Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review

Dual-task paradigms have been increasingly used to assess the interaction between cognitive demands and the control of balance and gait. The interaction between functional and cognitive demands can alter movement patterns and increase knee instability in individuals with knee conditions, such as kne...

Full description

Bibliographic Details
Main Authors: Rula Abdallat, Feras Sharouf, Kate Button, Mohammad Al-Amri
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/5/1554
_version_ 1797567338902454272
author Rula Abdallat
Feras Sharouf
Kate Button
Mohammad Al-Amri
author_facet Rula Abdallat
Feras Sharouf
Kate Button
Mohammad Al-Amri
author_sort Rula Abdallat
collection DOAJ
description Dual-task paradigms have been increasingly used to assess the interaction between cognitive demands and the control of balance and gait. The interaction between functional and cognitive demands can alter movement patterns and increase knee instability in individuals with knee conditions, such as knee anterior cruciate ligament (ACL) injury or osteoarthritis (OA). However, there is no consensus on the effects of dual-task on gait mechanics and balance in those individuals. This systematic scoping review aims to examine the impact of dual-task gait and standing balance on motor and cognitive performance in individuals with knee OA or ACL injury. A comprehensive search of MEDLINE, PubMed, Web of Science, and EMBASE electronic databases up until December 2019 was carried out. Inclusion criteria was limited to include dual-task studies that combined cognitive tasks performed simultaneously with gait or standing balance in individuals with knee OA or ACL injuries. In total, fifteen studies met the inclusion criteria, nine articles examined dual-task effects on balance, and six articles reported the effects of dual-task on gait. The total number of individuals included was 230 individuals with ACL injuries, and 168 individuals with knee OA. A decline in gait and balance performance during dual-task testing is present among individuals with ACL injury and/or ACL reconstruction and knee OA. Further research is required, but dual taking assessment could potentially be used to identify individuals at risk of falling or further injury and could be used to develop targeted rehabilitation protocols. A variety of outcome measures have been used across the studies included, making comparisons difficult. The authors, therefore, recommend developing a standardized set of biomechanical balance variables.
first_indexed 2024-03-10T19:41:24Z
format Article
id doaj.art-09e5c594ee3e4e678b5316ef53f931b3
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T19:41:24Z
publishDate 2020-05-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-09e5c594ee3e4e678b5316ef53f931b32023-11-20T01:12:36ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0195155410.3390/jcm9051554Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping ReviewRula Abdallat0Feras Sharouf1Kate Button2Mohammad Al-Amri3Department of Biomedical Engineering, Faculty of Engineering, The Hashemite University, P.O. Box 330127, Zarqa 13115, JordanBrain Repair & Intracranial Neurotherapeutics (BRAIN) Unit, School of Medicine, Cardiff University, Cardiff CF24 4HQ, UKSchool of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, Wales, UKSchool of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, Wales, UKDual-task paradigms have been increasingly used to assess the interaction between cognitive demands and the control of balance and gait. The interaction between functional and cognitive demands can alter movement patterns and increase knee instability in individuals with knee conditions, such as knee anterior cruciate ligament (ACL) injury or osteoarthritis (OA). However, there is no consensus on the effects of dual-task on gait mechanics and balance in those individuals. This systematic scoping review aims to examine the impact of dual-task gait and standing balance on motor and cognitive performance in individuals with knee OA or ACL injury. A comprehensive search of MEDLINE, PubMed, Web of Science, and EMBASE electronic databases up until December 2019 was carried out. Inclusion criteria was limited to include dual-task studies that combined cognitive tasks performed simultaneously with gait or standing balance in individuals with knee OA or ACL injuries. In total, fifteen studies met the inclusion criteria, nine articles examined dual-task effects on balance, and six articles reported the effects of dual-task on gait. The total number of individuals included was 230 individuals with ACL injuries, and 168 individuals with knee OA. A decline in gait and balance performance during dual-task testing is present among individuals with ACL injury and/or ACL reconstruction and knee OA. Further research is required, but dual taking assessment could potentially be used to identify individuals at risk of falling or further injury and could be used to develop targeted rehabilitation protocols. A variety of outcome measures have been used across the studies included, making comparisons difficult. The authors, therefore, recommend developing a standardized set of biomechanical balance variables.https://www.mdpi.com/2077-0383/9/5/1554anterior cruciate ligamentosteoarthritisknee paindual-taskgaitbalance
spellingShingle Rula Abdallat
Feras Sharouf
Kate Button
Mohammad Al-Amri
Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
Journal of Clinical Medicine
anterior cruciate ligament
osteoarthritis
knee pain
dual-task
gait
balance
title Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
title_full Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
title_fullStr Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
title_full_unstemmed Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
title_short Dual-Task Effects on Performance of Gait and Balance in People with Knee Pain: A Systematic Scoping Review
title_sort dual task effects on performance of gait and balance in people with knee pain a systematic scoping review
topic anterior cruciate ligament
osteoarthritis
knee pain
dual-task
gait
balance
url https://www.mdpi.com/2077-0383/9/5/1554
work_keys_str_mv AT rulaabdallat dualtaskeffectsonperformanceofgaitandbalanceinpeoplewithkneepainasystematicscopingreview
AT ferassharouf dualtaskeffectsonperformanceofgaitandbalanceinpeoplewithkneepainasystematicscopingreview
AT katebutton dualtaskeffectsonperformanceofgaitandbalanceinpeoplewithkneepainasystematicscopingreview
AT mohammadalamri dualtaskeffectsonperformanceofgaitandbalanceinpeoplewithkneepainasystematicscopingreview