Impact of motor fatigue on spatiotemporal parameters of gait under single-and dual-task conditions in individuals with chronic ankle instability and copers.

Introduction: Chronic ankle instability (CAI) is associated with altered gait mechanics and cognitive-motor deficits, while some individuals with a history of ankle sprain recover successfully as copers. Dual-tasking and fatigue represent common real-world challenges, but their combined effects on g...

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Publicado en:Physiotherapy Theory & Practice Vol. 42; no. 2; pp. 290 - 300
Autores principales: Pirayeh, Nahid, Abrishami, Fateme, Mehravar, Mohammad, Mostafaee, Neda, Najarzadeh, Zahra
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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        atl: Impact of motor fatigue on spatiotemporal parameters of gait under single-and dual-task conditions in individuals with chronic ankle instability and copers.
      aug:
        au:
          Pirayeh, Nahid
          Abrishami, Fateme
          Mehravar, Mohammad
          Mostafaee, Neda
          Najarzadeh, Zahra
        affil: Rehabilitation Research Center, Ahvaz Jondishapour University of Medical Sciences, Ahvaz, Iran
      sug:
        subj:
          Gait Analysis Evaluation
          Muscle Weakness Complications
          Motor Skills
          Task Performance and Analysis
          Chronic Ankle Instability Physiopathology
          Recovery
          Human
          Cross Sectional Studies
          Cognition Evaluation
          Step Evaluation
          Descriptive Statistics
          Walking
          Post Hoc Analysis
          Spatial Perception
          Ambulatory Care Facilities
          Iran
          Software
          Motion Capture
          Treadmills
          Neuropsychological Tests
          Clinical Assessment Tools
          T-Tests
          Repeated Measures
          Analysis of Variance
          Pretest-Posttest Design
          Two-Way Analysis of Variance
          Data Analysis Software
          Questionnaires
          Funding Source
      ab: Introduction: Chronic ankle instability (CAI) is associated with altered gait mechanics and cognitive-motor deficits, while some individuals with a history of ankle sprain recover successfully as copers. Dual-tasking and fatigue represent common real-world challenges, but their combined effects on gait in CAI compared with copers remain unclear. Purpose: To investigate the effects of motor fatigue on spatiotemporal gait parameters under single- and dual-task conditions in individuals with CAI compared with copers. Methods: Thirty individuals with CAI (mean age 26.7 ± 7.2 years) and 30 age- and sex-matched copers, (mean age 24.48 ± 6.2 years) completed gait trials under single- and cognitive dual-task conditions, both before and after a fatiguing exercise protocol. Spatiotemporal gait parameters were recorded, and repeated-measures ANOVA with Bonferroni correction was used to examine main effects and interactions. Results: Dual-tasking significantly altered gait in both groups, with increased step length (p =.005) and step time (p <.001) and reduced step width (p =.018) and step length variability compared with single-task walking (p =.036). Fatigue further modified spatiotemporal parameters. The individuals with CAI showed increased variability in step length, while copers demonstrated decreased variability in step time (p =.021). Cognitive performance remained stable across conditions. Conclusion: Dual-tasking and fatigue interact to shape gait differently in CAI and coper groups. Rather than uniformly impairing gait, dual-tasking sometimes promoted more consistent walking, while fatigue destabilized gait, particularly in individuals with CAI. These findings highlight the importance of incorporating both cognitive and fatigue-related challenges into rehabilitation to better prepare individuals with CAI for real-world demands.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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