Gait stability in ambulant children with cerebral palsy during dual tasks.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D4E43E70B976
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Gait stability in ambulant children with cerebral palsy during dual tasks.
Journal
PloS one
Author(s)
Wist S., Carcreff L., Bruijn S.M., Allali G., Newman C.J., Fluss J., Armand S.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
17
Number
6
Pages
e0270145
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The aim of this cross-sectional study was to measure the effect of dual tasks on gait stability in ambulant children with cerebral palsy (CP) compared to typically developing (TD) children.
The children of the CP (n = 20) and TD groups (n = 20) walked first without a dual task, then while counting forward and finally while alternatively naming fruits and animals (DTf/a). They then completed the same cognitive exercises while sitting comfortably. We calculated the distance between the foot placement estimator (FPE) and the real foot placement in the anterior direction (DFPEAP) and in the mediolateral direction (DFPEML) as a measure of gait stability, in a gait laboratory using an optoelectronic system. Cognitive scores were computed. Comparisons within and between groups were analysed with linear mixed models.
The dual task had a significant effect on the CP group in DFPEAP and DFPEML. The CP group was more affected than the TD group during dual task in the DFPEML. Children in both groups showed significant changes in gait stability during dual tasks.
The impact of dual task on gait stability is possibly due to the sharing of attention between gait and the cognitive task. All children favoured a 'posture second' strategy during the dual task of alternatively naming animals and fruits. Children with CP increased their mediolateral stability during dual task.
Keywords
Cerebral Palsy, Cross-Sectional Studies, Gait, Gait Disorders, Neurologic, Humans, Walking
Pubmed
Open Access
Yes
Create date
05/07/2022 9:12
Last modification date
23/11/2022 8:15
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