Soangra Rahul, Lockhart Thurmon E
School of Biological and Health Systems Engineering, Ira A. Fulton Schools of Engineering, Arizona State University, Tempe AZ, 85287, USA.
Biomed Sci Instrum. 2017 Apr;53:134-141.
Performance of secondary task i.e. dual task affects certain aspects of gait, but the relationship between gait variability and dual tasking is not well understood. This study evaluated the effects of the dual-task paradigm on measures of movement variability changes in two healthy age groups. Seven young (age 22.6±2.5 years, height 170.3±9.3 cm and weight 69.6±15.5 Kgs) and seven old participants (age 71.14±6.5 years, height 174.5±10.2 cm and weight 78.5±18.2 Kgs) were recruited for this study. Since cognitive task such as mental arithmetic tasks (for example counting backwards by subtracting three digits) are self-generated, and are performed with selected spontaneous rhythm, so are used as secondary task while walking. An inertial measurement unit was affixed at sternum level and anterior-posterior angular velocities were used for determining stride intervals and peak accelerations during each stride. It was found that healthy older adults have significantly higher dynamic stability (p<0.01) and we also found that dual-tasking significantly increases complexity in stride interval time signals in both young and older adults (p=0.01). In conclusion the findings of this study elucidate that dual-task related changes in gait compensate with movement variability but may not predispose healthy young and older adults to falls.
次要任务(即双重任务)的执行会影响步态的某些方面,但步态变异性与双重任务之间的关系尚未得到充分理解。本研究评估了双重任务范式对两个健康年龄组运动变异性变化指标的影响。本研究招募了7名年轻参与者(年龄22.6±2.5岁,身高170.3±9.3厘米,体重69.6±15.5千克)和7名老年参与者(年龄71.14±6.5岁,身高174.5±10.2厘米,体重78.5±18.2千克)。由于诸如心算任务(例如倒着数三位数)之类的认知任务是自我生成的,并且以选定的自发节奏执行,因此在行走时用作次要任务。在胸骨水平处固定一个惯性测量单元,并使用前后角速度来确定每个步幅期间的步幅间隔和峰值加速度。研究发现,健康的老年人具有显著更高的动态稳定性(p<0.01),并且我们还发现双重任务显著增加了年轻人和老年人步幅间隔时间信号的复杂性(p=0.01)。总之,本研究结果表明,与双重任务相关的步态变化可通过运动变异性得到补偿,但可能不会使健康的年轻人和老年人更容易跌倒。