Single and Dual-Task Tandem Gait Performance Throughout Concussion Recovery

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.

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Effects of Arch Support Insoles on Single- and Dual-Task Gait Performance Among Community-Dwelling Older Adults

Clinical Interventions in Aging ◽

10.2147/cia.s254474 ◽

2020 ◽

Vol Volume 15 ◽

pp. 1325-1332

Author(s):

Hsien-Te Peng ◽

Chueh-Ho Lin ◽

Yu-Chi Kuo ◽

Chen-Yi Song

Keyword(s):

Older Adults ◽

Dual Task ◽

Community Dwelling ◽

Gait Performance ◽

Arch Support ◽

Community Dwelling Older Adults

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Influence of Haptic Sensory Input through Different Kinds of Clothing on Gait Performance

Applied Sciences ◽

10.3390/app10217590 ◽

2020 ◽

Vol 10 (21) ◽

pp. 7590

Author(s):

Kazushige Oshita ◽

Sumio Yano

Keyword(s):

Sensory Input ◽

Lower Leg ◽

Cotton Cloth ◽

Sensory Cues ◽

Gait Performance ◽

Healthy Men ◽

Continuous Contact ◽

Different Types ◽

Different Types Of Clothing ◽

Tandem Gait

This study investigated the effects of haptic sensory input by different types of clothing worn on gait performance. Twelve healthy men performed normal and tandem gait tests with blindfolds under three different clothing conditions: (1) wearing only half tights (HT); (2) wearing a skirt-like draped outfit such as a cotton cloth wrapped around the waist and extended to the lower leg (DC); and (3) wearing a trouser-like outfit such as tracksuit bottoms (TS). Although gait speed was significantly increased in DC as compared with HT, this was not observed in TS. Missteps during tandem gait were significantly reduced with DC. In addition, DC made walking easier for individuals as compared with TS. These findings suggest that wearing a skirt-like outfit such as kilts in Scotland or the hakama in Japan may provide haptic sensory cues to enhance individuals’ perceptions of their body orientation as compared with trouser-like clothing that is in continuous contact with the legs.

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Gait and Cognition in Parkinson’s Disease: Cognitive Impairment Is Inadequately Reflected by Gait Performance during Dual Task

Frontiers in Neurology ◽

10.3389/fneur.2017.00550 ◽

2017 ◽

Vol 8 ◽

Cited By ~ 8

Author(s):

Heiko Gaßner ◽

Franz Marxreiter ◽

Simon Steib ◽

Zacharias Kohl ◽

Johannes C. M. Schlachetzki ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Cognitive Impairment ◽

Dual Task ◽

Gait Performance

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Influence of dual task constraints on gait performance and bimanual coordination during walking in children with unilateral Cerebral Palsy

Research in Developmental Disabilities ◽

10.1016/j.ridd.2014.01.024 ◽

2014 ◽

Vol 35 (4) ◽

pp. 755-760 ◽

Cited By ~ 20

Author(s):

Ya-Ching Hung ◽

Geneva S. Meredith

Keyword(s):

Cerebral Palsy ◽

Dual Task ◽

Bimanual Coordination ◽

Task Constraints ◽

Gait Performance ◽

Unilateral Cerebral Palsy

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The Effect of Daily Use of Plantar Mechanical Stimulation Through Micro-Mobile Foot Compression Device Installed in Shoe Insoles on Vibration Perception, Gait, and Balance in People With Diabetic Peripheral Neuropathy

Journal of Diabetes Science and Technology ◽

10.1177/1932296819839703 ◽

2019 ◽

Vol 13 (5) ◽

pp. 847-856 ◽

Cited By ~ 4

Author(s):

Gu Eon Kang ◽

Mohsen Zahiri ◽

Brian Lepow ◽

Nimrah Saleem ◽

Bijan Najafi

Keyword(s):

Peripheral Neuropathy ◽

Mechanical Stimulation ◽

Dual Task ◽

Diabetic Peripheral Neuropathy ◽

Ankle Brachial Index ◽

Gait Performance ◽

Fast Walking ◽

Compression Device ◽

Eyes Open ◽

Vibration Perception

Objective: People with diabetic peripheral neuropathy (DPN) have impaired gait and balance performance. The aim of this study is to investigate therapeutic effectiveness of mechanical stimulation through a wearable foot compression device equipped in a shoe insole on vibration perception, balance control and gait performance in people with DPN. Methods: Using a single-arm 4-week intervention study design, we examined effectiveness of daily use of shoes equipped with the foot compression device (Footbeat™, AVEX, Grand Junction, CO, USA) on improving vibration perception threshold (VPTmax), skin perfusion pressure (SPP), ankle brachial index (ABI), lower extremities edema (circumferences in the calf and ankle), and motor performance (postural sway with eyes open and closed conditions, and gait performance during normal, dual-task and fast walking). Thirty people with type 2 diabetes and symptoms of PN completed the experimental protocol. Results: Improvements in VPTmax (before = 27.4 V, after = 23.3 V, P = .007, d = 0.33, where d denotes effect size), center-of-mass sway in the mediolateral direction with both eyes open and closed conditions (before = 0.94 cm, after = 0.76 cm, P = .020, d = 0.47; before = 1.10 cm, after = 0.83 cm, P = .033, d = 0.66, respectively), and stride velocity for normal walking, dual-task walking and fast walking tasks (before = 0.87 m/s, after = 0.96 m/s, P = .017, d = 0.41; before = 0.75 m/s, after = 0.91 m/s, P = .001, d = 0.77; before = 1.10 m/s, after = 1.20 m/s, P = .043, d = 0.33, respectively) were found post treatment. There was no significant improvement in SPP, ABI, and circumferences in the calf and ankle. Conclusions: Our findings suggest the wearable foot compression device may be effective for reducing neuropathic symptoms and enhancing motor performances in people with DPN.

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WEARABLES REVEAL A GAP BETWEEN GAIT PERFORMANCE IN THE LAB AND DURING 24/7 MONITORING IN OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igz038.1218 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S335-S335

Author(s):

Inbar Hillel ◽

Laura Avanzino ◽

Andrea Cereatti ◽

Marcel Olde Rikkert ◽

Silvia Del Din ◽

...

Keyword(s):

Older Adults ◽

Dual Task ◽

Gait Speed ◽

Daily Living ◽

Laboratory Setting ◽

Gait Performance ◽

Lower Back ◽

Gait Features

Abstract We compared in-lab usual-walking (UW) and dual-task walking (DTW) to daily-living measures of gait obtained during 24/7 monitoring. In-lab gait features (e.g., gait speed, step and stride regularity) derived from UW and DTW were compared to the same gait features during daily-living in 150 elderly fallers (age: 76.5±6.3 years, 37.6% men). Features were extracted from a lower-back accelerometer. In daily-living setting, subjects wore the device for one week and pre-processing detected 30-second walking bouts. A histogram of all walking bouts was determined for each walking feature for each subject, then each subject’s typical, worst and best values were determined. Statistics of reliability were assessed using ICC and Bland-Altman. As expected, in-lab gait speed, step regularity, and stride regularity were worse during DTW, compared to UW. Gait speed, step regularity, and stride regularity during UW were significantly higher (i.e., better) from the typical daily-living values (p<0.0001) and different (p<0.000) from the worst and best values. DTW values tended to be similar to typical daily-living values (p=0.205, p=0.053, p=0.013 respectively). ICC assessment and Bland-Altman plots indicated that in-lab values do not reliably reflect the daily-walking values. Gait values during relatively long daily-living walking bouts are more similar to the corresponding values obtained in the lab during DTW, as compared to UW. Still, gait performance during most daily-living walking bouts are worse than that measured in-lab and do not reliably reflect each other. That is, an older adult’s typical daily-living gait cannot be estimated by simply measuring walking in a structured, laboratory setting.

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