Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of the Confusion Level of Dual-Tasks Using a Smartphone on the Gait of Subjects with Chronic Ankle Instability While Walking

보행 중 스마트폰을 이용한 이중과제의 혼란수준이 만성 발목불안정성 성인의 보행에 미치는 영향

  • Choi, Woo-Sung (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 최우성 (대전대학교 대학원 물리치료학과) ;
  • 최종덕 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2020.06.03
  • Accepted : 2020.07.20
  • Published : 2020.08.31
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Abstract

PURPOSE: This study examined the effects of the confusion level in performing dual tasks using smartphones while walking in subjects with chronic ankle instability (CAI). METHODS: Twenty subjects with CAI and 20 healthy subjects participated in the study. The spatial, temporal, spatial-temporal, and variability gait parameters were measured using GAITRite under four different conditions: general gait, web surfing during gait, texting during gait, and gaming during gait. Two-way repeated-measures analysis of variance was used to analyze the interaction according to the group (2) and confusion level in dual-tasks (4). One-way repeated-measures analysis of variance was used to compare the changes within the group according to the confusion level in dual-tasks. The changes between groups were compared using an independent t-test. The statistical significance level was set to p = .05. RESULTS: Significant interactions in the temporal and spatial-temporal gait parameters were found between the dual-task conditions and the other groups (p < .05). Significant within-group differences in the spatial, temporal, and spatial-temporal gait parameters were found according to the confusion level in dual tasks (p < .05). Significant between-group differences were observed in the temporal and spatial-temporal gait parameters according to the confusion level in dual tasks (p < .05). CONCLUSION: The effect of the confusion level in dual tasks was greater in subjects with CAI than in healthy individuals. This study suggests that to prevent reinjury to the ankle, subjects with CAI should avoid dual tasks such as using smartphones while walking.

Keywords

References

  1. Fong DT, Hong Y, Chan LK, et al. Systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73-94. https://doi.org/10.2165/00007256-200737010-00006
  2. Abe Y, Sugaya T, Sakamoto M. The postural control characteristics of individuals with and without a history of ankle sprain during single-leg standing. J Phys Ther Sci, 2014;26(6):885-8. https://doi.org/10.1589/jpts.26.885
  3. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-75.
  4. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT-P et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. British journal of sports medicine 2016;50(24):1496-505. https://doi.org/10.1136/bjsports-2016-096189
  5. Hertel J. Sensorimotor Deficits with Ankle Sprains and Chronic Ankle Instability. Clin Sports Med 2008;27(3):353-70. https://doi.org/10.1016/j.csm.2008.03.006
  6. Monaghan K, Delahunt E, Caulfield B. Ankle function during gait in patients with chronic ankle instability compared to controls. Clin Biomech. 2006;21(2):168-74. https://doi.org/10.1016/j.clinbiomech.2005.09.004
  7. Springer S, Gottlieb U. Effects of dual-task and walking speed on gait variability in people with chronic ankle instability: a cross-sectional study. BMC Musculoskelet Disord. 2017;18(1)316. https://doi.org/10.1186/s12891-017-1675-1
  8. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav. 2005;37(3):239-46. https://doi.org/10.3200/JMBR.37.3.239-246
  9. Hyong IH, The effects on dynamic balance of dual-tasking using smartphone functions. J Phys Ther Sci, 2015;27(2):527-9. https://doi.org/10.1589/jpts.27.527
  10. Jun DS. Effects of the Elderly Computer/Internet Competence on Life Satisfaction. KJLGAS. 2019;29(3):389-409.
  11. Kang SC, Lee SW, Shim JI. A Study on Patterns and Distraction of Smart Devices Usages While Walking. Journal of transport research. 2016;23(2):27-39. https://doi.org/10.34143/jtr.2016.23.2.27
  12. Nasar JL, Troyer D. Pedestrian injuries due to mobile phone use in public places. Accid Anal Prev. 2013;57:91-5. https://doi.org/10.1016/j.aap.2013.03.021
  13. Nyska M, Shabat S, Simkin A, et al. Dynamic force distribution during level walking under the feet of patients with chronic ankle instability. Br J Sports Med. 2003;37(6):495-7. https://doi.org/10.1136/bjsm.37.6.495
  14. Rosen AB, Than NT, Smith WZ, et al. Attention is associated with postural control in those with chronic ankle instability. Gait Posture. 2017;54:34-8 https://doi.org/10.1016/j.gaitpost.2017.02.023
  15. Gribble PA, Delahunt E, Bleakley CM, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the international ankle consortium. J Athl Train. 2014;49(1):121-7. https://doi.org/10.4085/1062-6050-49.1.14
  16. Docherty CL, Gansneder BM, Arnold BL. Development and reliability of the ankle instability instrument. J Athl Train. 2006;41(2):154-8.
  17. Heo SM. Reliability & validity of CAI assessment questionary - korea version. Master's Degree. Yonsei University. 2015.
  18. Bilney B, Morris M, Webster K. Concurrent related validity of the GAITRite(R) 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
  19. Menz HB, Latt MD, Tiedemann A, et al. Reliability of the GAITRite(R) walkway system for the quantification of temporo-spatial parameters of gait in young and older people. Gait Posture. 2004;20(1):20-5. https://doi.org/10.1016/S0966-6362(03)00068-7
  20. Suresh K, An overview of randomization techniques: an unbiased assessment of outcome in clinical research. J Hum Reprod Sci. 2011;4(1):8. https://doi.org/10.4103/0974-1208.82352
  21. Kim CY, Jeong HW, Kim HD. Effects of smart phone use on the gait parameters when healthy young subjects negotiated an obstacle. JKAIS. 2015;16(1):471-9.
  22. Martin CL, Philips BA, Kilpatrick TJ, et al. Gait and balance impairment in early multiple sclerosis in the absence of clinical disability. Mult Scler. 2006;12(5):620-8. https://doi.org/10.1177/1352458506070658
  23. Drewes LK, Mckeon P, Paolini G, et al. Altered ankle kinematics and shank-rear-foot coupling in those with chronic ankle instability. J Sport Rehabil. 2009 2009;18(3):375-88. https://doi.org/10.1123/jsr.18.3.375
  24. Andersson G, Yardley L, Luxon L. A dual-task study of interference between mental activity and control of balance. The Am J Otol. 1998;19:632-7.