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慢性特发性颈痛患者串联行走和认知与运动双重任务对步态速度的影响:初步研究。

Effects of tandem walk and cognitive and motor dual- tasks on gait speed in individuals with chronic idiopathic neck pain: a preliminary study.

机构信息

Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.

School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.

出版信息

Physiother Theory Pract. 2021 Nov;37(11):1210-1216. doi: 10.1080/09593985.2019.1686794. Epub 2019 Oct 31.

Abstract

: Gait impairment has been associated with neck pain. It is relevant to understand the possible influence of narrow-based walk and an attention-demanding secondary task on gait performance in neck pain.: To investigate the effects of tandem walk and cognitive and motor dual-tasks on gait speed in persons with chronic idiopathic neck pain (CINP) compared with controls.: A cross-sectional study. Thirty participants with CINP and 30 asymptomatic controls participated in the study. Gait speed was assessed using a timed 10-m walk test at a comfortable pace under four conditions: (1) comfortable walk (as reference); (2) tandem walk (single task); (3) cognitive dual-task walking; and (4) motor dual-task walking. Dual-task interference was calculated.: There was no difference in comfortable gait speed between groups (= 0.40). The CINP group had slower gait speed during the tandem walk than controls (= 0.02). The dual-task interference on gait speed was not different between groups ( = 0.67 for cognitive, = 0.93 for motor).: Participants with CINP had impaired gait stability during tandem walk. An attention-demanding secondary task did not influence gait speed in individuals with CINP compared to controls. The study suggests that tandem walk could be considered as an assessment tool and part of rehabilitation for neck pain.

摘要

: 步态障碍与颈部疼痛有关。了解在颈部疼痛患者中,窄基底行走和注意力要求高的次要任务对步态表现的可能影响是很重要的。: 本研究旨在比较慢性特发性颈痛(CINP)患者与对照组在进行并足走和认知与运动双重任务时,对步态速度的影响。: 这是一项横断面研究。30 名 CINP 患者和 30 名无症状对照者参与了研究。采用定时 10 米步行测试评估步态速度,在 4 种条件下进行:(1)舒适步行(作为参考);(2)并足走(单任务);(3)认知双重任务行走;(4)运动双重任务行走。计算双重任务干扰。: 组间舒适步态速度无差异( = 0.40)。CINP 组在并足行走时的步态速度比对照组慢( = 0.02)。双重任务对步态速度的干扰在组间无差异(认知任务为 = 0.67,运动任务为 = 0.93)。: CINP 患者在并足行走时步态稳定性受损。与对照组相比,注意力要求高的次要任务并未影响 CINP 患者的步态速度。研究表明,在评估和康复颈部疼痛时,可以考虑并足走作为一种评估工具。

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