Backward Walking and Dual-Task Assessment Improve Identification of Gait Impairments and Fall Risk in Individuals with MS
Background. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with...
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| Vydané v: | Multiple sclerosis international Ročník 2020; číslo 2020; s. 1 - 10 |
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| Jazyk: | English |
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Cairo, Egypt
Hindawi Publishing Corporation
2020
Hindawi John Wiley & Sons, Inc |
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| ISSN: | 2090-2654, 2090-2662 |
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| Abstract | Background. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports. Methods. All measures were collected in a single session. A 2×2×2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance. Results. Eighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task (p=0.015) and dual-task (p=0.014) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities (p=0.023; p=0.004), whereas this difference was only apparent in the backward walking condition for healthy controls (p=0.004). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward (p<0.001) and forward (p=0.001) directions. More falls at six months were significantly associated with shorter backward dual-task stride length (r=−0.490; p=0.046) and slower velocity (r=−0.483; p=0.050). Conclusion. Differences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking. |
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| AbstractList | Background. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports. Methods. All measures were collected in a single session. A 2×2×2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance. Results. Eighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task (p=0.015) and dual-task (p=0.014) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities (p=0.023; p=0.004), whereas this difference was only apparent in the backward walking condition for healthy controls (p=0.004). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward (p<0.001) and forward (p=0.001) directions. More falls at six months were significantly associated with shorter backward dual-task stride length (r=−0.490; p=0.046) and slower velocity (r=−0.483; p=0.050). Conclusion. Differences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports.BACKGROUNDIndividuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports.All measures were collected in a single session. A 2 × 2 × 2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance.METHODSAll measures were collected in a single session. A 2 × 2 × 2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance.Eighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task (p = 0.015) and dual-task (p = 0.014) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities (p = 0.023; p = 0.004), whereas this difference was only apparent in the backward walking condition for healthy controls (p = 0.004). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward (p < 0.001) and forward (p = 0.001) directions. More falls at six months were significantly associated with shorter backward dual-task stride length (r = -0.490; p = 0.046) and slower velocity (r = -0.483; p = 0.050).RESULTSEighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task (p = 0.015) and dual-task (p = 0.014) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities (p = 0.023; p = 0.004), whereas this difference was only apparent in the backward walking condition for healthy controls (p = 0.004). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward (p < 0.001) and forward (p = 0.001) directions. More falls at six months were significantly associated with shorter backward dual-task stride length (r = -0.490; p = 0.046) and slower velocity (r = -0.483; p = 0.050).Differences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking.CONCLUSIONDifferences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports. All measures were collected in a single session. A 2 × 2 × 2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance. Eighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task ( = 0.015) and dual-task ( = 0.014) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities ( = 0.023; = 0.004), whereas this difference was only apparent in the backward walking condition for healthy controls ( = 0.004). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward ( < 0.001) and forward ( = 0.001) directions. More falls at six months were significantly associated with shorter backward dual-task stride length ( = -0.490; = 0.046) and slower velocity ( = -0.483; = 0.050). Differences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking. Background . Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports. Methods . All measures were collected in a single session. A 2 × 2 × 2 mixed model ANOVA was used to compare differences in forward and backward walking in single- and dual-task conditions between MS and healthy controls. Spearman correlations were used to examine relationships between gait and cognitive function, falls, and balance. Results . Eighteen individuals with relapsing-remitting MS and 14 age- and sex-matched healthy controls participated. Backward walking velocity revealed significant differences between groups for both single-task ( p = 0.015 ) and dual-task ( p = 0.014 ) conditions. Persons with MS demonstrated significant differences between single- and dual-task forward and backward walking velocities ( p = 0.023 ; p = 0.004 ), whereas this difference was only apparent in the backward walking condition for healthy controls ( p = 0.004 ). In persons with MS, there were significant differences in double support time between single- and dual-task conditions in both backward ( p < 0.001 ) and forward ( p = 0.001 ) directions. More falls at six months were significantly associated with shorter backward dual-task stride length ( r = − 0.490 ; p = 0.046 ) and slower velocity ( r = − 0.483 ; p = 0.050 ). Conclusion . Differences in MS and age- and sex-matched healthy controls are more pronounced during backward compared to forward walking under single- and dual-task conditions. Future work with a larger sample size is needed to validate the clinical utility of backward walking and dual-task assessments and mitigate the limited sensitivity of the current dual-task assessments that primarily rely upon forward walking. |
| Author | Raza, Danya Fritz, Nora E. Kegelmeyer, Deborah A. Nichols-Larsen, Deborah S. Nitta, Manon Kloos, Anne D. Edwards, Erin M. |
| AuthorAffiliation | 4 School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA 3 Division of Physical Therapy, The Ohio State University, Columbus, OH, USA 2 Program in Physical Therapy, Wayne State University, Detroit MI, USA 1 Translational Neuroscience Program, Wayne State University, Detroit MI, USA 5 Department of Neurology, Wayne State University, Detroit MI, USA |
| AuthorAffiliation_xml | – name: 4 School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA – name: 1 Translational Neuroscience Program, Wayne State University, Detroit MI, USA – name: 2 Program in Physical Therapy, Wayne State University, Detroit MI, USA – name: 5 Department of Neurology, Wayne State University, Detroit MI, USA – name: 3 Division of Physical Therapy, The Ohio State University, Columbus, OH, USA |
| Author_xml | – sequence: 1 fullname: Fritz, Nora E. – sequence: 2 fullname: Raza, Danya – sequence: 3 fullname: Nitta, Manon – sequence: 4 fullname: Kloos, Anne D. – sequence: 5 fullname: Kegelmeyer, Deborah A. – sequence: 6 fullname: Edwards, Erin M. – sequence: 7 fullname: Nichols-Larsen, Deborah S. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32963832$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1155_2023_5582242 crossref_primary_10_1007_s00415_024_12651_3 crossref_primary_10_1016_j_arr_2024_102458 crossref_primary_10_1016_j_clinbiomech_2024_106300 crossref_primary_10_23736_S1973_9087_23_07812_7 crossref_primary_10_7224_1537_2073_2021_130 crossref_primary_10_1177_15459683221131791 |
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| ContentType | Journal Article |
| Copyright | Copyright © 2020 Erin M. Edwards et al. Copyright © 2020 Erin M. Edwards et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2020 Erin M. Edwards et al. 2020 |
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| Snippet | Background. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability.... Background . Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability.... Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of... |
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| SubjectTerms | Age Cognition & reasoning Cognitive ability Falls Gait Health risks Laboratories Mobility Older people Questionnaires Velocity Walking |
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| Title | Backward Walking and Dual-Task Assessment Improve Identification of Gait Impairments and Fall Risk in Individuals with MS |
| URI | https://search.emarefa.net/detail/BIM-1202577 https://dx.doi.org/10.1155/2020/6707414 https://www.ncbi.nlm.nih.gov/pubmed/32963832 https://www.proquest.com/docview/2444284853 https://www.proquest.com/docview/2445428826 https://pubmed.ncbi.nlm.nih.gov/PMC7495208 |
| Volume | 2020 |
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