Increased Auditory Dual Task Cost During Gait Initiation in Adult Patients With Persistent Concussion Symptoms.
To compare dual task cost (DTC) during gait initiation (GI) between a population of patients with persistent concussion symptoms (PCS) and age-matched healthy participants. Cohort study. University research center. A cohort sample including 15 participants with PCS (43.9±11.7y, 73.3% female) and 23...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 105; no. 12; pp. 2262 - 2269 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Dec2024
|
| 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=181058471&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181058471 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Dec2024 vid: 105 iid: 12 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 181058471 181058471 181058471 10.1016/j.apmr.2024.08.007 181058471 ppf: 2262 ppct: 7 formats: tig: atl: Increased Auditory Dual Task Cost During Gait Initiation in Adult Patients With Persistent Concussion Symptoms. aug: au: Bryk, Kelsey N. Passalugo, Scott Shan Chou, Li- Reisman, Darcy S. Hafer, Jocelyn F. Semrau, Jennifer A. Buckley, Thomas A. affil: Department of Kinesiology and Applied Physiology, University of Delaware, DE sug: subj: Auditory Perception In Adulthood Task Performance and Analysis Gait Walking Brain Concussion Symptoms Human Male Female Adult Middle Age Age Factors Activities of Daily Living Functional Status Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: To compare dual task cost (DTC) during gait initiation (GI) between a population of patients with persistent concussion symptoms (PCS) and age-matched healthy participants. Cohort study. University research center. A cohort sample including 15 participants with PCS (43.9±11.7y, 73.3% female) and 23 age-matched healthy participants (42.1 ± 10.3y, 65.2% female) as controls. Participants were tested on a single occasion where they performed 5 trials of single task and 5 trials of dual task GI with 12-camera motion capture and 3 force plates. The dependent variables of interest were the DTC for the center of pressure (COP) displacement and velocity during the anticipatory postural adjustment (APA) phase, the COP-center of mass (COP-COM) separation, and the response accuracy during the auditory cognitive tasks. There were significant group differences with worse DTC for the PCS participants in anterior (A)/posterior (P) displacement (PCS, −37.5±22.1%; Control, −9.7±39.2%; P =.016, d=0.874), APA medial (M)/lateral (L) velocity (PCS, −34.8±28.8%; Control, −17.0±40.21%; P =.041, d=0.866), and the peak COP-COM separation (PCS, −7.3±6.7%; Control, 0.6±6.5%; P =.023, d=1.200). There were no significant group differences in the APA A/P velocity (PCS, −38.8±33.1%; Control, −19.8±43.9%; P =.094), APA M/L displacement (PCS, −34.8±21.8%; Control, −10.6±25.3%; P =.313), or cognitive task performance (PCS, −2.7±10.8%; Control, −0.2±4.3%; P =.321). PCS participants had greater (worse) DTC during both the planning and execution of the task, with large effect sizes (d>0.80). PCS participants also used a posture-second strategy whereby attentional resources were inappropriately allocated to the cognitive task. These deficits may challenge a patient's ability to complete activities of daily living and limit their functional independence. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|