pressure sway area, walking velocity and correct response rate were outcome measures for balance, walking and cognitive performance, respectively. Results: A total of 79 falls were reported by 38 of the participants who experienced one or more falls; 26 (43.3%) of them had recurrent falls. Dual tasking resulted in increased sway area and decreased walking velocity and correct response rate during walking (all p values <0.05). Logistic regressions showed that the dual task cost of the correct response rate during walking and walking velocity were associated with increased risk of recurrent falls ( P = 0.02, odds ratio = 1.34; confidence interval (CI) 1.04–3.74; P =  0.05, odds ratio = 1.23, CI = 1.02–4.45, respectively). Conclusions: The dual task cost of cognition was related to fall, which should be considered as a target for falls evaluation and prevention strategies.

Efficacy of fine motor and balance exercises on fine motor skills in children with sensorineural hearing loss

2021 ◽  
pp. 1-10
Author(s):  
Elsayed S. Mehrem ◽  
Lamyaa A. Fergany ◽  
Said A. Mohamed ◽  
Hany M. Fares ◽  
Roshdy M. Kamel
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Motor Skills ◽  
Motor Performance ◽  
Fine Motor ◽  
Control Group ◽  
Fine Motor Skills ◽  
Significant Difference ◽  
Balance Exercises ◽  
Fine Motor Performance

Background: Childhood hearing impairment is a major disability associated with delayed motor development. The affected Fine motor performance in children with sensorineural hearing loss (SNHL) could be due to dynamic balance deficits and visual-motor incoordination. Objective: This study was designed to investigate the effects of fine motor exercises with or without balancing exercises on fine motor skills in children with SNHL. Methods: One hundred and eighty (180) children their age ranged from 8 to 18 years old diagnosed with SNHL were selected. They were divided into three groups, 60 children (control group) practiced only their ordinary activities of daily living, 60 children (fine motor exercises group) practiced fine motor exercises, and 60 children (fine motor and balance exercise) group practiced fine motor and balance exercises. The outcomes were assessed by the Bruininks Oseretsky Test of the motor proficiency second edition scale (BOT-2). Results: Generally, there was a statistically significant difference between control group and fine motor exercises group where (p <  0.05), besides, there was a statistically significant difference between control group and fine motor and balance exercises group where (p <  0.05). But, there was no statistically significant difference between fine motor exercises group and fine motor and balance exercises group where (p >  0.05). Conclusions: The Fine Motor performance of children with SNHL has been improved by Fine motor with or without balancing exercises according to (BOT-2).

scholarly journals The Profile of Fine Motor Development Achievement in Children of Island (5-6 Years Old) in Teulaga Tujuh Langsa Village

2020 ◽  
Vol 3 (1) ◽  
pp. 127-132
Author(s):  
Adinda Purnama ◽  
Anita Yus ◽  
Anita Yus ◽  
Yasaratodo Wau
Keyword(s):  
Motor Development ◽  
Motor Performance ◽  
Descriptive Analysis ◽  
Qualitative Approach ◽  
Fine Motor ◽  
Fine Motor Performance ◽  
The Village

This study aims to: to analyze the profile of fine motor development achievement in children of island (5-6 years old) in teulaga tujuh langsa village. This research uses a qualitative approach with descriptive analysis. The data analyzed are the results of interviews by parents, and the results of observations of children in Teulaga Tujuh Langsa Village. The results of research conducted on the profile of fine motor performance of island children aged 5-6 years can be concluded that the achievement of fine motor development of children in the village of Teulaga Tujuh has developed in accordance with the 6 stages of achievement of fine motor development of children aged 5-6 years. His accomplishments include drawing according to patterns, imitating shapes, using stationery, cutting, sticking and expressing something with movement.

scholarly journals Case Report: Combining Dalfampridine with Multicomponent Exercise and Gait Training in a Person with Multiple Sclerosis

2018 ◽  
Vol 20 (5) ◽  
pp. 238-243
Author(s):  
Prudence Plummer ◽  
Corinne J. Bohling ◽  
L. Ellese Nickles ◽  
Alexis A. Williams ◽  
Amy Thomas ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Dual Task ◽  
Gait Speed ◽  
Gait Training ◽  
Important Change ◽  
Relapsing Remitting ◽  
History Of ◽  
Task Conditions ◽  
Clinically Important Change

Abstract Background: Dalfampridine extended release (D-ER) improves gait speed in some people with multiple sclerosis (MS), but many patients who take D-ER demonstrate only small improvements of questionable clinical significance. Physical therapy (PT) may augment the treatment effects of D-ER on the nervous system and improve clinical outcomes. This case report describes the successful use of D-ER combined with multicomponent PT in a patient who did not have a clinically important change in gait speed with D-ER alone. Methods: A 59-year-old woman with a 6-year history of relapsing-remitting MS was prescribed D-ER by her neurologist. After 3 weeks of D-ER therapy (10 mg twice daily), she demonstrated only a 7.1% improvement in the Timed 25-Foot Walk test. She then commenced PT consisting of two 40-minute sessions per week for 6 weeks while continuing D-ER therapy. Training focused on gait, balance, coordination, functional strengthening, and dual-task performance. Results: After 6 weeks of D-ER + PT, she had a further 14.6% improvement in Timed 25-Foot Walk gait speed, for a total improvement of 20.7%, which elevated her above the clinically meaningful threshold of 20%. Similar patterns of improvement were also observed for self-selected gait speed in single- and dual-task conditions. Improvements in fast and dual-task gait speed were retained 3 weeks later. Conclusions: For this patient, combining PT with D-ER therapy improved gait speed more than the use of D-ER alone. Further investigation of D-ER + PT or PT as an alternative to D-ER in patients with submeaningful medication response is warranted.

Effects of smoking and smoking abstinence on fine motor performance

1989 ◽  
Vol 32 (4) ◽  
pp. 1084-1085 ◽  
Author(s):  
Michael J. Klitzke ◽  
Thomas W. Lombardo ◽  
Stephen C. Fowler
Keyword(s):  
Motor Performance ◽  
Fine Motor ◽  
Smoking Abstinence ◽  
Fine Motor Performance

Curriculum for Individuals with a Developmental Disability: An Overview

1993 ◽  
Vol 12 (2) ◽  
pp. 27-29
Author(s):  
Gloria M. Palma ◽  
William A. Meyers ◽  
Susan Robin ◽  
Cindy Thomas ◽  
Dwayne Lizar
Keyword(s):  
New Mexico ◽  
Motor Performance ◽  
Developmentally Disabled ◽  
Fine Motor ◽  
Training Center ◽  
Language Communication ◽  
Contextual Framework ◽  
Survival Skills ◽  
Fine Motor Performance ◽  
And Training

A curriculum that is functional for individuals who are considered developmentally disabled was developed at Tohatchi Special Education and Training Center, located within the Navajo Reservation in New Mexico. The purpose of the curriculum is to provide learning experiences for these individuals with a focus on survival skills. The curriculum is mainly divided into five parts: (a) overview of the contextual framework, (b) curriculum usage, (c) information modules, (d) gross and fine motor performance, and (e) language/communication components.

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