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Within-session dual-task walking practice improves gait variability in older adults with multiple sclerosis.

作者信息

Hernandez Manuel E, Motl Robert W, Foley Frederick W, Izzetoglu Meltem, Wagshul Mark, Holtzer Roee

机构信息

Department of Biomedical and Translational Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL, United States; Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois Urbana-Champaign, Urbana, IL, United States; Neuroscience Program, College of Liberal Arts & Sciences, University of Illinois Urbana-Champaign, Urbana, IL, United States; Beckman Institute, University of Illinois Urbana-Champaign, Urbana, IL, United States.

Department of Kinesiology and Nutrition, College of Applied Health Sciences, University of Illinois Chicago, Chicago, IL, United States.

出版信息

Gait Posture. 2025 Jun;119:171-177. doi: 10.1016/j.gaitpost.2025.03.011. Epub 2025 Mar 19.


DOI:10.1016/j.gaitpost.2025.03.011
PMID:40122015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048238/
Abstract

BACKGROUND: Greater gait variability is associated with falls in aging and multiple sclerosis. However, whether older adults with MS (OAMS), show higher gait variability relative to healthy older adults (HOA), under single and dual-task walking conditions, has not been reported. Furthermore, it is unclear whether practice may improve gait variability in both groups. RESEARCH QUESTION: Is gait variability higher in OAMS relative to HOA, particularly in DTW compared to STW? Furthermore, does practice result in decreased gait variability in both groups, notably under DTW compared to STW? METHODS: We examined the effect of within-session practice on gait variability during single (STW) and dual (DTW) task gait conditions. OAMS (n = 97, mean±SD age: 65 ± 5 years, 66 females) and HOA (n = 113, mean±SD age: 68 ± 7 years, 73 females) were recruited. Practice effects on gait variability were evaluated over three repeated counterbalanced STW and DTW trials. Gait variability measures included Coefficient of Variation (CV) in stride velocity, stride length, and swing time. RESULTS: OAMS demonstrated higher gait variability, on all measures, relative to HOA during both STW and DTW (P < 0.001). Gait variability on all measures was higher in DTW compared to STW, (P < 0.05). Practice resulted in decreased gait variability (P < 0.01) on all measures in both OAMS and HOA. Furthermore, practice resulted in decreased temporal gait variability, as measured by swing time CV, under DTW in particular (P < 0.05). SIGNIFICANCE: In conclusion, OAMS exhibited greater gait variability than HOA, yet both groups demonstrated decreases in temporal and spatial gait variability after within-session practice, notably under DTW, which in turn may reduce fall risk.

摘要

相似文献

[1]
Within-session dual-task walking practice improves gait variability in older adults with multiple sclerosis.

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Multiple sclerosis: emerging epidemiological trends and redefining the clinical course.

Lancet Reg Health Eur. 2024-8-22

[2]
Brain hemodynamic responses and fall prediction in older adults with multiple sclerosis.

Mult Scler. 2024-11

[3]
Life space assessment and falls in older adults with multiple sclerosis.

Mult Scler Relat Disord. 2024-7

[4]
Brain control of dual-task walking can be improved in aging and neurological disease.

Geroscience. 2024-6

[5]
Differential Associations of Mobility With Fronto-Striatal Integrity and Lesion Load in Older Adults With and Without Multiple Sclerosis.

Neurorehabil Neural Repair. 2023-4

[6]
Individual reserve in aging and neurological disease.

J Neurol. 2023-6

[7]
The neural underpinnings of motor learning in people with neurodegenerative diseases: A scoping review.

Neurosci Biobehav Rev. 2021-12

[8]
The association between simple reaction time variability and gait variability: The Tasmanian Study of Cognition and Gait.

Gait Posture. 2021-9

[9]
Validating the walking while talking test to measure motor, cognitive, and dual-task performance in ambulatory individuals with multiple sclerosis.

Mult Scler Relat Disord. 2021-9

[10]
Intraindividual variability in neural activity in the prefrontal cortex during active walking in older adults.

Psychol Aging. 2020-12

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