Dual task training in persons with Multiple Sclerosis: a feasability randomized controlled trial

Sosnoff, Jacob J.; Wajda, Douglas A.; Sandroff, Brian M.; Roeing, Kathleen L.; Sung, JongHun; Motl, Robert W.

doi:10.1177/0269215517698028

Cited by 31 publications

(19 citation statements)

References 27 publications

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“…Both, the DTT and the SMT, intervention groups showed improvements in dual task walking as shown by increased absolute dual task gait speed during the dual 'walk'-conditions. This is consistent with earlier studies on DTT in MS, reporting similar findings between training-groups on absolute dual task gait speed while subtracting or alternating the alphabet, supporting the task automatization hypothesis [16,17].…”

Section: Discussionsupporting

confidence: 92%

“…Only two studies on DTT compared to single task training have been conducted in pwMS. Sosnoff et al reported a trend for greater gait speed under dual task conditions after a DTT compared to a single task training [16], while Monjezi et al reported similar improvements in dual task walking after both types of training [17]. However, neither study examined the effects on the DTC and the Sosnoff et al study was a feasibility study with a small sample size and no follow-up.…”

Section: Introductionmentioning

confidence: 98%

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Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT

Veldkamp

Baert

Kalron

et al. 2019

JCM

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The aim was to compare the effectiveness of dual-task training (DTT) compared to single mobility training (SMT) on dual-task walking, mobility and cognition, in persons with Multiple Sclerosis (pwMS). Forty pwMS were randomly assigned to the DTT or SMT groups. The DTT-group performed dual-task exercises using an interactive tablet-based application, while the SMT-group received conventional walking and balance exercises. Both interventions were supervised and identical in weeks (8) and sessions (20). Nine cognitive-motor dual-task conditions were assessed at baseline, after intervention and at 4-weeks follow-up (FU). The dual-task cost (DTC), percentage change of dual-task performance compared to single-task performance, was the primary outcome. Mobility and cognition were secondarily assessed. Mixed model analyses were done with group, time and the interaction between group and time as fixed factors and participants as random factors. Significant time by group interactions were found for the digit-span walk and subtraction walk dual-task conditions, with a reduction in DTC (gait speed) for the DTT maintained at FU. Further, absolute dual-task gait speed during walking over obstacles only improved after the DTT. Significant improvements were found for both groups in various motor and cognitive measures. However, the DTT led to better dual-task walking compared to the SMT.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 98%

Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT

Veldkamp

Baert

Kalron

et al. 2019

JCM

View full text Add to dashboard Cite

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“…Overall, there is promising evidence for aerobic and resistance exercise improving walking performance, and preliminary evidence supporting aerobic exercise for improving cognitive performance in MS ( Dalgas et al, 2008 ). However, cognitive therapies are not yet being used for potentially improving motor disability, although cognitive-motor interactions powerfully activate motor performance ( Sosnoff et al, 2017 ), possibly reducing total time needed for treatment, and cost of care. For instance, Sosnoff et al (2017) reported that a dual task training program, incorporating cognitive tasks in balance and walking training, improved gait speed and visuospatial memory in a sample of MS patients compared to a single task training program focused on balance and walking function only.…”

Section: Introductionmentioning

confidence: 99%

Integrated Cognitive and Neuromotor Rehabilitation in Multiple Sclerosis: A Pragmatic Study

Barbarulo

Lus

Signoriello

et al. 2018

Front. Behav. Neurosci.

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Background: Few studies examined the effects of combined motor and cognitive rehabilitation in patients with multiple sclerosis (MS). The present prospective, multicenter, observational study aimed to determine the efficacy of an integrated cognitive and neuromotor rehabilitation program versus a traditional neuromotor training on walking, balance, cognition and emotional functioning in MS patients.Methods: Sixty three MS patients were selected and assigned either to the Integrated Treatment Group (ITG; n = 32), receiving neuropsychological treatment (performed by ERICA software and paper–pencil tasks) complemented by conventional neuromotor rehabilitation, or to the Motor Treatment Group (n = 31) receiving neuromotor rehabilitation only. The intervention included two 60-min sessions per week for 24 weeks. At baseline and at end of the training all patients underwent a wide-range neuropsychological, psychological/emotional, and motor assessment.Results: At baseline the two groups did not differ for demographic, neuropsychological, psychological/emotional, and motor features significantly. After rehabilitation, only ITG group significantly (p-corrected for False Discovery Rate) improved on test tapping spatial memory, attention and cognitive flexibility, as well as on scales assessing depression and motor performance (balance and gait). A regression analysis showed that neuropsychological and motor improvement was not related to improvements in fatigue and depression.Conclusion: The present study demonstrated positive effects in emotional, motor, and cognitive aspects in MS patients who received an integrated cognitive and neuromotor training. Overall, results are supportive of interventions combining motor and cognitive training for MS.

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“…Therefore, it suggested that when performing a dual-task that required visual attention, the poor postural control observed in older adults was the result of the visual information being assigned to the task and the vestibular information dominating the postural regulation. Dual-tasking has been employed as a balance training program to improve mobility performance in older adults [33], or other neurologically-impaired persons [34]. This redistribution of postural regulations could provide insights for further development of dual-task to train specific postural regulation strategies accordingly.…”

Section: Discussionmentioning

confidence: 99%

Sound Effects on Standing Postural Strategies in the Elderly via Frequency Analysis Approach

Lee

Chen

et al. 2020

Applied Sciences

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Sound and sound frequency could improve postural sway in the elderly. The power spectrum intervals of the center of pressure (COP) displacement are associated with different postural regulations, which could be revealed by frequency analysis. The aim of the study was to investigate the effects of sound on dual-tasking postural control and conduct frequency analysis to distinguish postural regulations in the elderly. Fifteen young and 15 older healthy participants were instructed to stand on a force platform and performed the Purdue Pegboard test while hearing 50 dB sounds with sound frequencies of 250 Hz, 1000 Hz, 4000 Hz, or no sound. The total excursion, velocity, sway area, and power spectrum of low-, medium-, and high-frequency bands of the COP displacement were calculated in the anterior–posterior and medial–lateral directions. The percentages of low-frequency and medium-frequency bands in both directions were significantly different between with and without sound conditions, but not affected by sound frequency. Older adults showed a smaller percentage of low-frequency, larger percentage of medium-frequency, larger total COP excursion, and faster velocity in the medial–lateral direction. The outcome of the study supports the frequency analysis approach in evaluating sound effects on postural strategies in dual-tasking and reveals older adults utilize vestibular regulation as the primary postural strategy when the dual-task required visual attention.

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Dual task training in persons with Multiple Sclerosis: a feasability randomized controlled trial

Abstract: The study procedures were found to be feasible and improvements should be made in recruitment efforts going forward. Further examination of dual task training programs in individuals with multiple sclerosis is warranted.

Cited by 31 publications

References 27 publications

Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT

Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT

Integrated Cognitive and Neuromotor Rehabilitation in Multiple Sclerosis: A Pragmatic Study

Sound Effects on Standing Postural Strategies in the Elderly via Frequency Analysis Approach

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