TY  - JOUR
PY  - 2023//
TI  - Dual task cost in adults with persistent concussion symptoms
JO  - Gait and posture
A1  - Bryk, Kelsey N.
A1  - Passalugo, Scott
A1  - Chou, Li-Shan
A1  - Reisman, Darcy R.
A1  - Hafer, Jocelyn
A1  - Semrau, Jennifer A.
A1  - Buckley, Thomas A.
SP  - 120
EP  - 123
VL  - 101
IS  - 
N2  - BACKGROUND: Persistent concussion symptoms (PCS) negatively affects common activities of daily living including deficits in both single and dual-task (DT) gait. DT gait deficits are present post-concussion; however, task prioritization and the effects of differing cognitive challenge remain unexplored in the PCS population.     RESEARCH QUESTION: The purpose of this study was to investigate single and dual-task gait performance in individuals with persistent concussion symptoms and to identify task priorization strategies during DT trials. <br><br>METHODS: Fifteen adults with PCS (age: 43.9+11.7 y.o.) and 23 healthy control participants (age: 42.1+10.3 y.o.) completed five trials of single task gait followed by fifteen trials of dual task gait along a 10-m walkway. The cognitive challenges consisted of five trials each of visual stroop, verbal fluency, and working memory cognitive challenges. Groups were compared on DT cost stepping characteristics with independent samples t-test or Mann-Whitney U tests. <br><br>RESULTS: There were significant overall gait Dual Task Cost (DTC)difference between groups for gait speed (p = 0.009, d=0.92) and step length (p = 0.023, d=0.76). Specific to each DT challenge, PCS participants were slower during Verbal Fluency (0.98 + 0.15 m/s and 1.12 + 0.12 m/s, p = 0.008; d=1.03), Visual Stroop (1.06 + 0.19 m/s and 1.20 + 0.12 m/s, p = 0.012, d=0.88), and Working Memory (1.02 + 0.15 m/s and 1.16 + 0.14 m/s, p = 0.006, d=0.96). There were significant cognitive DTC differences between groups for WM accuracy (p = 0.008, d=0.96), but not for VS accuracy (p = 0.841, d=0.061) or VF total words (p = 0.112, d=0.56).     SIGNIFICANCE: The PCS participants displayed a posture-second strategy whereby gait performance generally decreased in the absence of cognitive changes. However, during the Working Memory DT, PCS participants had a mutual interference response whereby both motor and cognitive performance decreased suggesting the cognitive task plays a key role in the DT gait performance of PCS patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0966-6362
UR  - http://dx.doi.org/10.1016/j.gaitpost.2023.02.008
ID  - ref1
ER  -