Cognitive-motor dual-task interference modulates mediolateral dynamic stability during gait in post-stroke individuals.

Details

Serval ID
serval:BIB_B1208AE9A96A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cognitive-motor dual-task interference modulates mediolateral dynamic stability during gait in post-stroke individuals.
Journal
Human movement science
Author(s)
Tisserand R., Armand S., Allali G., Schnider A., Baillieul S.
ISSN
1872-7646 (Electronic)
ISSN-L
0167-9457
Publication state
Published
Issued date
04/2018
Peer-reviewed
Oui
Volume
58
Pages
175-184
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Gait asymmetry and dynamic balance impairments observed in post-stroke individuals increase their risk of fall. Moreover, walking while performing a cognitive task (i.e. dual-task) disturbs the control of balance in post-stroke individuals. Here we investigated the mediolateral dynamic stability in twenty-two community-dwelling participants (12 post-strokes and 10 healthy controls) while walking in single-task (normal gait) and four different dual-tasks (cognitive-motor interference). Positions of the extrapolated center of mass and mediolateral widths of both margin of stability and base of support were extracted from 35 marker trajectories. Post-stroke participants presented larger margin of stability and base of support than controls during single-task (both p < 0.01), with a larger margin of stability on the non-paretic side than on the paretic side at ipsilateral foot-strike (p < 0.05). No significant effect of the dual-task was found between groups. In post-stroke participants, dual-task induced slight modification of the mediolateral stability strategy, as the margin of stability was not different between the two limbs at foot-strike, and significantly reduced the performance in every cognitive task. Post-stroke participants increased their dynamic stability in the frontal plane in single-task by extending their base of support and mainly relying on their non-paretic limb. Under cognitive-motor interference (dual-task), post-stroke participants prioritized dynamic stability over cognitive performance to ensure a safe locomotion. Thus, rehabilitation programs should consider both dynamic balance and dual-task training, even at a chronic delay following stroke, to reduce the risk of fall in post-stroke individuals.
Keywords
Accidental Falls/prevention & control, Adult, Case-Control Studies, Cognition/physiology, Female, Foot/physiopathology, Gait/physiology, Humans, Male, Middle Aged, Postural Balance/physiology, Psychomotor Performance/physiology, Stroke/physiopathology, Stroke/psychology, Stroke Rehabilitation/methods, Walking/physiology, Dual-task, Dynamic stability, Gait, Hemiparesis, Stroke
Pubmed
Web of science
Create date
05/10/2023 15:44
Last modification date
06/10/2023 5:58
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