Degree and pattern of dual-task interference during walking vary with component tasks in people after stroke: a systematic review.

What are the degree and pattern of dual-task interference during walking in people after stroke? How do these vary with disease chronicity and different component tasks in people after stroke? How does dual-task interference differ between people after stroke and people without stroke? Systematic re...

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Publicado en:Journal of Physiotherapy (Elsevier) Vol. 68; no. 1; pp. 26 - 37
Autores principales: Tsang, Charlotte Sau-Lan, Wang, Shuting, Miller, Tiev, Pang, Marco Yiu-Chung
Formato: meta analysis research systematic review Journal Article
Publicado: Elsevier B.V. Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
      vid: 68
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      pub: Elsevier B.V.
      place: New York, New York
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        154560048
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        10.1016/j.jphys.2021.12.009
        154560048
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        atl: Degree and pattern of dual-task interference during walking vary with component tasks in people after stroke: a systematic review.
      aug:
        au:
          Tsang, Charlotte Sau-Lan
          Wang, Shuting
          Miller, Tiev
          Pang, Marco Yiu-Chung
        affil: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
      sug:
        subj:
          Stroke Patients
          Task Performance and Analysis
          Walking Evaluation
          Human
          Systematic Review
          Meta Analysis
          Psychomotor Performance Evaluation
          Walking Speed
          Uncertainty
          Descriptive Statistics
          Confidence Intervals
          Sensitivity and Specificity
          Chronic Disease
          Stroke Rehabilitation
          Cognition Evaluation
      ab: What are the degree and pattern of dual-task interference during walking in people after stroke? How do these vary with disease chronicity and different component tasks in people after stroke? How does dual-task interference differ between people after stroke and people without stroke? Systematic review with meta-analysis of studies reporting gait-related dual-task interference. People after stroke and people without stroke. Measures of walking and secondary (cognitive or manual) task performance under dual-task conditions relative to those under single-task conditions. Seventy-six studies (2,425 people after stroke and 492 people without stroke) were included. Manual and mental tracking tasks imposed the greatest dual-task interference on gait speed, although there was substantial uncertainty in these estimates. Among mental tracking tasks, the apparently least-complex task (serial 1 subtractions) induced the greatest dual-task interference (−0.17 m/s, 95% CI −0.24 to −0.10) on gait speed, although there was substantial uncertainty in these estimates. Mutual interference (decrement in both walking and secondary component task performances during dual-tasking) was the most common dual-task interference pattern. The results of the sensitivity analyses for studies involving people with chronic stroke were similar to the results of the primary analyses. The amount of dual-task interference from a mental tracking or manual task during walking was similar between people with or without stroke. The degree and pattern of dual-task interference vary with the choice of component tasks. When evaluating limitations to functional mobility during dual-tasking conditions and in planning interventions accordingly, clinicians should select dual-task assessments that correspond to the daily habits and physical demands of people after stroke. CRD42017059004.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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