Effects of Cognitive-Motor Interference on Cognitive Tasks Requiring Different Types of Concentration During Preferred and Fast Walking in Stroke Patients
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study was to examine the effect of three cognitive tasks on gait at a preferred walking speed, and at a fast speed, using dual-task methodology. A total of 29 stroke patients participated in the study. All 29 subjects performed 2 motor tasks (10-meter walk task and timed up and go task each at a preferred and a fast speed) and three cognitive tasks [Stroop, word list generation (WLG), serial subtraction (SS)] under dual-task conditions [cognitive-motor interference (CMI)] in a randomized order. Gait speeds were measured in six different conditions. A repeated-measure analysis of variance was employed to compare the results of the Stroop training, WLG, and SS tasks during preferred and fast walking. A Bonferroni adjustment use for post hoc analysis. The level of statistical significance was set at α=.05. A CMI effect occurred for performance of a 10-meter walking task at two different speed and a cognitive task (p<.05). Stroop had a significantly greater effect than SS and WLG (p<.05). The timed up and go task was affected when performed with fast walking speed during Stroop cognitive task (p<.05), but was not affected if performed with preferred walking speed during a cognitive task (p>.05). This study showed that CMI of Stroop can be used as a rehabilitation program for stroke patients.
Abstract
The purpose of this study was to examine the effect of three cognitive tasks on gait at a preferred walking speed, and at a fast speed, using dual-task methodology. A total of 29 stroke patients participated in the study. All 29 subjects performed 2 motor tasks (10-meter walk task and timed up and go task each at a preferred and a fast speed) and three cognitive tasks [Stroop, word list generation (WLG), serial subtraction (SS)] under dual-task conditions [cognitive-motor interference (CMI)] in a randomized order. Gait speeds were measured in six different conditions. A repeated-measure analysis of variance was employed to compare the results of the Stroop training, WLG, and SS tasks during preferred and fast walking. A Bonferroni adjustment use for post hoc analysis. The level of statistical significance was set at α=.05. A CMI effect occurred for performance of a 10-meter walking task at two different speed and a cognitive task (p<.05). Stroop had a significantly greater effect than SS and WLG (p<.05). The timed up and go task was affected when performed with fast walking speed during Stroop cognitive task (p<.05), but was not affected if performed with preferred walking speed during a cognitive task (p>.05). This study showed that CMI of Stroop can be used as a rehabilitation program for stroke patients.
참고문헌 (24)
- Beauchet O, "Dual-task-related gait changes in the elderly:Does the type of cognitive task matter?", J Mot Behav, 37(4), pp.259~264 (2005)
- Bherer L, "Training effects of dual-task performance: Are there age-related differences in plasticity of attentional control?", Psychol Aging, 20(4), pp.695~709 (2005)
- Bowen A, "Dual-task effects of talking while walking on velocity and balance following a stroke", Age Ageing, 30(4), pp.319~323 (2001)
- Campbell AJ, "Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study", Age Ageing, 19(2), pp.136~141 (1990)
- Dennis A, "Fast walking under cognitive-motor interference conditions in chronic stroke", Brain Res, 1287, pp.104~110 (2009)[DOI]
- Dubost V, "Stride-to-stride variability while enumerating animal names among healthy young adults: Result of stride velocity or effect of attention-demanding task?", Gait Posture, 27(1), pp.138~143 (2008)
- Goethals I, "Cognitive neuroactivation using SPECT and the stroop colored word test in patients with diffuse brain injury", J Neurotrauma, 21(8), pp.1059~1069 (2004)
- Hatfield J, "The effects of mobile phone use on pedestrian crossing behaviour at signalized and unsingalized intersections", Accid Anal Prev, 39(1), pp.197~205 (2007)
- Han MR, "The studies of cognitive and walking ability under dual task training applying cognitive task in stroke patients", 석사, pp.2012
- Huxhold O, "Dual-tasking postural control : Aging and the effects of cognitive demand in conjunction with focus of attention", Barain Res Bull, 69(3), pp.294~305 (2006)
- Jørgensen HS, "Stroke recurrence: Predictors, severity, and prognosis. The copenhagen stroke study", Neurology, 48(4), pp.891~895 (1997)
- Lord SE, "The effect of environment and task on gait parameters after stroke : A randomized comparison of measurement conditions", Arch Phys Med Rehabil, 87(7), pp.967~973 (2006)
- Mulder T, "Motor imagery and action observation : Cognitive tools for rehabilitation", J Neural Transm, 114(10), pp.1265~1278 (2007)
- O’Shea S, "Dual task interference during gait in people with parkinson disease : Effects of motor versus cognitive secondary tasks", Phys Ther, 82(9), pp.888~897 (2002)
- Plummer-D’Amato P, "Interactions between cognitive tasks and gait after stroke : A dual task study", Gait Posture, 27(4), pp.683~688 (2008)
- Podsiadlo D, "The timed up & go : A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
- Regnaux JP, "Evidence for cognitive processes involved in the control of steady state of walking in healthy subjects and after cerebral damage", Neurorehabil Neural Repair, 19(2), pp.125~132 (2005)
- Ruthruff E, "How does practice reduce dual-task interference:Integration automatization or just stage-shortening?", Psychol Res, 70(2), pp.125~142 (2006)
- Silsupadol P, "Training-related changes in dual-task walking performance of elderly persons with balance impairment:A double-blind, randomized controlled trial", Gait Posture, 29(4), pp.634~639 (2009)[DOI]
- Silsupadol P, "Effects of single-task versus dual-task training on balance performance in older adults : A double-blind randomized controlled trial", Arch Phys Med Rehabil, 90(3), pp.381~387 (2009)
- Woollacott M, "Attention and the control of posture and gait : A review of an emerging area of research", Gait Posture, 16(1), pp.1~14 (2002)
- Yang YR, "Dual task-related gait changes in individuals with stroke", Gait Posture, 25(2), pp.185~190 (2007)
- Yang YR, "Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait Posture, 28(2), pp.201~206 (2008)[DOI]
- Yogev-Seligmann G, "The role of executive function and attention in gait", Mov Disord, 23(3), pp.329~342 (2008)