Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sat, Jul 27, 2024
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Volume 37, Issue 1 (2-2023)
Med J Islam Repub Iran 2023 |
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Valizadeh L, Mofateh R, Zahednejad S, Salehi R, Karimi M, Mehravar M. Walking Performance during Concurrent Cognitive and Motor Tasks in Individuals with Nonspecific Chronic Low Back Pain: A Case-Control Study. Med J Islam Repub Iran 2023; 37 (1) :648-654
URL: http://mjiri.iums.ac.ir/article-1-8756-en.html
URL: http://mjiri.iums.ac.ir/article-1-8756-en.html
Leila Valizadeh 
, Razieh Mofateh , Shahla Zahednejad , Reza Salehi , Mehrnoosh Karimi , Mohammad Mehravar
, Razieh Mofateh , Shahla Zahednejad , Reza Salehi , Mehrnoosh Karimi , Mohammad Mehravar
Rehabilitation Research Center, & Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , snejad@ajums.ac.ir
Abstract: (451 Views)
Background: The present study aimed to compare the effects of simultaneous cognitive and motor tasks on walking performance between individuals with nonspecific chronic low back pain (NSCLBP) and healthy controls.
Methods: A total of 20 patients with NSCLBP and 20 healthy controls participated in this study. They walked at their self-selected speed on a treadmill under 3 walking conditions in a randomized order: walking only, walking while performing a concurrent cognitive task, and walking while performing a concurrent motor task. Two-way repeated measure analysis of variance with additional post hoc comparison (Bonferroni test) was used to evaluate the effects of group and walking conditions on gait parameters.
Results: The result showed a significant main effect of the group for swing time (P = 0.012) and double support time (P = 0.021) in those with NSCLBP compared with healthy controls. Moreover, there was a significant interaction between the group and condition for cadence (P = 0.004) and step width variability (P = 0.016). Regarding stride length variability and stride time variability, the analysis indicated a significant effect of condition (P = 0.002 and P = 0.030, respectively). In both groups, no significant differences were observed in gait parameters between motor dual task and single walking (P > 0.05).
Conclusion: Our findings indicated that those with NSCLBP adapted successfully to walking performance to maintain the performance of the concurrent cognitive task under the cognitive dual-task walking condition. Moreover, the present study observed no dual-task interference under the motor dual-task condition.
Methods: A total of 20 patients with NSCLBP and 20 healthy controls participated in this study. They walked at their self-selected speed on a treadmill under 3 walking conditions in a randomized order: walking only, walking while performing a concurrent cognitive task, and walking while performing a concurrent motor task. Two-way repeated measure analysis of variance with additional post hoc comparison (Bonferroni test) was used to evaluate the effects of group and walking conditions on gait parameters.
Results: The result showed a significant main effect of the group for swing time (P = 0.012) and double support time (P = 0.021) in those with NSCLBP compared with healthy controls. Moreover, there was a significant interaction between the group and condition for cadence (P = 0.004) and step width variability (P = 0.016). Regarding stride length variability and stride time variability, the analysis indicated a significant effect of condition (P = 0.002 and P = 0.030, respectively). In both groups, no significant differences were observed in gait parameters between motor dual task and single walking (P > 0.05).
Conclusion: Our findings indicated that those with NSCLBP adapted successfully to walking performance to maintain the performance of the concurrent cognitive task under the cognitive dual-task walking condition. Moreover, the present study observed no dual-task interference under the motor dual-task condition.
Type of Study: Original Research |
Subject:
Rehabilitation
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