Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study

BACKGROUND: In Parkinson's disease (PD) population, performing secondary tasks while walking further deteriorates gait and restrict mobility in functional contexts of daily life. This study (1) analyzed the interference of functional cognitive and motor secondary task on untrained people with P...

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Autores: San Martin Valenzuela, Constanza, Duenas Moscardo, Lirios, Lopez-Pascual, Juan, Serra-Ano, Pilar, Tomas, Jose M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p4618
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/4618
Access Level:acceso abierto
Palabra clave:Functional dual-task
Biomechanical gait analysis
Kinematics
Kinetic
Parkinson's disease
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spelling Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional studySan Martin Valenzuela, ConstanzaDuenas Moscardo, LiriosLopez-Pascual, JuanSerra-Ano, PilarTomas, Jose MFunctional dual-taskBiomechanical gait analysisKinematicsKineticParkinson's diseaseBACKGROUND: In Parkinson's disease (PD) population, performing secondary tasks while walking further deteriorates gait and restrict mobility in functional contexts of daily life. This study (1) analyzed the interference of functional cognitive and motor secondary task on untrained people with PD and (2) compared their walking with healthy subjects.; METHODS: Forty people with PD (aged 66.72 [7.5] years, Hoehn and Yahr stage I-II-III, on-medication) composed the PD group (PDG) and 43 participants (aged 66.60 [8.75] years) formed the group of healthy counterparts (HG). Gait was evaluated through spatiotemporal, kinematic and kinetic outcomes in five conditions: single task (ST) and visual, verbal, auditory and motor dual-task (DT).; RESULTS: The velocity, stride length, and braking force performance of both groups was statistically higher in the ST condition than in verbal, auditory and motor DT (p<.05), and inferior in double support time and midstance force (p<.05). The same pattern was observed when compared the ST and visual DT condition, where participants showed a significantly higher stride length, double support time and braking force in the ST (p<.05). In addition, the PDG exhibited a significant shorter double support time and midstance force, and showed a higher braking force in the visual DT than in the verbal DT (p<.05). Similarly, the PDG showed a wider stride in the visual DT than in the motor DT condition (p<.05). PDG participants had a significantly lower performance than the HG in all the variables analyzed except for the maximum hip extension in the stance phase (p>.05).; CONCLUSIONS: In untrained participants with PD, verbal and motor secondary tasks affect gait significantly, while auditory and visual tasks interfere to a lesser extent. Untrained people with PD have a poorer gait performance than their healthy counterparts, but in different grades according to the analyzed variables.; TRIAL REGISTRATION: The data in this paper are part of a single-blind, randomized, controlled trial and correspond to the evaluations performed before a physical rehabilitation program, retrospectively registered with the number at clinicaltrial.govNCT04038866.BMC2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/4618BMC MUSCULOSKELETAL DISORDERSISSN: 14712474reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p46182026-06-07T16:35:31Z
dc.title.none.fl_str_mv Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
title Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
spellingShingle Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
San Martin Valenzuela, Constanza
Functional dual-task
Biomechanical gait analysis
Kinematics
Kinetic
Parkinson's disease
title_short Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
title_full Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
title_fullStr Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
title_full_unstemmed Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
title_sort Interference of functional dual-tasks on gait in untrained people with Parkinson's disease and healthy controls: a cross-sectional study
dc.creator.none.fl_str_mv San Martin Valenzuela, Constanza
Duenas Moscardo, Lirios
Lopez-Pascual, Juan
Serra-Ano, Pilar
Tomas, Jose M
author San Martin Valenzuela, Constanza
author_facet San Martin Valenzuela, Constanza
Duenas Moscardo, Lirios
Lopez-Pascual, Juan
Serra-Ano, Pilar
Tomas, Jose M
author_role author
author2 Duenas Moscardo, Lirios
Lopez-Pascual, Juan
Serra-Ano, Pilar
Tomas, Jose M
author2_role author
author
author
author
dc.subject.none.fl_str_mv Functional dual-task
Biomechanical gait analysis
Kinematics
Kinetic
Parkinson's disease
topic Functional dual-task
Biomechanical gait analysis
Kinematics
Kinetic
Parkinson's disease
description BACKGROUND: In Parkinson's disease (PD) population, performing secondary tasks while walking further deteriorates gait and restrict mobility in functional contexts of daily life. This study (1) analyzed the interference of functional cognitive and motor secondary task on untrained people with PD and (2) compared their walking with healthy subjects.; METHODS: Forty people with PD (aged 66.72 [7.5] years, Hoehn and Yahr stage I-II-III, on-medication) composed the PD group (PDG) and 43 participants (aged 66.60 [8.75] years) formed the group of healthy counterparts (HG). Gait was evaluated through spatiotemporal, kinematic and kinetic outcomes in five conditions: single task (ST) and visual, verbal, auditory and motor dual-task (DT).; RESULTS: The velocity, stride length, and braking force performance of both groups was statistically higher in the ST condition than in verbal, auditory and motor DT (p<.05), and inferior in double support time and midstance force (p<.05). The same pattern was observed when compared the ST and visual DT condition, where participants showed a significantly higher stride length, double support time and braking force in the ST (p<.05). In addition, the PDG exhibited a significant shorter double support time and midstance force, and showed a higher braking force in the visual DT than in the verbal DT (p<.05). Similarly, the PDG showed a wider stride in the visual DT than in the motor DT condition (p<.05). PDG participants had a significantly lower performance than the HG in all the variables analyzed except for the maximum hip extension in the stance phase (p>.05).; CONCLUSIONS: In untrained participants with PD, verbal and motor secondary tasks affect gait significantly, while auditory and visual tasks interfere to a lesser extent. Untrained people with PD have a poorer gait performance than their healthy counterparts, but in different grades according to the analyzed variables.; TRIAL REGISTRATION: The data in this paper are part of a single-blind, randomized, controlled trial and correspond to the evaluations performed before a physical rehabilitation program, retrospectively registered with the number at clinicaltrial.govNCT04038866.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/4618
url https://incliva.portalinvestigacion.com/publicaciones/4618
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC MUSCULOSKELETAL DISORDERS
ISSN: 14712474
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