Dual-task training effect on gait parameters in children with spastic diplegic cerebral palsy: Preliminary results of a self-controlled study

Okur, Eda Özge; Arık, Meltem Işıntaş; Okur, İsmail; Gökpınar, Hasan Hüseyin; Günel, Mintaze Kerem

doi:10.1016/j.gaitpost.2022.02.020

Cited by 7 publications

(4 citation statements)

References 34 publications

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“…While playing, subjects were therefore performing a perceptual-motor task. Hence, our results are in line with other studies in which multi-modal training has been shown to be efficient for improving motor skills in pathological populations such as dual-task training (i.e., cerebral palsy [ 47 ]; stroke [ 31 ]; Parkinson disease [ 48 ]) or perceptual-motor training (i.e., athletes with sports-related concussion history [ 49 ] or adults with ID and autism spectrum disorder [ 50 ]).…”

Section: Discussionsupporting

confidence: 92%

Influence of a Three-Month Mixed Reality Training on Gait Speed and Cognitive Functions in Adults with Intellectual Disability: A Pilot Study

Laly,

Rosnet,

Houel

2024

Sensors

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People with intellectual disability (ID) are often subject to motor impairments such as altered gait. As gait is a task involving motor and perceptive dimensions, perceptual-motor training is an efficient rehabilitation approach to reduce the risk of falls which grows with age. Virtual, augmented, and mixed reality are recent tools which enable interaction with 3D elements at different levels of immersion and interaction. In view of the countless possibilities that this opens, their use for therapeutic purposes is constantly increasing. Therefore, the aim of this study was to investigate the influence a mixed reality activity could have on motor and cognitive abilities in eighteen adults with intellectual disability. For three months, once a week, they had around 20 min to pop virtual balloons with a finger using a Microsoft HoloLens2® head-mounted mixed-reality device. Motor skills were assessed through gait analysis and cognitive abilities were measured with the Montréal Cognitive Assessment. Both walking speed and cognitive score increased after training. In conclusion, this study demonstrates that mixed reality holds potential to get used for therapeutic purposes in adults with ID.

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Section: Discussionsupporting

confidence: 92%

Influence of a Three-Month Mixed Reality Training on Gait Speed and Cognitive Functions in Adults with Intellectual Disability: A Pilot Study

Laly,

Rosnet,

Houel

2024

Sensors

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“…Only a few studies have investigated dual-task interference in children with CP. The experimental paradigms used in these studies have mainly focussed on the effects of dual tasks on the time-distance characteristics of walking, balance, and postural stability [22,27,35,36]; the results indicate a decrease in walking speed, width, and stride length during dual motor tasks compared to single motor tasks. In addition, children with CP were found to demonstrate more body sway than TD children while performing a dual-task while standing [37].…”

Section: Discussionmentioning

confidence: 99%

Investigation of the relationship between upper extremity lateralization and dual task cost in ındividuals with hemiplegic cerebral palsy

Karabulut,

Bedir,

Maden

2024

areh

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Introduction: This study aims to investigate the relationship between upper extremity lateralization and dual-task cost in individuals with Hemiplegic Cerebral Palsy (HCP). This is a new and unknown issue in Cerebral Palsy. Material and methods:The descriptive, cross-sectional study was conducted with 63 individuals between the ages of 7 and 17 years: 40 with Hemiplegic Cerebral Palsy and 23 typically-developing peers. The individuals with HCP received a pre-assessment performed with the Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System. Left-right judgement was assessed by the laterality judgement task, and manual ability was evaluated with the Nine Hole Peg Test (NHPT). Functional tests included upper extremity functional tests; dual-task interference was also assessed between this test and the NHPT. Results: A significant difference was found between the HCP group and the typically-developing group regarding lateralization accuracy and dual-task cost (p < 0.05). Lateralization response time was related with dominant cognitive NHPT dual-task cost (r = 0.327, p = 0.040). Lateralization accuracy was also related to dominant cognitive NHPT dual-task cost, and lateralization response time with non-dominant motor NHPT dual-task cost (r = -0.360, p = 0.023; r = 0.312, p = 0.050, respectively). Conclusions: Individuals with HCP have difficulty with dual tasks compared to typically developing peers. A relationship was observed between upper extremity lateralization and dual-task cost in individuals with HCP. This can be a significant consideration when designing more effective intervention approaches on upper extremity lateralization and dual-task individuals with HCP.

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“…However, in early childhood, running patterns belong to the developmental stage and require more attention to maintain balance and complete motors. Running is easily disrupted by competing tasks and instability factors during this period [ 2 , 3 ], and attention must be allocated to motor, cognitive, and sensory stimulation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Task Interference on Kinematics and Dual-Task Cost of Running in Early Childhood

Zhao,

Ma,

et al. 2024

Sensors

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Children aged 3–8 are in a critical period for motor development and postural control. Running is a basic motor skill that children need to master in early childhood. While running, children are prone to dangerous events such as falls. This study investigates the kinematic characteristics of running by children associated with different interference tasks, i.e., normalized running, cognitive dual-tasks, and obstacle crossing tasks, and provides a theoretical foundation for the interference mechanism of children’s dynamic postural control and for screening of motor disorders. Two hundred children aged 3–8 were recruited. The BTS Bioengineering infrared motion capture system was used to collect spatiotemporal and kinematic running data under three tasks. Repeated measures of variance analysis were used to compare the effects of different interference tasks and ages on children’s running signs. The main and interaction effect tests were compared by the Bonferroni method. The results and conclusions are as follows: (1) Running characteristics of early childhood are influenced by interference tasks and age. With interference tasks, the overall characteristics of running by children aged 3–8 showed an increasing trend in running cycle time and a decreasing trend in stride length, step length, cadence, and speed. (2) Both cognitive and obstacle crossing tasks had costs, and cognitive task costs were greater than obstacle crossing costs. Children adopted a “task first” running strategy with different interference tasks. When facing cognitive tasks, their overall joint motion decreased, and they reduced joint motions to promote task completion. When facing obstacle crossing tasks, because of the characteristics of the task itself, children increased joint motions to cope with interference. (3) In terms of age, the running characteristics showed a nonlinear development trend in various indicators, with a degree of recurrence and high variability in adjacent age groups. (4) The dual-task interference paradigm of “postural-cognition” can be used as a motor intervention tool to promote the development of basic motor skills in early childhood.

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Dual-task training effect on gait parameters in children with spastic diplegic cerebral palsy: Preliminary results of a self-controlled study

Cited by 7 publications

References 34 publications

Influence of a Three-Month Mixed Reality Training on Gait Speed and Cognitive Functions in Adults with Intellectual Disability: A Pilot Study

Influence of a Three-Month Mixed Reality Training on Gait Speed and Cognitive Functions in Adults with Intellectual Disability: A Pilot Study

Investigation of the relationship between upper extremity lateralization and dual task cost in ındividuals with hemiplegic cerebral palsy

Effects of Task Interference on Kinematics and Dual-Task Cost of Running in Early Childhood

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