Spatiotemporal Parameters of Gait Among Adolescent Athletes with Concussion When Performing a Visuospatial Cognitive Task.
Background Adolescent athletes aged 10 to 19 years are at the highest risk of experiencing sport-related concussions (SRCs). Despite the known deficits and battery of assessments following concussion, postural stability during dual-task gait remains understudied in this population. Purpose The purpo...
| Publicado en: | International Journal of Sports Physical Therapy Vol. 18; no. 2; pp. 338 - 348 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
North American Journal of Sports Physical Therapy
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164038658&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164038658 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21592896 BKL5 jtl: International Journal of Sports Physical Therapy issn: 21592896 maglogo: N pubinfo: dt: 2023 vid: 18 iid: 2 pid: 38303 pub: North American Journal of Sports Physical Therapy place: Indianapolis, Indiana artinfo: ui: 164038658 164038658 164038658 10.26603/001c.71361 164038658 ppf: 338 ppct: 10 formats: tig: atl: Spatiotemporal Parameters of Gait Among Adolescent Athletes with Concussion When Performing a Visuospatial Cognitive Task. aug: au: Lowe, Leah Castillo, Fernando Allen, Melissa Israel, Michael Yates, Charlotte affil: Physical Therapy, University of Central Arkansas sug: subj: Peer Group Gait Analysis Spatial Perception Memory Task Performance and Analysis Evaluation Computers, Hand-Held Athletic Injuries In Adolescence Brain Concussion Pathology Reference Values Human Paradigms Cross Sectional Studies Nonexperimental Studies Neuropsychology Treatment Outcomes Step Evaluation Adolescence Descriptive Statistics Walking Convenience Sample Ambulatory Care Facilities Gait Analysis Equipment and Supplies Male Female Cognition Funding Source Adolescent: 13-18 years Male Female ab: Background Adolescent athletes aged 10 to 19 years are at the highest risk of experiencing sport-related concussions (SRCs). Despite the known deficits and battery of assessments following concussion, postural stability during dual-task gait remains understudied in this population. Purpose The purpose of this study was to evaluate the dual-task cost (DTC) in adolescents with an acute or chronic SRC compared to reference values from healthy athlete peers for spatiotemporal parameters of gait during walking with and without a concurrent visuospatial memory task presented on a hand-held tablet. Researchers hypothesized that adolescents during the acute phase of concussion would be likely to experience a greater DTC compared to healthy peers in at least one spatiotemporal parameter of gait when walking within the dual-task paradigm. Study Design Cross-sectional, observational cohort design Methods Adolescents with concussion were recruited to participate. Subjects were divided into acute and chronic categories based on significant differences in the neuropsychological function after a period of 28 days. They walked at a self-selected speed along the 5.186-meter GAITRite® Walkway System with and without a concurrent visuospatial cognitive task presented on a hand-held tablet. Outcomes included normalized velocity (m/s), step length (m), and double limb (DLS) and single limb support (SLS) (defined as the percent of a gait cycle [%GC]). The data were then compared to the previously published reference values established using the same methods in the healthy athlete participants for all spatiotemporal parameters of gait. Results Data was collected on 29 adolescent athletes with SRC. Among males (15.53+/-1.12 years) with SRC, 20% of acute and 10% of chronic cases experienced a greater DTC compared to healthy athlete reference values. A similarly increased DTC was experienced by 83% of acute and 29% of chronic SRC cases for females (15.58+/-1.16 years). Conclusions Adolescent athletes with concussion may continue demonstrating deficits in gait capabilities even in the chronic phase, and compensatory gait strategies were not the same between males and females. Dual-task cost assessment using the GAITRite® may be a valuable adjunct to comprehensive analysis of gait following SRC. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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