What are the factors affecting dual-task gait performance in people after stroke?

People after stroke have difficulties when they undertaking two tasks simultaneously. To investigate the relationships between dual-task performance and factors such as motor function, balance, cognitive state, and fatigue, to identify factors that have an impact on dual-task performance after a str...

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Publicado en:Physiotherapy Theory & Practice Vol. 38; no. 5; pp. 621 - 629
Autores principales: Muci, Birsen, Keser, Ilke, Meric, Aydin, Karatas, Gulcin Kaymak
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2022
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2020.1777603
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        atl: What are the factors affecting dual-task gait performance in people after stroke?
      aug:
        au:
          Muci, Birsen
          Keser, Ilke
          Meric, Aydin
          Karatas, Gulcin Kaymak
        affil: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Gazi University, Ankara, Turkey
      sug:
        subj:
          Stroke
          Gait
          Physical Performance
          Task Performance and Analysis
          Balance, Postural
          Cognition
          Fatigue
          Human
          Stroke Patients
          Questionnaires
          Psychological Tests
          Scales
          Multivariate Analysis
          Factor Analysis
          Data Analysis Software
          Descriptive Statistics
      ab: People after stroke have difficulties when they undertaking two tasks simultaneously. To investigate the relationships between dual-task performance and factors such as motor function, balance, cognitive state, and fatigue, to identify factors that have an impact on dual-task performance after a stroke. Thirty-seven people with stroke and 38 healthy participants were assessed with 10-m walking test in different performances which were single-task-based, motor dual-task-based and cognitive dual-task-based. Results were evaluated according to the Rivermead Motor Assessment, the Static balance index, the Mini-Mental State Examination, and the Fatigue Severity Scale. Participants with stroke were slower compared to the control group with the following mean speed values for single-task (M = 0.73 m/s, t = −7.612, p <.001), motor dual-task (M = 0.70 m/s, t = −8.232, p <.001), cognitive dual-task (M = 0.59 m/s, t = −7.944, p <.001). For people after stroke, motor dual-task performance was significantly affected by the total motor function scores (r = 0.648, p <.001), static balance (r = −0.499, p <.05), and fatigue rates (r = −0.349, p <.05). Furthermore, cognitive dual-task performance was affected by the total motor function score (r = 0.537, p <.05) static balance (r = −0.541, p <.05) and fatigue rates (r = −0.350), p <.05). Multivariate factor analysis indicated that impairment in the gross function influenced motor dual-task performance (B = 0.086, p =.031) and cognitive dual-task performance (B = 0.083, p =.010). Cognitive dual-task performance was affected by leg-trunk function (B = 0.063, p =.015) and age (B = −0.006, p =.009). The present study indicated that dual-task performance was related to motor function, balance, and fatigue, whereas gross motor function was the unique determinant of dual-task performance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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