@article{ref1,
title="The effects of dual tasks on gait in children with cerebral palsy",
journal="Gait and posture",
year="2019",
author="Carcreff, Lena and Fluss, Joel and Allali, Gilles and Valenza, Nathalie and Aminian, Kamiar and Newman, Christopher J. and Armand, Stéphane",
volume="70",
number="",
pages="148-155",
abstract="AIM: To assess the gait and cognitive performances of children with cerebral palsy (CP) during dual tasks (DT) in comparison to typically developing (TD) children. <br><br>METHOD: This prospective, observational, case-control study included 18 children with CP (7 girls, 11 boys; median age 12 [10:13] years and 19 controls (9 girls, 10 boys; median age 12 [10:13y6mo] years). Performances were recorded during a simple walking task, 5 DT (walking + cognitive tasks with increasing cognitive load), and 5 simple cognitive tasks (while sitting). Gait parameters were computed using an optoelectronic system during walking tasks. Six parameters were selected for analysis by a principal component analysis. Cognitive performance was measured for each cognitive task. The dual-task cost (DTC) was calculated for each DT. <br><br>RESULTS: Gait performance decreased in both groups as DT cognitive load increased (e.g., walking speed normalized by leg length, in simple task: 1.25 [1.15:1.46] s<sup>-1</sup> for CP, 1.53 [1.38:1.62] s<sup>-1</sup> for TD; DT with highest load: 0.64 [0.53:0.80] s<sup>-1</sup> for CP, 0.95 [0.75:1.08] s<sup>-1</sup> for TD). The CP group performed significantly worse than TD group in every task (including the simple task), but DTC were similar in both groups. A task effect was found for the majority of the gait parameters. <br><br>INTERPRETATION: The reduced gait performance induced by DT may generate underestimated difficulties for children with CP in daily-life situations, where DT are common. This should be considered in clinical assessments.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0966-6362",
doi="10.1016/j.gaitpost.2019.02.014",
url="http://dx.doi.org/10.1016/j.gaitpost.2019.02.014"
}