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Effects of Cognitive-Motor Interference on Cognitive Tasks Requiring Different Types of Concentration During Preferred and Fast Walking in Stroke Patients

  • Choo, Yeon-Seung (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Kim, Mi-Sun (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Choi, Jong-Duk (Dept. of Physical Therapy, College of Natural Science, Daejeon University)
  • 투고 : 2014.09.30
  • 심사 : 2014.11.10
  • 발행 : 2014.11.19

초록

The purpose of this study was to examine the effect of three cognitive tasks on gait at a preferred walking speed, and at a fast speed, using dual-task methodology. A total of 29 stroke patients participated in the study. All 29 subjects performed 2 motor tasks (10-meter walk task and timed up and go task each at a preferred and a fast speed) and three cognitive tasks [Stroop, word list generation (WLG), serial subtraction (SS)] under dual-task conditions [cognitive-motor interference (CMI)] in a randomized order. Gait speeds were measured in six different conditions. A repeated-measure analysis of variance was employed to compare the results of the Stroop training, WLG, and SS tasks during preferred and fast walking. A Bonferroni adjustment use for post hoc analysis. The level of statistical significance was set at ${\alpha}=.05$. A CMI effect occurred for performance of a 10-meter walking task at two different speed and a cognitive task (p<.05). Stroop had a significantly greater effect than SS and WLG (p<.05). The timed up and go task was affected when performed with fast walking speed during Stroop cognitive task (p<.05), but was not affected if performed with preferred walking speed during a cognitive task (p>.05). This study showed that CMI of Stroop can be used as a rehabilitation program for stroke patients.

키워드

참고문헌

  1. Beauchet O, Dubost V, Aminian K, et al. Dual-task-related gait changes in the elderly: Does the type of cognitive task matter? J Mot Behav. 2005;37(4):259-264.
  2. Bherer L, Kramer AF, Peterson MS, et al. Training effects of dual-task performance: Are there age-related differences in plasticity of attentional control? Psychol Aging. 2005;20(4):695-709. https://doi.org/10.1037/0882-7974.20.4.695
  3. 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
  4. Campbell AJ, Borrie MJ, Spears GF, et al. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing. 1990;19(2):136-141. https://doi.org/10.1093/ageing/19.2.136
  5. Dennis A, Dawes H, Elsworth C, et al. Fast walking under cognitive-motor interference conditions in chronic stroke. Brain Res. 2009;1287:104-110. http://dx.doi.org/10.1016/j.brainres.2009.06.023
  6. Dubost V, Annweiler C, Aminian K, et al. Stride-to-stride variability while enumerating animal names among healthy young adults: Result of stride velocity or effect of attention-demanding task? Gait Posture. 2008;27(1):138-143. https://doi.org/10.1016/j.gaitpost.2007.03.011
  7. Goethals I, Audenaert K, Jacobs F, et al. Cognitive neuroactivation using SPECT and the stroop colored word test in patients with diffuse brain injury. J Neurotrauma. 2004;21(8):1059-1069. https://doi.org/10.1089/0897715041651051
  8. Hatfield J, Murphy S. The effects of mobile phone use on pedestrian crossing behaviour at signalized and unsingalized intersections. Accid Anal Prev. 2007;39(1):197-205. https://doi.org/10.1016/j.aap.2006.07.001
  9. Han MR. The studies of cognitive and walking ability under dual task training applying cognitive task in stroke patients. Naju, Dongsin University, Master Thesis. 2012.
  10. Huxhold O, Li SC, Schmiedek F, et al. Dual-tasking postural control: Aging and the effects of cognitive demand in conjunction with focus of attention. Barain Res Bull. 2006;69(3):294-305. https://doi.org/10.1016/j.brainresbull.2006.01.002
  11. Jørgensen HS, Nakayama H, Reith J, et al. Stroke recurrence: Predictors, severity, and prognosis. The copenhagen stroke study. Neurology. 1997; 48(4):891-895. https://doi.org/10.1212/WNL.48.4.891
  12. Lord SE, Rochester L, Weatherall M, et al. The effect of environment and task on gait parameters after stroke: A randomized comparison of measurement conditions. Arch Phys Med Rehabil. 2006;87(7):967-973. https://doi.org/10.1016/j.apmr.2006.03.003
  13. Mulder T. Motor imagery and action observation: Cognitive tools for rehabilitation. J Neural Transm. 2007;114(10):1265-1278. https://doi.org/10.1007/s00702-007-0763-z
  14. O'Shea S, Morris ME, Iansek R. Dual task interference during gait in people with parkinson disease:Effects of motor versus cognitive secondary tasks. Phys Ther. 2002;82(9):888-897.
  15. 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
  16. Podsiadlo D, Richardson S. The timed up & go: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  17. Regnaux JP, David D, Daniel O, et al. Evidence for cognitive processes involved in the control of steady state of walking in healthy subjects and after cerebral damage. Neurorehabil Neural Repair. 2005;19(2):125-132. https://doi.org/10.1177/1545968305275612
  18. Ruthruff E, Van Selst M, Johnston JC, et al. How does practice reduce dual-task interference: Integration automatization or just stage-shortening? Psychol Res. 2006;70(2):125-142. https://doi.org/10.1007/s00426-004-0192-7
  19. Silsupadol P, Lugade V, Shumway-Cook A, et al. Training-related changes in dual-task walking performance of elderly persons with balance impairment:A double-blind, randomized controlled trial. Gait Posture. 2009;29(4):634-639. http://dx.doi.org/10.1016/j.gaitpost.2009.01.006
  20. Silsupadol P, Shumway-Cook A, Lugade V, et al. Effects of single-task versus dual-task training on balance performance in older adults: A double-blind randomized controlled trial. Arch Phys Med Rehabil. 2009;90(3):381-387. https://doi.org/10.1016/j.apmr.2008.09.559
  21. 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.
  22. Yang YR, Chen YC, Lee CS, et al. Dual task-related gait changes in individuals with stroke. Gait Posture. 2007;25(2):185-190. https://doi.org/10.1016/j.gaitpost.2006.03.007
  23. Yang YR, Tsai MP, Chuang TY, et al. Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial. Gait Posture. 2008;28(2):201-206. http://dx.doi.org/10.1016/j.gaitpost.2007.11.007
  24. Yogev-Seligmann G, Hausdorff JM, Giladi N. The role of executive function and attention in gait. Mov Disord. 2008;23(3):329-342. https://doi.org/10.1002/mds.21720