Department of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Multiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
J Neural Transm (Vienna). 2018 Dec;125(12):1829-1835. doi: 10.1007/s00702-018-1939-4. Epub 2018 Oct 8.
The objective of the study was to investigate cognitive-motor interference of walking while texting in people with multiple sclerosis (PwMS). The study included 30 PwMS, mean disease duration 11.8 (SD = 6.8) years, and 15 healthy controls. The investigation included a cognitive assessment; texting assessment based on 100 typed characters; and gait assessment under two different conditions: normal walking and walking while texting. Outcome measures included the Symbol Digit Modalities Test to assess cognition. Texting measures included accuracy (%) and duration(s). Gait was assessed with axial accelerometers to quantify temporal measures. The dual-task cost percentage for the walking tests and texting accuracy was determined by calculating the percentage change from a single task to a double task. The impact of texting while walking on gait measures was significantly higher in PwMS; furthermore, texting was less accurate compared to the healthy controls. The dual-task cost for texting accuracy in the PwMS group was 153.3 (SD = 105.7) compared to 8.9 (SD = 26.6) in the healthy group. A significant association was found solely in the PwMS group between cognition and texting accuracy while in a sitting position (R = 0.564) and while walking (R = 0.534). The dual-task cost of walking and texting appears to be unique in the MS population.
本研究旨在探讨多发性硬化症(PwMS)患者在行走时发短信对认知-运动的干扰。该研究纳入了 30 名 PwMS,平均病程为 11.8 年(标准差=6.8 年),并纳入了 15 名健康对照者。研究包括认知评估、基于 100 个字符的短信评估以及在两种不同条件下的步态评估:正常行走和行走时发短信。主要结果包括评估认知的符号数字模态测验。短信评估指标包括准确性(%)和时长(s)。步态通过轴向加速度计进行评估,以量化时间指标。双重任务成本百分比通过从单任务到双任务的百分比变化来确定行走测试和短信准确性的变化。与健康对照组相比,多发性硬化症患者在行走时发短信对步态的影响明显更大,并且发短信的准确性也更低。PwMS 组短信准确性的双重任务成本为 153.3(标准差=105.7),而健康对照组为 8.9(标准差=26.6)。仅在 PwMS 组中,发现认知与坐姿(R=0.564)和行走时(R=0.534)的短信准确性之间存在显著关联。步行和发短信的双重任务成本在 MS 人群中似乎是独特的。