Dual task interferes with sensorimotor coupling in postural control.

2014 ◽  
Vol 7 (4) ◽  
pp. 593-599 ◽  
Author(s):  
Stefane A. Aguiar ◽  
Karina Gramani-Say ◽  
Andrei G. Lopes ◽  
Jose A. Barela
2011 ◽  
Vol 29 (5) ◽  
pp. 539-545 ◽  
Author(s):  
Michał Kuczyński ◽  
Marolia Szymańska ◽  
Ewa Bieć

Author(s):  
Zahra Nadimi ◽  
Mansoureh Adel Ghahraman ◽  
Ghassem Mohammadkhani ◽  
Reza Hoseinabadi ◽  
Shohreh Jalaie ◽  
...  

Background and Aim: Vestibular system has several anatomical connections with cognitive regions of the brain. Vestibular disorders have negative effects on cognitive performance. Hearing-impaired patients, particularly cochlear implant users, have concomitant vestibular disor­ders. Previous studies have shown that attention assigned to postural control decreases while per­forming a cognitive task (dual task) in hearing-impaired children. Since the vestibular system and postural control performance develop around 15−16 years of age, the aim of this study was to compare postural control performance during dual task in adolescent boys with normal hearing and cochlear implant (CI) users with congenital hearing-impairment. Methods: Postural control was assessed in twenty 16−19 year old cochlear implant boys and 40 normal hearing peers with force plate. The main outcomes were displacement in posterior- anterior and medial-lateral planes, and mean speed with and without cognitive task and under on/off-device conditions. Caloric test was per­formed for CI users in order to examine the peri­pheral vestibular system. Results: Ninety-five percent of CI users showed caloric weakness. There were no significant diff­erences in postural control parameters between groups. All performances deteriorated in the foam pad condition compared to the hard surface in all groups. Total mean velocity significantly increased during dual task in normal hearing group and in CI users with off-device. Conclusion: Although CI users had apparent vestibular disorders, their postural control in both single and dual-task conditions was identical to the normal peers. These effects can be attributed to the vestibular compensation that takes place during growing. Keywords: Balance; postural control; dual task; congenital hearing loss; cochlear implant


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0242963
Author(s):  
Peter M. Wayne ◽  
Brian J. Gow ◽  
Fengzhen Hou ◽  
Yan Ma ◽  
Jeffrey M. Hausdorff ◽  
...  

Background Tai Chi (TC) mind-body exercise has been shown to reduce falls and improve balance and gait, however, few studies have evaluated the role of lower extremity muscle activation patterns in the observed benefits of TC on mobility. Purpose To perform an exploratory analysis of the association between TC training and levels of lower extremity muscle co-contraction in healthy adults during walking under single-task (ST) and cognitive dual-task (DT) conditions. Methods Surface electromyography of the anterior tibialis and lateral gastrocnemius muscles was recorded during 90 sec trials of overground ST (walking normally) and DT (walking with verbalized serial subtractions) walking. A mean co-contraction index (CCI), across all strides, was calculated based on the percentage of total muscle activity when antagonist muscles were simultaneously activated. A hybrid study design investigated long-term effects of TC via a cross-sectional comparison of 27 TC experts and 60 age-matched TC-naïve older adults. A longitudinal comparison assessed the shorter-term effects of TC; TC-naïve participants were randomly allocated to either 6 months of TC training or to usual care. Results Across all participants at baseline, greater CCI was correlated with slower gait speed under DT (β(95% CI) = -26.1(-48.6, -3.7)) but not ST (β(95% CI) = -15.4(-38.2, 7.4)) walking. Linear models adjusting for age, gender, BMI and other factors that differed at baseline indicated that TC experts exhibited lower CCI compared to TC naives under DT, but not ST conditions (ST: mean difference (95% CI) = -7.1(-15.2, 0.97); DT: mean difference (95% CI) = -10.1(-18.1, -2.4)). No differences were observed in CCI for TC-naive adults randomly assigned to 6 months of TC vs. usual care. Conclusion Lower extremity muscle co-contraction may play a role in the observed benefit of longer-term TC training on gait and postural control. Longer-duration and adequately powered randomized trials are needed to evaluate the effect of TC on neuromuscular coordination and its impact on postural control. Trial registration The randomized trial component of this study was registered at ClinicalTrials.gov (NCT01340365).


PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0147392 ◽  
Author(s):  
Rainer Beurskens ◽  
Matthias Haeger ◽  
Reinhold Kliegl ◽  
Kai Roecker ◽  
Urs Granacher

2017 ◽  
Vol 57 ◽  
pp. 193-198 ◽  
Author(s):  
Andrea L. Rosso ◽  
Massimo Cenciarini ◽  
Patrick J. Sparto ◽  
Patrick J. Loughlin ◽  
Joseph M. Furman ◽  
...  
Keyword(s):  

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033230 ◽  
Author(s):  
Xiangbin Wang ◽  
Meijin Hou ◽  
Shaoqing Chen ◽  
Jiao Yu ◽  
Dalu Qi ◽  
...  

IntroductionStair ascent and descent require complex integration between sensory and motor systems; individuals with knee osteoarthritis (KOA) have an elevated risk for falls and fall injuries, which may be in part due to poor dynamic postural control during locomotion. Tai chi exercise has been shown to reduce fall risks in the ageing population and is recommended as one of the non-pharmocological therapies for people with KOA. However, neuromuscular mechanisms underlying the benefits of tai chi for persons with KOA are not clearly understood. Postural control deficits in performing a primary motor task may be more pronounced when required to simultaneously attend to a cognitive task. This single-blind, parallel design randomised controlled trial (RCT) aims to evaluate the effects of a 12-week tai chi programme versus balance and postural control training on neuromechanical characteristics during dual-task stair negotiation.Methods and analysisSixty-six participants with KOA will be randomised into either tai chi or balance and postural control training, each at 60 min per session, twice weekly for 12 weeks. Assessed at baseline and 12 weeks (ie, postintervention), the primary outcomes are attention cost and dynamic postural stability during dual-task stair negotiation. Secondary outcomes include balance and proprioception, foot clearances, self-reported symptoms and function. A telephone follow-up to assess symptoms and function will be conducted at 20 weeks. The findings will help determine whether tai chi is beneficial on dynamic stability and in reducing fall risks in older adults with KOA patients in community.Ethics and disseminationEthics approval was obtained from the Ethics Committee of the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine (#2018KY-006–1). Study findings will be disseminated through presentations at scientific conferences or publications in peer-reviewed journals.Trial registration numberChiCTR1800018028.


2019 ◽  
Vol 52 (2) ◽  
pp. 187-195 ◽  
Author(s):  
Pilar Bustillo-Casero ◽  
Sara Cebrian-Bou ◽  
Carlos Cruz-Montecinos ◽  
Alberto Pardo ◽  
Xavier García-Massó

Neurology ◽  
2021 ◽  
Vol 98 (1 Supplement 1) ◽  
pp. S3.2-S3
Author(s):  
Nathan Morelli ◽  
Nathan Johnson ◽  
Kimberly Kaiser ◽  
Richard Andreatta ◽  
Nicholas Heebner ◽  
...  

ObjectiveThe purpose of this study is to determine the relationship between intra- and internetwork connectivity and DTC of postural, gait, and cognitive performance in healthy, young adults.BackgroundDual-task (DT) deficits persist after return to activity in those recovering from a sports related concussion. However, little is known about the relationship of cortical network function to DT capacity. Current evidence regarding the relationship between network connectivity and dual-task balance and gait performance is limited by focusing on older adults and those with cognitive impairments, using a condensed set of task demands, and neglecting the role of connectivity in the ability to adapt to minimize DT cost (DTC).Design/MethodsTwelve adults (7 females; age: 23.41 ± 2.74 years; height: 1.73 ± 0.10 m; weight: 72.66 ± 11.25 kg) volunteered for this study. Participants completed resting-state functional magnetic resonance imaging, as well as single and DT variants of the Concussion Balance Test, Sensory Organization Test, and gait. Functional connectivity within and between the default mode (DMN), salience (SAL), and sensorimotor (SMN) networks were calculated for all subjects. Pearson's correlations were used to assess the association of connectivity to balance and gait speed DTC.ResultsInter-network connectivity between to DMN to the SAL and SMN demonstrated moderate to strong association to DTC of gait speed and postural control during tasks which perturbed sensory environments (r = −0.59 to 0.94, p < 0.05). There was no relationship between connectivity and DTC of cognitive performance during DT (r = −0.50 to 0.54, p > 0.05).ConclusionsOur findings highlight the role of the SAL, SMN, and DMN in cognitive-motor interactions during gait and postural control. Furthermore, functional connectivity underlying DT gait and static postural control performance express inverse relationships, suggesting task-dependent differences in system level processing.


Sign in / Sign up

Export Citation Format

Share Document