1
|
Borji R, Baccouch R, Laatar R, Falhi S, Sahli S, Rebai H. Do Motor-Cognitive and Motor-Motor Dual-Task Training Differently Affect Dual-Task Interference in Individuals With Intellectual Disability? Adapt Phys Activ Q 2024:1-21. [PMID: 38955343 DOI: 10.1123/apaq.2024-0044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 04/17/2024] [Accepted: 05/06/2024] [Indexed: 07/04/2024] Open
Abstract
This study explored the effect of different dual-task (DT) training programs on DT interference in adults with intellectual disability. Center-of-pressure (CoP) mean velocity in single-task (ST) and cognitive-DT conditions and the Timed Up-and-Go Test (TUGT) during ST, cognitive-DT, and motor-DT conditions were assessed before and after intervention in a cognitive-motor training group, a motor-motor training group, and a control group. Before training, CoP mean velocity and TUGT time increased (p < .001) in DT compared with the ST condition. After training, the CoP mean velocity values remained unchanged (p = .07) in DT compared with the ST condition among the cognitive-motor training group. Furthermore, compared with the ST condition, no increase (p = 1) was reported in the TUGT time during the cognitive-DT condition for the cognitive-motor training group and during the motor-DT for the motor-motor training group (p = .12). The effect of DT training on DT interference depends on the training modality.
Collapse
Affiliation(s)
- Rihab Borji
- Research Laboratory: Education, Motricité, Sport et Santé, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Rym Baccouch
- Research Laboratory: Education, Motricité, Sport et Santé, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Rabeb Laatar
- Research Laboratory: Education, Motricité, Sport et Santé, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Sirine Falhi
- Research Laboratory: Education, Motricité, Sport et Santé, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Sonia Sahli
- Research Laboratory: Education, Motricité, Sport et Santé, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Haithem Rebai
- Sports Performance Optimization Research Laboratory, National Center for Sports Medicine and Science, Tunis, Tunisia
| |
Collapse
|
2
|
Podda J, Marchesi G, Bellosta A, Squeri V, De Luca A, Pedullà L, Tacchino A, Brichetto G. Testing Dynamic Balance in People with Multiple Sclerosis: A Correlational Study between Standard Posturography and Robotic-Assistive Device. SENSORS (BASEL, SWITZERLAND) 2024; 24:3325. [PMID: 38894116 PMCID: PMC11174503 DOI: 10.3390/s24113325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Revised: 05/17/2024] [Accepted: 05/21/2024] [Indexed: 06/21/2024]
Abstract
BACKGROUND Robotic devices are known to provide pivotal parameters to assess motor functions in Multiple Sclerosis (MS) as dynamic balance. However, there is still a lack of validation studies comparing innovative technologies with standard solutions. Thus, this study's aim was to compare the postural assessment of fifty people with MS (PwMS) during dynamic tasks performed with the gold standard EquiTest® and the robotic platform hunova®, using Center of Pressure (COP)-related parameters and global balance indexes. METHODS Pearson's ρ correlations were run for each COP-related measure and the global balance index was computed from EquiTest® and hunova® in both open (EO) and closed-eyes (EC) conditions. RESULTS Considering COP-related parameters, all correlations were significant in both EO (0.337 ≤ ρ ≤ 0.653) and EC (0.344 ≤ ρ ≤ 0.668). Furthermore, Pearson's analysis of global balance indexes revealed relatively strong for visual and vestibular, and strong for somatosensory system associations (ρ = 0.573; ρ = 0.494; ρ = 0.710, respectively). CONCLUSIONS Findings confirm the use of hunova® as a valid device for dynamic balance assessment in MS, suggesting that such a robotic platform could allow for a more sensitive assessment of balance over time, and thus a better evaluation of the effectiveness of personalized treatment, thereby improving evidence-based clinical practice.
Collapse
Affiliation(s)
- Jessica Podda
- Italian Multiple Sclerosis Foundation, 16149 Genoa, Italy; (J.P.); (L.P.); (G.B.)
| | - Giorgia Marchesi
- Movendo Technology S.R.L, 16149 Genoa, Italy; (G.M.); (V.S.); (A.D.L.)
| | - Alice Bellosta
- Department of Experimental Medicine, University of Genoa, 16126 Genoa, Italy;
| | - Valentina Squeri
- Movendo Technology S.R.L, 16149 Genoa, Italy; (G.M.); (V.S.); (A.D.L.)
| | - Alice De Luca
- Movendo Technology S.R.L, 16149 Genoa, Italy; (G.M.); (V.S.); (A.D.L.)
| | - Ludovico Pedullà
- Italian Multiple Sclerosis Foundation, 16149 Genoa, Italy; (J.P.); (L.P.); (G.B.)
| | - Andrea Tacchino
- Italian Multiple Sclerosis Foundation, 16149 Genoa, Italy; (J.P.); (L.P.); (G.B.)
| | - Giampaolo Brichetto
- Italian Multiple Sclerosis Foundation, 16149 Genoa, Italy; (J.P.); (L.P.); (G.B.)
- AISM Rehabilitation Service, 16149 Genoa, Italy
| |
Collapse
|
3
|
Brough LG, Neptune RR. A comparison of the effects of mediolateral surface and foot placement perturbations on balance control and response strategies during walking. Gait Posture 2024; 108:313-319. [PMID: 38199090 DOI: 10.1016/j.gaitpost.2023.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 11/21/2023] [Accepted: 12/22/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND Balance perturbation studies during walking have improved our understanding of balance control in various destabilizing conditions. However, it is unknown to what extent balance recovery strategies can be generalized across different types of mediolateral balance perturbations. RESEARCH QUESTION Do similar mediolateral perturbations (foot placement versus surface translation) have similar effects on balance control and corresponding balance response strategies? METHODS Kinetic and kinematic data were previously collected during two separate studies, each with 15 young, healthy participants walking on an instrumented treadmill. In both studies, medial and lateral balance perturbations were applied at 80% of the gait cycle either by a treadmill surface translation or a pneumatic force applied to the swing foot. Differences in balance control (frontal plane whole body angular momentum) and balance response strategies (hip abduction moment, ankle inversion moment, center of pressure excursion and frontal plane trunk moment) between perturbed and unperturbed gait cycles were evaluated using statistical parametric mapping. RESULTS Balance disruptions after foot placement perturbations were larger and sustained longer compared to surface translations. Changes in joint moment responses were also larger for the foot placement perturbations compared to the surface translation perturbations. Lateral hip, ankle, and trunk strategies were used to maintain balance after medial foot placement perturbations, while a trunk strategy was primarily used after surface translations. SIGNIFICANCE Surface and foot placement perturbations influence balance control and corresponding response strategies differently. These results can help inform the development of perturbation-based balance training interventions aimed at reducing fall risk in clinical populations.
Collapse
Affiliation(s)
- Lydia G Brough
- Walker Department of Mechanical Engineering, University of Texas at Austin, Austin, TX, USA
| | - Richard R Neptune
- Walker Department of Mechanical Engineering, University of Texas at Austin, Austin, TX, USA.
| |
Collapse
|
4
|
Small GH, Molina LK, Neptune RR. The influence of altered foot placement and cognitive load on balance control during walking in healthy young adults. Gait Posture 2023; 103:37-43. [PMID: 37084627 DOI: 10.1016/j.gaitpost.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Revised: 03/22/2023] [Accepted: 04/05/2023] [Indexed: 04/23/2023]
Abstract
BACKGROUND Clinical populations often walk with altered foot placement, which can adversely affect balance control. However, it is unknown how balance control during walking is influenced when combining a cognitive load with altered foot placement. RESEARCH QUESTION Is balance control during walking adversely affected by the combination of a more complex motor task, such as walking with altered foot placements, with a cognitive load? METHODS Fifteen young healthy adults walked on a treadmill with and without a spelling cognitive load during normal walking, with step width targets (self-selected width, narrow, wide and extra wide), or with step length targets (self-selected length, short and long). RESULTS Cognitive performance, measured by correct spelling response rate, decreased from self-selected (2.407 ± 0.6 letters/s) to the extra wide width (2.011 ± 0.5 letters/s). The addition of the cognitive load caused a decrease in frontal plane balance control across all step lengths (15% change) and at the wider step widths (16% change), but only caused a slight decrease in the sagittal plane for the short step length (6.8% change). SIGNIFICANCE These results suggest that when combining a cognitive load with walking at non-self-selected widths, a threshold exists at wider steps where attentional resources become insufficient and balance control and cognitive performance decrease. Because decreased balance control increases the risk of falling, these results have implications for clinical populations who often walk with wider steps. Furthermore, the lack of changes to sagittal plane balance during altered step length dual-tasks further supports that frontal plane balance requires more active control.
Collapse
Affiliation(s)
- Gabriella H Small
- Walker Department of Mechanical Engineering, The University of Texas at Austin, Austin, TX, USA
| | - Lindsey K Molina
- Walker Department of Mechanical Engineering, The University of Texas at Austin, Austin, TX, USA
| | - Richard R Neptune
- Walker Department of Mechanical Engineering, The University of Texas at Austin, Austin, TX, USA.
| |
Collapse
|
5
|
The Executive-Function-Related Cognitive-Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson's Disease. Healthcare (Basel) 2023; 11:healthcare11040567. [PMID: 36833101 PMCID: PMC9956339 DOI: 10.3390/healthcare11040567] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/31/2023] [Accepted: 02/04/2023] [Indexed: 02/17/2023] Open
Abstract
To safely walk in a community environment requires dual cognitive-walking ambulation ability for people with Parkinson's disease (PD). A past study showed inconsistent results on cognitive-walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This study designed cognitive-walking tests that used executive-related cognitive tasks to evaluate patients with early-stage Parkinson's disease who did not have obvious cognitive deficits. The effect of assigning task prioritization was also evaluated. Sixteen individuals with PD (PD group) and 16 individuals without PD (control group) underwent single cognitive tests, single walking tests, dual walking tests, and prioritizing task tests. Three types of cognitive, spatial memory, Stroops, and calculation tasks were employed. The cognitive performance was evaluated by response time, accuracy, and speed-accuracy trade off composite score. The walking performance was evaluated by the temporal spatial gait characteristics and variation in gait. The results showed that the walking performance of the PD group was significantly worse than the control group in both single and dual walking conditions. The group difference in cognitive performance was shown in composite score under the dual calculation walking task but not under the single task. While assigning priority to walking, no group difference in walking was observed but the response accuracy rate of PD groups declined. This study concluded that the dual task walking test could sharpen the cognitive deficits for early-stage PD patients. The task priority assignment might not be recommended while testing gait deficits since it decreased the ability to discriminate group differences.
Collapse
|
6
|
Saraiva M, Fuentes-García JP, Vilas-Boas JP, Castro MA. Relationship between physical activity level and sleep quality with postural control and hemodynamic response in the prefrontal cortex during dual-task performance. Physiol Behav 2022; 255:113935. [PMID: 35931196 DOI: 10.1016/j.physbeh.2022.113935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 07/29/2022] [Accepted: 08/01/2022] [Indexed: 11/28/2022]
Abstract
Understanding the cortical activation and postural control behavior during dual-task (DT) has been an object of study. However, despite the multiple benefits of exercise and good sleep quality, less is known about the correlation between physical activity (PA) and sleep quality (SQ) on postural control and brain activation under dual-task performance. This study aimed to analyze the correlation between PA level and SQ with postural control performance and hemodynamic response in the prefrontal cortex during the DT performance in young adults. Thirty-four healthy young adults (mean age ± SD = 22.91 ± 3.90 years) participated in this study, and they performed a single-task and cognitive and motor DT using their smartphones. Postural control was assessed using a force plate to record the center of pressure (CoP) data (total excursion of CoP (TOTEX CoP), displacements of the CoP in anterior-posterior (CoP-AP) and medial-lateral (CoP-ML) directions, mean total velocity displacement of CoP (MVELO CoP), mean displacement velocity of CoP in anterior-posterior (MVELO CoP-AP) and medial-lateral (MVELO CoP-ML) directions, amplitude of CoP in anterior-posterior (A-AP) and medial-lateral (A-ML) directions, and 95% confidence ellipse sway area (CEA)). The hemodynamic response was measured by the oxyhemoglobin and deoxyhemoglobin concentrations using the functional near-infrared spectroscopy. The Pittsburg Sleep Quality Index and International Physical Activity Questionnaire-Short Form questionnaires assessed SQ and level of PA, respectively. Results indicated a positive correlation between SQ and cognitive DT cost for CoP-ML (rs = 0.422, p = 0.013), MVELO CoP-ML (rs = 0.422, p = 0.013) and A-ML (rs = 0.579, p < 0.001). There were no significant relations between the other outcomes (p > 0.05). In conclusion, poor sleep quality was associated with a worse postural control performance in CoP-ML, MVELO CoP-ML and A-ML parameters under cognitive dual-task conditions. The differences found in the postural control and hemodynamic response during dual-task performance do not correlate with physical activity level.
Collapse
Affiliation(s)
- Marina Saraiva
- RoboCorp Laboratory, i2A, Polytechnic Institute of Coimbra, Coimbra 3046-854, Portugal; Faculty of Sports and CIAFEL, University of Porto, Porto 4200-450, Portugal.
| | | | - João Paulo Vilas-Boas
- Faculty of Sports and CIAFEL, University of Porto, Porto 4200-450, Portugal; LABIOMEP-UP, Faculty of Sports and CIFI2D, the University of Porto, Porto 4200-450, Portugal
| | - Maria António Castro
- RoboCorp Laboratory, i2A, Polytechnic Institute of Coimbra, Coimbra 3046-854, Portugal; Centre for Mechanical Engineering, Materials and Processes, CEMMPRE, University of Coimbra, Coimbra 3030-788, Portugal; Physiotherapy, School of Health Sciences, Polytechnic Institute of Leiria, Leiria 2411-901, Portugal
| |
Collapse
|