首页 | 本学科首页   官方微博 | 高级检索  
     


Motor dual task with eyes closed improves postural control in patients with functional motor disorders: A posturographic study
Affiliation:1. Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy;2. Angiology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy;3. Department of Medicine, University of Verona, Verona, Italy;4. Center for Neurodegenerative Diseases (CEMAND), Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Italy;5. IDC Hermitage-Capodimonte, Naples, Italy;1. Health and Rehabilitation Sciences Doctoral Program, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Avenue, Suite 228, Columbus, OH, 43210, United States;2. Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Avenue, Suite 516, Columbus, OH, 43210, United States;3. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH, 43202, United States;1. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH, 43202, United States;2. College of Medicine, The Ohio State University, 370 W 9th Avenue, Columbus, OH, 43210, United States;1. Health and Rehabilitation Sciences Doctoral Program, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Avenue, Suite 228, Columbus, OH, 43210, United States;2. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH, 43202, United States;1. Center for Clinical and Translational Science, The Ohio State University, 376 W 10th Avenue, Suite 260, Columbus, OH, 43210, United States;2. Division of Endocrinology, Diabetes and Metabolism, The Ohio State University Wexner Medical Center, McCampbell Hall, 5th Floor, 1581 Dodd Drive, Columbus, OH, 43210, United States;1. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH, 43202, United States;2. Department of Orthopaedics, The Ohio State University, 725 Prior Hall, 376 W 10th Avenue, Columbus, OH, 43210, United States;1. Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Avenue, Suite 516, Columbus, OH, 43210, United States;2. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Drive, Suite 3200, Columbus, OH, 43202, United States;1. Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States;2. Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, United States;3. School of Kinesiology, University of Michigan, Ann Arbor, MI, United States;4. Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States;1. Three-dimensional Motion Analysis Room, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;2. Department of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya 461-8673, Japan;3. Department of Pediatrics, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;4. Graduate School of Clinical Education & The Center for the Study of Child Development, Institute for Education, Mukogawa Women’s University, Nishinomiya 663-8558, Japan;5. Department of Orthopedic Surgery, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan;6. Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan;7. Department of Developmental Disability Medicine, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan;1. Human Cognitive Neuroscience, Psychology, University of Edinburgh, UK;2. Royal Edinburgh Hospital, Edinburgh, UK;3. University of Hamburg, Germany;4. Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK;5. Department of Rehabilitation Medicine, Astley Ainslie Hospital, Edinburgh, UK;1. Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;2. Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;3. Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;1. Center for Information and Neural Networks (CiNet), National Institute of Information and Communications Technology (NICT), 1-4 Yamadaoka, Suita, Osaka 565-0871, Japan;2. School of Healthcare Sciences, Cardiff University, Heath Park Campus, Cardiff CF14 4XN, Wales, UK
Abstract:
BackgroundFunctional motor disorders (FMD) are highly disabling neurological conditions in which postural control deficits increase the risk of falls and disability in performing daily living activities. Scattered evidence suggests that such disturbances may depend on abnormal attentional focus and might improve with distraction.Research questionHow do motor and cognitive dual tasks performed under two different sensory conditions shape postural control in patients with FMD.MethodsThis posturographic study involved 30 patients with FMD (age, 45.20 ± 14.57 years) and 30 healthy controls (age, 41.20 ± 16.50 years). Postural parameters were measured with eyes open, and eyes closed in quiet stance (single task) and on a motor dual task (m-DT) and a calculation (cognitive) dual task (c-DT). The dual task effect (DTE, expressed in percentage) on motor and cognitive performance was calculated for sway area, length of Center of Pressure (CoP), and velocity of CoP displacement.ResultsThere was a statistically significant three-way interaction between task, condition, and group for the DTE on sway area (p = 0.03). The mean sway area DTE on the motor task in the eyes-closed condition was increased by 70.4 % in the healthy controls, while it was decreased by 1% in the patient group (p = 0.003). No significant three-way interaction was observed for the DTE on length of CoP and velocity of CoP displacement.SignificanceThis study provides novel preliminary evidence for the benefit of a simple motor dual task in the eyes closed condition as a way to improve postural control in patients with FMD. These findings are relevant for the management of postural control disorders in patients with FMD.
Keywords:Balance  Risk of falls  Attention  Functional motor disorders
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号