The Effect of Motor and Cognitive Tasks on Gait in People with Stroke

Curuk, Etem; Goyal, Nikita; Aruin, Alexander S.

doi:10.1016/j.jstrokecerebrovasdis.2019.104330

Cited by 12 publications

(11 citation statements)

References 28 publications

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“…Exercise-induced changes in peripheral BDNF expression after a single bout of EA or chronic EA have been related to improved brain function [ 67 ]. It is also worth emphasising that the interplay between cognition and motor function is essential in the active recovery process after stroke [ 12 , 13 , 68 ]. A factor that may impact BDNF expression is the difference in cognitive status among the individuals included in the trials.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Endurance Training on Serum BDNF Levels in the Chronic Post-Stroke Phase: Current Evidence and Qualitative Systematic Review

Górna¹,

Domaszewska²

2022

JCM

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Research in modern neurorehabilitation focusses on cognitive and motor recovery programmes tailored to each stroke patient, with particular emphasis on physiological parameters. The objectives of this review were to determine whether a single bout of endurance activity or long-term endurance activity regulates exercise-dependent serum brain-derived neurotrophic factor (BDNF) levels and to evaluate the methodological quality of the studies. To assess the effectiveness of endurance exercise among patients in the chronic post-stroke phase, a systematic review was performed, including searching EBSCOhost, PEDro, PubMed, and Scopus for articles published up to the end of October 2021. The PRISMA 2020 outline was used, and this review was registered on PROSPERO. Of the 180 papers identified, seven intervention studies (comprising 200 patients) met the inclusion criteria. The methodological quality of these studies was evaluated by using the Physiotherapy Evidence Database (PEDro) criteria. The effect of exercise was evaluated in four studies with a single bout of endurance activity, two studies with long-term endurance activity, and one study with a single bout of endurance activity as well as long-term endurance activity. The results of our systematic review provide evidence that endurance exercise might augment the peripheral BDNF concentration in post-stroke individuals.

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Section: Discussionmentioning

confidence: 99%

“…Factors such as gender, ageing, and the presence of neurological conditions may modulate these abilities in humans [ 9 , 10 , 11 ]. Other authors [ 12 , 13 ] have pointed out that improving motor and cognitive skills in post-stroke individuals is an essential factor for their recovery.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Endurance Training on Serum BDNF Levels in the Chronic Post-Stroke Phase: Current Evidence and Qualitative Systematic Review

Górna¹,

Domaszewska²

2022

JCM

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“…Currently, according to clinical and experimental experience, the following four common walking activities, which are carried out in daily life but differ in motor complexity and require attention or adaptation, are included in the testing protocol: walking at a self-selected speed, walking at a self-selected speed while carrying a cup filled with water, walking at a self-selected speed while stepping over various obstacles (eg, 10-cm height, 10-cm width, soft material, and every 3 m in a straight line), and walking crisscross at a self-selected speed from one cone to another (eg, every 2 m with a fixed 80-cm width in between). The motor tasks (actual single or dual motor tasks) were chosen according to the findings of previous studies investigating reliability in persons with neurological conditions during various walking tasks [18,[27][28][29][30][31]. It is suggested to perform walking on a 30-m quiet walkway that is free of obstacles and has marked start and turning lines (eg, 80 cm).…”

Section: Assessment Modulementioning

confidence: 99%

Design, Development, and Testing of an App for Dual-Task Assessment and Training Regarding Cognitive-Motor Interference (CMI-APP) in People With Multiple Sclerosis: Multicenter Pilot Study

Tacchino¹,

Veldkamp²,

Coninx³

et al. 2020

JMIR Mhealth Uhealth

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Background Interest toward dual-task training (DTT) is increasing as traditional interventions may not prepare patients to adequately face the challenges of most activities of daily living. These usually involve simultaneous cognitive and motor tasks, and they often show a decline in performance. Cognitive-motor interference (CMI) has been investigated in different neurological populations, but limited evidence is present for people with multiple sclerosis (MS). The use of computerized tools is mandatory to allow the application of more standardized assessment and rehabilitation intervention protocols and easier implementation of multicenter and multilanguage studies. Objective To describe the design and development of CMI-APP, an adaptive and interactive technology tablet-based app, and to present the preliminary results of a multicenter pilot study involving people with MS performed in several European centers for evaluating the feasibility of and adherence to a rehabilitation program based on CMI-APP. Methods CMI-APP includes user-friendly interfaces for personal data input and management, assessment of CMI, and DTT. A dedicated team developed CMI-APP for Android tablets above API level 14 (version 4.0), using C# as the programming language and Unity and Visual Studio as development tools. Three cognitive assessment tests for working memory, information processing speed, and sustained attention and four motor assessment tests for walking at different difficulty levels were implemented. Dual cognitive-motor tasks were performed by combining single cognitive and motor tasks. CMI-APP implements exercises for DTT involving the following 12 cognitive functions: sustained attention, text comprehension, verbal fluency, auditory discrimination, visual discrimination, working memory, information processing speed, auditory memory, visual memory, verbal analog reasoning, visual analog reasoning, and visual spatial planning, which can be performed during walking or stepping on the spot. Fifteen people with MS (mean age 52.6, SD 8.6 years; mean disease duration 9.4, SD 8.4 years; mean Expanded Disability Status Scale score 3.6, SD 1.1) underwent DTT (20 sessions). Adherence to the rehabilitation program was evaluated according to the percentage of performed sessions, perceived exertion during the training (Borg 15-point Ratings of Perceived Exertion [RPE] Scale), and subjective experience of the training (Intrinsic Motivation Inventory [IMI]). Results The adherence rate was 91%. DTT was perceived as “somewhat difficult” (mean RPE Scale score 12.6, SD 1.9). IMI revealed that participants enjoyed the training and felt that it was valuable and, to some extent, important, without feelings of pressure. They felt competent, although they did not always feel they could choose the exercises, probably because the therapist chose the exercises and many exercises had few difficulty levels. Conclusions CMI-APP is safe, highly usable, motivating, and well accepted for DTT by people with MS. The findings are fundamental for the preparation of future large-sample studies examining CMI and the effectiveness of DTT interventions with CMI-APP in people with MS.

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“…Interestingly, the adoption of this approach went beyond the early detection of Alzheimer's Disease (AD) and dementia. The quantitative motor assessment has been applied on studies on healthy adults [Sunderaraman et al (2019)], lower limb amputee people [Petrini et al (2019)], presence of peripheral neuropathy in diabetics patients [Paul et al (2009)], stroke patients [Curuk et al (2019)], subject with Parkinson's Disease (PD) [Yang et al (2019)], and even on children with intellectual disability [Kachouri et al (2019)].…”

Section: Introductionmentioning

confidence: 99%

The use of Motor and Cognitive Dual-Task quantitative assessment on subjects with mild cognitive impairment: A systematic review

Mancioppi

Fiorini

Rovini

et al. 2021

Mechanisms of Ageing and Development

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The Effect of Motor and Cognitive Tasks on Gait in People with Stroke

Cited by 12 publications

References 28 publications

The Effect of Endurance Training on Serum BDNF Levels in the Chronic Post-Stroke Phase: Current Evidence and Qualitative Systematic Review

The Effect of Endurance Training on Serum BDNF Levels in the Chronic Post-Stroke Phase: Current Evidence and Qualitative Systematic Review

Design, Development, and Testing of an App for Dual-Task Assessment and Training Regarding Cognitive-Motor Interference (CMI-APP) in People With Multiple Sclerosis: Multicenter Pilot Study

The use of Motor and Cognitive Dual-Task quantitative assessment on subjects with mild cognitive impairment: A systematic review

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