Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability

Objective Some individuals with Chronic Ankle Instability (CAI) termed as functional ankle instability (FAI) suffer from repetitive ankle giving way and feeling of ankle joint instability during dynamic activities like walking. Walking, as a postural task, requires some central attention to integrat...

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Main Authors: Saeed Forghany, Sanam Tavakoli Oskoei
Format: Article
Language:fas
Published: University of Social Welfare and Rehabilitation Sciences 2017-10-01
Series:Journal of Rehabilitation
Subjects:
Online Access:http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-2255-1&slc_lang=en&sid=1
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author Saeed Forghany
Sanam Tavakoli Oskoei
author_facet Saeed Forghany
Sanam Tavakoli Oskoei
author_sort Saeed Forghany
collection DOAJ
description Objective Some individuals with Chronic Ankle Instability (CAI) termed as functional ankle instability (FAI) suffer from repetitive ankle giving way and feeling of ankle joint instability during dynamic activities like walking. Walking, as a postural task, requires some central attention to integrate sensory inputs, estimate, and plan and produce proper motor outputs. Attention demanding cognitive task has the ability to influence walking control and may increase the risk of giving way and ankle sprain. The purpose of this study was to investigate the effect of dual-tasking on dynamic balance in people with FAI. Materials & Methods Twelve physically active with clinically diagnosed FAI and 12 matched controls completed trials of normal walking in isolation or with a concurrent cognitive task, which is repeatedly subtracting seven from a randomly selected number (between 200 and 250) and the same cognitive task while sitting. Spatiotemporal parameters (measured by a seven-camera motion capture system) were calculated by visual3D during gait cycles. Gait velocity, step time, step length, stance time, and swing time were calculated. Independent t-test was used to compare the data for FAI and control groups, and comparisons between the single and dual task conditions were made using the paired t-test. Step time variability was calculated using Intraclass Correlation (ICC). Results The results indicated that step velocity was decreased and that stance, swing, and step time were increased significantly during dual task walking in FAI people (P<0.05). FAI people demonstrated greater step time variability during single and dual tasks compared to the control group.&nbsp; Conclusion The athletes with FAI demonstrated different movement strategies during the dual-task condition compared to control group. Cognitive load may increase the risk of ankle instability in individuals with FAI.&nbsp;
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spelling doaj.art-ee9a5c76227b4b658fcfa1dfdddd304d2022-12-21T23:25:24ZfasUniversity of Social Welfare and Rehabilitation SciencesJournal of Rehabilitation1607-29601607-29602017-10-01183220229Effect of Cognitive Task on Gait Balance in People With Functional Ankle InstabilitySaeed Forghany0Sanam Tavakoli Oskoei1 Musculoskeletal Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran. Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Objective Some individuals with Chronic Ankle Instability (CAI) termed as functional ankle instability (FAI) suffer from repetitive ankle giving way and feeling of ankle joint instability during dynamic activities like walking. Walking, as a postural task, requires some central attention to integrate sensory inputs, estimate, and plan and produce proper motor outputs. Attention demanding cognitive task has the ability to influence walking control and may increase the risk of giving way and ankle sprain. The purpose of this study was to investigate the effect of dual-tasking on dynamic balance in people with FAI. Materials & Methods Twelve physically active with clinically diagnosed FAI and 12 matched controls completed trials of normal walking in isolation or with a concurrent cognitive task, which is repeatedly subtracting seven from a randomly selected number (between 200 and 250) and the same cognitive task while sitting. Spatiotemporal parameters (measured by a seven-camera motion capture system) were calculated by visual3D during gait cycles. Gait velocity, step time, step length, stance time, and swing time were calculated. Independent t-test was used to compare the data for FAI and control groups, and comparisons between the single and dual task conditions were made using the paired t-test. Step time variability was calculated using Intraclass Correlation (ICC). Results The results indicated that step velocity was decreased and that stance, swing, and step time were increased significantly during dual task walking in FAI people (P<0.05). FAI people demonstrated greater step time variability during single and dual tasks compared to the control group.&nbsp; Conclusion The athletes with FAI demonstrated different movement strategies during the dual-task condition compared to control group. Cognitive load may increase the risk of ankle instability in individuals with FAI.&nbsp;http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-2255-1&slc_lang=en&sid=1Ankle sprain Attention Cognition Dynamic balance Gait
spellingShingle Saeed Forghany
Sanam Tavakoli Oskoei
Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
Journal of Rehabilitation
Ankle sprain
Attention
Cognition
Dynamic balance
Gait
title Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
title_full Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
title_fullStr Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
title_full_unstemmed Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
title_short Effect of Cognitive Task on Gait Balance in People With Functional Ankle Instability
title_sort effect of cognitive task on gait balance in people with functional ankle instability
topic Ankle sprain
Attention
Cognition
Dynamic balance
Gait
url http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-2255-1&slc_lang=en&sid=1
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