Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study
BackgroundIn addition to several physical skills, being able to walk in the community, walking independently and safely in the community requires the ability to divide attention between walking and other tasks performed simultaneously. The aims of the present pilot study were to measure cognitive-lo...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.855226/full |
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| author | Anne Deblock-Bellamy Anne Deblock-Bellamy Anouk Lamontagne Anouk Lamontagne Bradford J. McFadyen Bradford J. McFadyen Bradford J. McFadyen Marie-Christine Ouellet Marie-Christine Ouellet Andréanne K. Blanchette Andréanne K. Blanchette Andréanne K. Blanchette |
| author_facet | Anne Deblock-Bellamy Anne Deblock-Bellamy Anouk Lamontagne Anouk Lamontagne Bradford J. McFadyen Bradford J. McFadyen Bradford J. McFadyen Marie-Christine Ouellet Marie-Christine Ouellet Andréanne K. Blanchette Andréanne K. Blanchette Andréanne K. Blanchette |
| author_sort | Anne Deblock-Bellamy |
| collection | DOAJ |
| description | BackgroundIn addition to several physical skills, being able to walk in the community, walking independently and safely in the community requires the ability to divide attention between walking and other tasks performed simultaneously. The aims of the present pilot study were to measure cognitive-locomotor dual-task (DT) abilities during activities representative of daily living in stroke survivors and to compare them with age- and gender-matched healthy individuals.MethodsTo assess DT abilities, all participants walked along a virtual shopping mall corridor and memorized a 5-item shopping list. Two levels of task complexity were used for the walking task (with or without virtual agents to avoid) and the cognitive task to recall a list of items (with or without a modification at mid-course). The assessment was conducted using an omnidirectional platform and a virtual reality (VR) headset. Locomotor and cognitive DT costs (DTC) were calculated as the percent change from single-task (ST) performance. Walking speed and minimal distance between the participant and the virtual agents were used to characterize locomotor performance. Cognitive performance was assessed by the number of correctly recalled items. One-sample Wilcoxon tests were used to determine the presence of DTCs and Mann-Whitney tests were performed to compare DTCs between the 2 groups.ResultsTwelve community-dwelling stroke survivors [60.50 years old (25-75th percentiles: 53.50–65.75); 5 women; 13.41 months post-stroke (5.34–48.90)] and 12 age- and gender- matched healthy individuals were recruited. Significant cognitive or mutual (cognitive and locomotor) interferences were observed in participants with stroke in all DT conditions, except the simplest (no virtual agents, no modifications to the list). For the control group, significant mutual interferences were only observed during the most complex DT condition. A group difference was detected in cognitive DTCs during the most complex DT condition (virtual agents and list modifications; p = 0.02). Stroke survivors had greater cognitive DTCs than the control group.ConclusionsUsing an ecological perspective contributes to understanding behavior of stroke survivors in daily activities. Virtual scenarios appear to be an interesting avenue for a more comprehensive understanding of DT abilities during activities representative of daily living in stroke survivors. The usability and feasibility of such an approach will have to be studied before considering implementation in rehabilitation settings. |
| first_indexed | 2024-04-13T04:49:39Z |
| format | Article |
| id | doaj.art-5552d60452dc41f4a1d6cad84d0b9c02 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-13T04:49:39Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-5552d60452dc41f4a1d6cad84d0b9c022022-12-22T03:01:44ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-05-011310.3389/fneur.2022.855226855226Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot StudyAnne Deblock-Bellamy0Anne Deblock-Bellamy1Anouk Lamontagne2Anouk Lamontagne3Bradford J. McFadyen4Bradford J. McFadyen5Bradford J. McFadyen6Marie-Christine Ouellet7Marie-Christine Ouellet8Andréanne K. Blanchette9Andréanne K. Blanchette10Andréanne K. Blanchette11Faculty of Medicine, Universite Laval, Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris)–CIUSSS de la Capitale-Nationale, Quebec City, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaJewish Rehabilitation Hospital-CISSS de Laval, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, QC, CanadaFaculty of Medicine, Universite Laval, Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris)–CIUSSS de la Capitale-Nationale, Quebec City, QC, CanadaDepartment of Rehabilitation, Universite Laval, Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris)–CIUSSS de la Capitale-Nationale, Quebec City, QC, CanadaFaculty of Social Sciences, School of Psychology, Universite Laval, Quebec City, QC, CanadaFaculty of Medicine, Universite Laval, Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris)–CIUSSS de la Capitale-Nationale, Quebec City, QC, CanadaDepartment of Rehabilitation, Universite Laval, Quebec City, QC, CanadaBackgroundIn addition to several physical skills, being able to walk in the community, walking independently and safely in the community requires the ability to divide attention between walking and other tasks performed simultaneously. The aims of the present pilot study were to measure cognitive-locomotor dual-task (DT) abilities during activities representative of daily living in stroke survivors and to compare them with age- and gender-matched healthy individuals.MethodsTo assess DT abilities, all participants walked along a virtual shopping mall corridor and memorized a 5-item shopping list. Two levels of task complexity were used for the walking task (with or without virtual agents to avoid) and the cognitive task to recall a list of items (with or without a modification at mid-course). The assessment was conducted using an omnidirectional platform and a virtual reality (VR) headset. Locomotor and cognitive DT costs (DTC) were calculated as the percent change from single-task (ST) performance. Walking speed and minimal distance between the participant and the virtual agents were used to characterize locomotor performance. Cognitive performance was assessed by the number of correctly recalled items. One-sample Wilcoxon tests were used to determine the presence of DTCs and Mann-Whitney tests were performed to compare DTCs between the 2 groups.ResultsTwelve community-dwelling stroke survivors [60.50 years old (25-75th percentiles: 53.50–65.75); 5 women; 13.41 months post-stroke (5.34–48.90)] and 12 age- and gender- matched healthy individuals were recruited. Significant cognitive or mutual (cognitive and locomotor) interferences were observed in participants with stroke in all DT conditions, except the simplest (no virtual agents, no modifications to the list). For the control group, significant mutual interferences were only observed during the most complex DT condition. A group difference was detected in cognitive DTCs during the most complex DT condition (virtual agents and list modifications; p = 0.02). Stroke survivors had greater cognitive DTCs than the control group.ConclusionsUsing an ecological perspective contributes to understanding behavior of stroke survivors in daily activities. Virtual scenarios appear to be an interesting avenue for a more comprehensive understanding of DT abilities during activities representative of daily living in stroke survivors. The usability and feasibility of such an approach will have to be studied before considering implementation in rehabilitation settings.https://www.frontiersin.org/articles/10.3389/fneur.2022.855226/fullstrokedual-taskinterferencelocomotioncognition |
| spellingShingle | Anne Deblock-Bellamy Anne Deblock-Bellamy Anouk Lamontagne Anouk Lamontagne Bradford J. McFadyen Bradford J. McFadyen Bradford J. McFadyen Marie-Christine Ouellet Marie-Christine Ouellet Andréanne K. Blanchette Andréanne K. Blanchette Andréanne K. Blanchette Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study Frontiers in Neurology stroke dual-task interference locomotion cognition |
| title | Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study |
| title_full | Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study |
| title_fullStr | Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study |
| title_full_unstemmed | Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study |
| title_short | Dual-Task Abilities During Activities Representative of Daily Life in Community-Dwelling Stroke Survivors: A Pilot Study |
| title_sort | dual task abilities during activities representative of daily life in community dwelling stroke survivors a pilot study |
| topic | stroke dual-task interference locomotion cognition |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.855226/full |
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