Upper Extremity-Cognitive Dual-Task Capacity Post-Stroke.
Background: Dual-task capacity, which might be impaired poststroke, is needed for daily functions. Therefore, dual-task capacity should be assessed during rehabilitation. The Dual Overload Interference Test (DO-IT) is a new upper extremity (UE) protocol for assessment, combining The Box and Block Te...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 39; no. 5; pp. 365 - 377 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2025
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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=185067179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185067179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: May2025 vid: 39 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 185067179 182893299 185067179 185067179 10.1177/15459683251317192 185067179 ppf: 365 ppct: 12 formats: tig: atl: Upper Extremity-Cognitive Dual-Task Capacity Post-Stroke. aug: au: Bachar Kirshenboim, Yishai Tzur Lebovich, Shir Weitzer, Tal Doron, Dana Bondi, Moshe Cialic, Ron Rand, Debbie affil: Department of Occupational Therapy, School of Health Professions, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel Aviv, Israel sug: subj: Stroke Rehabilitation Stroke Rehabilitation Upper Extremity Physiology Task Performance and Analysis Evaluation Exercise Test Equipment and Supplies Instrument Validation Human Adult Middle Age Aged Male Female Funding Source Validation Studies Comparative Studies Cross Sectional Studies Walking Cognition Evaluation Community Living Health Status Descriptive Statistics Motor Skills Evaluation Executive Function Scales Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Dual-task capacity, which might be impaired poststroke, is needed for daily functions. Therefore, dual-task capacity should be assessed during rehabilitation. The Dual Overload Interference Test (DO-IT) is a new upper extremity (UE) protocol for assessment, combining The Box and Block Test with the Counting Backwards Test. Objectives: To validate DO-IT by comparing between (1) young and older healthy, (2) stroke and healthy participants. Additionally, to correlate DO-IT with (3) walking-cognitive dual-task assessment (healthy), and (4) standardized cognitive and EF assessments (stroke). Methods: A cross-sectional study included younger and older community-dwelling healthy individuals (N = 32), and younger and older individuals with stroke (N = 83). DO-IT was administered to all participants. The #blocks transferred (motor) and #correct numbers counted (cognitive) were recorded for single and dual conditions. The walking-cognitive dual-task test was administered to the healthy participants. Motor and cognitive costs were calculated as the difference between single and dual tasks. The Montreal Cognitive Assessment test (MoCA) and the Color Trail Test (CTT) assessed cognition post stroke. Results: Older healthy adults had significantly lower dual-task motor capacity compared to younger adults (median [interquartile range] blocks: older 26 [21-38], younger 46 [38-52], P <.01). Participants with stroke showed higher motor costs than healthy participants. Dual-task costs correlated between DO-IT to walking-cognitive (motor; r =.37-.41, cognitive; r =.41-.47, P <.05). DO-IT motor cost negatively correlated with MoCA (r = −.27, P <.05), and DO-IT motor performance correlated with MoCA/CTT-A\B (r =.29-.60, P <.05). Conclusions: UE-Cognitive dual-task capacity is affected post-stroke. DO-IT shows potential for use in stroke rehabilitation and its validity should be further researched. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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