Motor-cognitive interaction in adults with spina bifida: dual-task effects.
Study design: Cross-sectional design. Objectives: To study motor-cognitive interaction during walking while performing a cognitive task (dual-task [DT]) in ambulatory adults with spina bifida (SB). Setting: A specialized spinal cord center, The Spinalis clinic at Aleris Rehab Station Stockholm, Swed...
| Publicado en: | Spinal Cord Vol. 63; no. 9; pp. 514 - 522 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2025
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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=187782342&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187782342 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13624393 DZQ jtl: Spinal Cord issn: 13624393 maglogo: Y pubinfo: dt: Sep2025 vid: 63 iid: 9 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 187782342 187782342 187782342 10.1038/s41393-025-01099-5 187782342 ppf: 514 ppct: 8 formats: tig: atl: Motor-cognitive interaction in adults with spina bifida: dual-task effects. aug: au: Bendt, Martina Butler Forslund, Emelie Hagman, Göran Ekman, Urban Bezuidenhout, Lucian Johansson, Hanna Rydström, Anders Hultling, Claes Seiger, Åke Franzén, Erika affil: https://ror.org/056d84691 Karolinska Institutet, Department of Neurobiology, Care Science and Society, Division of Physiotherapy, Stockholm, Sweden sug: subj: Spina Bifida In Adulthood Walking Motor Skills Evaluation Cognition Evaluation Task Performance and Analysis Psychomotor Performance Human Cross Sectional Studies Sweden Muscle Strength Evaluation Gait Analysis Episodic Memory Evaluation Executive Function Evaluation Processing Speed Evaluation Descriptive Statistics Paired T-Tests Wilcoxon Signed Rank Test Adult Middle Age Male Female Data Analysis Software Spearman's Rank Correlation Coefficient Neuropsychological Tests Reaction Time Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Study design: Cross-sectional design. Objectives: To study motor-cognitive interaction during walking while performing a cognitive task (dual-task [DT]) in ambulatory adults with spina bifida (SB). Setting: A specialized spinal cord center, The Spinalis clinic at Aleris Rehab Station Stockholm, Sweden. Methods: Assessments of muscle strength and ambulatory function were performed. Gait was assessed with a sensor-based system with/without the auditory Stroop. Timed-up-and-go (TUG) with/without a cognitive task was also assessed. Regarding cognitive function, episodic memory, executive function, and processing speed were assessed. The percentage of difference between single-task (ST) and dual-task (DT) was used to calculate the DT effect (DTE) as cost or benefit. Differences were analyzed with t-test and Wilcoxon's signed rank test. Results: Forty-one persons were included, mean age 37 years (SD 12) and 20 (49%) were women. Thirty-four completed the DTE analysis. Seven could not perform the cognitive task and/or gait data and could not be registered. There was a DT cost on gait speed (4%), stride length (3%) and double support phase (3%), and cognitive function showed a cost of 3%. DTE for TUG was a 26% cost. Conclusion: We showed a DT cost on gait, possibly indicating fall risk during DT walking. The largest DT cost was seen during TUG with a cognitive task, indicating a valuable clinical test for motor-cognitive performance for adults with SB. This study is pioneering in that it increases our understanding of DT performance in ambulatory adults with SB which could facilitate development of targeted rehabilitation interventions and self-management strategies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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