Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods

Abstract Background and Aims The dual‐task experimental paradigm is used to study the attentional demands of postural control. Postural control is impaired in poststroke patients, and dual‐task balance studies address the visual needs of postural control in stroke patients. A nonlinear approach can...

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Main Authors: Narges Ghamari, Rezvan Ghaderpanah, Seyed Hassan Sadrian, Nahid Fallah
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.1437
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author Narges Ghamari
Rezvan Ghaderpanah
Seyed Hassan Sadrian
Nahid Fallah
author_facet Narges Ghamari
Rezvan Ghaderpanah
Seyed Hassan Sadrian
Nahid Fallah
author_sort Narges Ghamari
collection DOAJ
description Abstract Background and Aims The dual‐task experimental paradigm is used to study the attentional demands of postural control. Postural control is impaired in poststroke patients, and dual‐task balance studies address the visual needs of postural control in stroke patients. A nonlinear approach can help us understand the overall behavior of the dynamic system. Methods A total of 20 chronic stroke patients and 20 healthy subjects with similar age, height, and weight participated in this study. The stability and complexity of postural control were assessed using linear and nonlinear methods. All data and parameters (center of pressure [COP] velocity, anteroposterior and mediolateral directions displacement, length of COP path, and phase plane) were analyzed using the Kolmogorov–Smirnov test. Results When postural control was examined based on linear analysis, the results showed that the main effect of the group was not significant, but the main impact of position was significant for all parameters of the COP variation (p < 0.05). Examination of postural control based on nonlinear analysis also showed that the main effect of the group was not significant, and the main effect of status was significant only for the parameters of approximate entropy in both directions and short‐term Lyapunov view in the anterior‐posterior direction (p < 0.05). Conclusion According to the results of this study, the assessment of postural control and gait performance in poststroke patients, as well as the dual tasks they have to perform in daily life, is crucial for their independence in activities of daily living.
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spelling doaj.art-430663e3ed244f68b156135d81a84f4c2023-11-21T06:37:12ZengWileyHealth Science Reports2398-88352023-08-0168n/an/a10.1002/hsr2.1437Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methodsNarges Ghamari0Rezvan Ghaderpanah1Seyed Hassan Sadrian2Nahid Fallah3Bone and Joint Diseases Research Center Shiraz University of Medical Sciences Shiraz IranDepartment of Physical Medicine and Rehabilitation, Students Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Physical Medicine and Rehabilitation, Students Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Health, Sports Physiotherapy Research Committee University of Bath, Claverton Down Bath UKAbstract Background and Aims The dual‐task experimental paradigm is used to study the attentional demands of postural control. Postural control is impaired in poststroke patients, and dual‐task balance studies address the visual needs of postural control in stroke patients. A nonlinear approach can help us understand the overall behavior of the dynamic system. Methods A total of 20 chronic stroke patients and 20 healthy subjects with similar age, height, and weight participated in this study. The stability and complexity of postural control were assessed using linear and nonlinear methods. All data and parameters (center of pressure [COP] velocity, anteroposterior and mediolateral directions displacement, length of COP path, and phase plane) were analyzed using the Kolmogorov–Smirnov test. Results When postural control was examined based on linear analysis, the results showed that the main effect of the group was not significant, but the main impact of position was significant for all parameters of the COP variation (p < 0.05). Examination of postural control based on nonlinear analysis also showed that the main effect of the group was not significant, and the main effect of status was significant only for the parameters of approximate entropy in both directions and short‐term Lyapunov view in the anterior‐posterior direction (p < 0.05). Conclusion According to the results of this study, the assessment of postural control and gait performance in poststroke patients, as well as the dual tasks they have to perform in daily life, is crucial for their independence in activities of daily living.https://doi.org/10.1002/hsr2.1437cognitive task complexitynonlinear dynamicspostural balancestroke
spellingShingle Narges Ghamari
Rezvan Ghaderpanah
Seyed Hassan Sadrian
Nahid Fallah
Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
Health Science Reports
cognitive task complexity
nonlinear dynamics
postural balance
stroke
title Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
title_full Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
title_fullStr Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
title_full_unstemmed Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
title_short Effect of a visual dual task on postural stability—A comparative study using linear and nonlinear methods
title_sort effect of a visual dual task on postural stability a comparative study using linear and nonlinear methods
topic cognitive task complexity
nonlinear dynamics
postural balance
stroke
url https://doi.org/10.1002/hsr2.1437
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