Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Relationships Between Cognitive Function and Gait-Related Dual-Task Interference After Stroke

  • Kim, Jeong-Soo (Dept. of Physical Therapy, Seoul Rehabilitation Hospital) ;
  • Jeon, Hye-Seon (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Jeong, Yeon-Gyu (Dept. of Physical Therapy, Dongguk University Ilsan Hospital)
  • Received : 2014.06.19
  • Accepted : 2014.07.29
  • Published : 2014.09.17
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Abstract

Previous studies have reported that decreased cognitive ability has been consistently associated with significant declines in performance of one or both tasks under a dual-task walking condition. This study examined the relationship between specific cognitive abilities and the dual-task costs (DTCs) of spatio-temporal gait parameters in stroke patients. The spatio-temporal gait parameters were measured among 30 stroke patients while walking with and without a cognitive task (Stroop Word-Color Task) at the study participant's preferred walking speed. Cognitive abilities were measured using Computerized Neuropsychological Testing. Pearson's correlation coefficients (r) were calculated to quantify the associations between the neuropsychological measures and the DTCs in the spatio-temporal gait parameters. Moderate to strong correlations were found between the Auditory Continuous Performance test (ACPT) and the DTCs of the Single Support Time of Non-paretic (r=.37), the Trail Making A (TMA) test and the DTCs of Velocity (r=.71), TMA test and the DTCs of the Step Length of Paretic (r=.37), TMA test and the DTCs of the Step Length Non-paretic (r=.36), the Trail Making B (TMB) test and the DTCs of Velocity (r=.70), the Stroop Word-Color test and the DTCs of Velocity (r=-.40), Visual-span Backward (V-span B) test and the DTCs of Velocity (r=-.41), V-span B test and the DTCs of the Double Support Time of Non-paretic (r=.38), Digit-span Forward test and the DTCs of the Step Time of Non-paretic (r=-.39), and Digit-span Backward test and the DTCs of the Single Support Time of Paretic (r=.36). Especially TMA test and TMB test were found to be more strongly correlated to the DTCs of gait velocity than the other correlations. Understanding these cognitive features will provide guidance for identifying dual- task walking ability.

Keywords

References

  1. Balzano J, Chiaravalloti N, Lengenfelder J, et al. Does the scoring of late responses affect the outcome of the paced auditory serial addition task? Arch Clin Neuropsychol. 2006;21(8): 819-825. https://doi.org/10.1016/j.acn.2006.09.002
  2. Bilney B, Morris M, Webster K. Concurrent related validity of the gaitrite walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture. 2003;17(1):68-74. https://doi.org/10.1016/S0966-6362(02)00053-X
  3. Ble A, Volpato S, Zuliani G, et al. Executive function correlates with walking speed in older persons: The inchianti study. J Am Geriatr Soc. 2005;53(3):410-415. https://doi.org/10.1111/j.1532-5415.2005.53157.x
  4. Bloem BR, Grimbergen YA, van Dijk JG, et al. The "posture second" strategy: A review of wrong priorities in parkinson's disease. J Neurol Sci. 2006;248(1-2):196-204. https://doi.org/10.1016/j.jns.2006.05.010
  5. Bowen A, Wenman R, Mickelborough J, et al. Dual-task effects of talking while walking on velocity and balance following a stroke. Age Ageing. 2001;30(4):319-323. https://doi.org/10.1093/ageing/30.4.319
  6. Butland RJ, Pang J, Gross ER, et al. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed). 1982;284(6329): 1607-1608. https://doi.org/10.1136/bmj.284.6329.1607
  7. Coppin AK, Shumway-Cook A, Saczynski JS, et al. Association of executive function and performance of dual-task physical tests among older adults: Analyses from the inchianti study. Age Ageing. 2006;35(6):619-624. https://doi.org/10.1093/ageing/afl107
  8. Doi T, Shimada H, Makizako H, et al. Cognitive function and gait speed under normal and dual- task walking among older adults with mild cognitive impairment. BMC Neurol. 2014;14(1): 14-67. http://dx.doi.org/10.1186/1471-2377-14-67
  9. Hall CD, Echt KV, Wolf SL, et al. Cognitive and motor mechanisms underlying older adults' ability to divide attention while walking. Phys Ther. 2011;91(7):1039-1050. http://dx.doi.org/10.2522/ptj.20100114
  10. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: A 1-year prospective study. Arch Phys Med Rehabil. 2001;82(8):1050-1056. https://doi.org/10.1053/apmr.2001.24893
  11. Hirota C, Watanabe M, Sun W, et al. Association between the trail making test and physical performance in elderly japanese. Geriatr Gerontol Int. 2010;10(1):40-47. http://dx.doi.org/10.1111/j.1447-0594.2009.00557.x
  12. Hyndman D, Ashburn A, Yardley L, et al. Interference between balance, gait and cognitive task performance among people with stroke living in the community. Disabil Rehabil. 2006;28(13-14):849-856. https://doi.org/10.1080/09638280500534994
  13. Kasai K, Nakagome K, Hiramatsu K, et al. Psychophysiological index during auditory selective attention correlates with visual continuous performance test sensitivity in normal adults. Int J Psychophysiol. 2002;45(3):211-225. https://doi.org/10.1016/S0167-8760(02)00013-2
  14. Kemper S, McDowd J, Pohl P, et al. Revealing language deficits following stroke: The cost of doing two things at once. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2006;13(1):115-139. https://doi.org/10.1080/13825580500501496
  15. Malmstrom TK, Wolinsky FD, Andresen EM, et al. Cognitive ability and physical performance in middle-aged african americans. J Am Geriatr Soc. 2005;53(6):997-1001. https://doi.org/10.1111/j.1532-5415.2005.53318.x
  16. McDonough AL, Batavia M, Chen FC, et al. The validity and reliability of the gaitrite system's measurements: A preliminary evaluation. Arch Phys Med Rehabil. 2001;82(3):419-425. https://doi.org/10.1053/apmr.2001.19778
  17. McDowd JM. The effects of age and extended practice on divided attention performance. J Gerontol. 1986;41(6):764-769. https://doi.org/10.1093/geronj/41.6.764
  18. Motl RW, Sosnoff JJ, Dlugonski D, et al. Walking and cognition, but not symptoms, correlate with dual task cost of walking in multiple sclerosis. Gait Posture. 2014;39(3):870-874. http://dx.doi.org/10.1016/j.gaitpost.2013.11.023
  19. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005;86(8):1641-1647. https://doi.org/10.1016/j.apmr.2005.01.011
  20. Patel P, Lamar M, Bhatt T. Effect of type of cognitive task and walking speed on cognitive-motor interference during dual-task walking. Neuroscience. 2014;260:140-148. http://dx.doi.org/10.1016/j.neuroscience.2013.12.016
  21. Persad CC, Giordani B, Chen HC, et al. Neuropsychological predictors of complex obstacle avoidance in healthy older adults. J Gerontol B Psychol Sci Soc Sci. 1995;50(5): 272-277.
  22. Plummer-D'Amato P, Altmann LJ, Behrman AL, et al. Interference between cognition, double-limb support, and swing during gait in community- dwelling individuals poststroke. Neurorehabil Neural Repair. 2010;24(6):542-549. http://dx.doi.org/10.1177/1545968309357926
  23. Plummer-D'Amato P, Altmann LJ, Reilly K. Dual-task effects of spontaneous speech and executive function on gait in aging: Exaggerated effects in slow walkers. Gait Posture. 2011;33(2): 233-237. http://dx.doi.org/10.1016/j.gaitpost.2010.11.011
  24. Plummer-D'Amato P, Altmann LJ, Saracino D, et al. Interactions between cognitive tasks and gait after stroke: A dual task study. Gait Posture. 2008;27(4):683-688. https://doi.org/10.1016/j.gaitpost.2007.09.001
  25. Royall DR, Lauterbach EC, Cummings JL, et al. Executive control function: A review of its promise and challenges for clinical research. A report from the committee on research of the american neuropsychiatric association. J Neuropsychiatry Clin Neurosci. 2002;14(4): 377-405. https://doi.org/10.1176/appi.neuropsych.14.4.377
  26. Tanabe A, Osaka N. Picture span test: Measuring visual working memory capacity involved in remembering and comprehension. Behav Res Methods. 2009;41(2):309-317. http://dx.doi.org/10.3758/BRM.41.2.309
  27. Tombaugh TN. Trail making test a and b: Normative data stratified by age and education. Arch Clin Neuropsychol. 2004;19(2):203-214. https://doi.org/10.1016/S0887-6177(03)00039-8
  28. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: A review of an emerging area of research. Gait Posture. 2002; 16(1):1-14.

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  1. The effect of the degree of dual-task interference on gait, dual-task cost, cognitive ability, balance, and fall efficacy in people with stroke : A cross-sectional study vol.100, pp.24, 2014, https://doi.org/10.1097/md.0000000000026275