The Effect of Dual Task Using Cell Phone and Foot Position on Center of Pressure for Patients with Chronic Stroke

2015 ◽  
Author(s):  
Kim Hye
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Mahnaz Hejazi-Shirmard ◽  
Laleh Lajevardi ◽  
Mehdi Rassafiani ◽  
Ghorban Taghizadeh

Abstract This study was designed to investigate the effects of anxiety and dual-task on reach and grasp motor control in chronic stroke survivors compared with age- and sex-matched healthy subjects (HC). Reach and grasp kinematic data of 68 participants (high-anxiety stroke (HA-stroke), n = 17; low-anxiety stroke (LA-stroke), n = 17; low-anxiety HC, n = 17; and high-anxiety HC, n = 17) were recorded under single- and dual-task conditions. Inefficient reach and grasp of stroke participants, especially HA-stroke were found compared with the control groups under single- and dual-task conditions as evidenced by longer movement time (MT), lower and earlier peak velocity (PV) as well as delayed and smaller hand opening. The effects of dual-task on reach and grasp kinematic measures were similar between HCs and stroke participants (i.e., increased MT, decreased PV that occurred earlier, and delayed and decreased hand opening), with greater effect in stroke groups than HCs, and in HA-stroke group than LA-stroke group. The results indicate that performing a well-learned upper limb movement with concurrent cognitive task leads to decreased efficiency of motor control in chronic stroke survivors compared with HCs. HA-stroke participants were more adversely affected by challenging dual-task conditions, underlying importance of assessing anxiety and designing effective interventions for it in chronic stroke survivors.


2010 ◽  
Vol 24 (8) ◽  
pp. 722-729 ◽  
Author(s):  
Debbie Rand ◽  
Janice J. Eng ◽  
Teresa Liu-Ambrose ◽  
Amira E. Tawashy

Background. Physical activity is beneficial for improving cognitive function in healthy older adults. However, research results on the benefits of physical activity on cognitive performance after stroke are limited. Objective. To determine if a combined exercise and recreation program can improve the executive functioning and memory of individuals with chronic stroke. Methods. In all, 11 ambulatory participants with chronic stroke (mean age 67 ± 10.8 years) participated in a 6-month program of exercise for 2 hours and recreation for 1 hour weekly. Executive functions and memory were assessed at baseline and at 3 and 6 months by a battery of standard neuropsychological tests, including response inhibition, cognitive flexibility, dual task (motor plus cognitive), and memory. Motor ability was also assessed. Nonparametric statistics were used to obtain the differences between the 3 assessments. Results . At baseline, substantial deficits in all aspects of executive functioning were revealed. From baseline to 3 months, the mean improvement was 10% ± 14% for the dual task (Walking While Talking), -3% ± 22% (χ 2 = 2.4; P > .05) for response inhibition (Stroop Test), and 61% ± 69% for memory (Rey Auditory Verbal Learning Test—long delay). From baseline to 6 months, the mean improvement was 7% ± 7.5% for response inhibition (Stroop Test). In addition, knee strength and walking speed improved significantly at 3 months. Conclusions. This pilot study suggests that exercise and recreation may improve memory and executive functions of community-dwelling individuals with stroke. Further studies require a larger sample size and a control group.


2020 ◽  
Vol 10 (6) ◽  
pp. 1979 ◽  
Author(s):  
Qipeng Song ◽  
Wei Sun ◽  
Cui Zhang ◽  
Min Mao ◽  
Li Li

Falls during stair negotiation have become one of the leading causes of accidental death. The effects of a concurrent cognitive or manual dual-task paradigm on dynamic gait stability remain uncertain. How much dynamic gait stability is influenced by gait velocity is also not clear. A total of 16 healthy young females descended a staircase under three different walking conditions: descend stairs only (single task), descend stairs while performing subtraction (cognitive dual-task), and descend stairs while carrying a glass of water (manual dual-task). An eight-camera Vicon motion analysis system and a Kistler force plate embedded into the third step of the staircase were used synchronously to collect kinematic and kinetic data. Gait velocity decreased and dynamic gait stability increased with both cognitive and manual dual-task conditions. The center of mass–center of pressure inclination angle increased with gait velocity but decreased with the manual dual-task condition compared to the single-task condition. Changes in gait velocity caused by the dual-task paradigm can partially explain the effects of dual-task dynamic gait stability. The influence of gait velocity should be considered in the assessment of dual-task effects.


Technologies ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 68 ◽  
Author(s):  
Koltermann ◽  
Gerber ◽  
Beck ◽  
Beck

The measurement of the center of pressure (CoP) is one of the most frequently used quantitative methods for quantifying postural performance. Due to the complexity and the high biological variability of the postural control loop, a large number of different methods and parameters have been established to describe the CoP process. Furthermore, the methodological conditions such as the foot position, visual condition, sampling duration, and the data processing also have a relevant influence on the measurement results. In addition, there are various methods for recording the pressure curve, which differ in particular with regard to the filters used, the frequencies, and measurement times. The aim of the present study was the methodical comparison between different digital filters, measurement frequencies and times, and their effects on the CoP process based on a healthy reference group. The data acquisition was done with LabVIEW and the data storage was organized in a subject oriented data structure. Based on the presented results it could be seen that with a different dominant frequency in the spectrum of the group of test persons, certain filter types are required for the processing of CoP data. In the sampling range from 300 Hz to 1 kHz in the bipedal stand and 600 Hz to 1 kHz in the monopedal stand, the choice of measurement frequency had no influence on the filter result.


2013 ◽  
Vol 31 (2) ◽  
pp. 102
Author(s):  
F.M.H. Lam ◽  
M.J. Huang ◽  
H.J. Liu ◽  
K.C. Lim ◽  
M.Y.C. Pang ◽  
...  

2020 ◽  
Vol 24 (1) ◽  
pp. 19-23
Author(s):  
Juhi K. Bharnuke ◽  
Rajani P. Mullerpatan ◽  
Claire Hiller

Indian classical dance involves a constant change of the base of support from stance to low jumps and spins along with intricate footwork. Graceful movement of the torso, shifting from side to side and turning around the axis of the spine, challenges balance. Yet, balance performance remains unexplored in Indian classical dancers. Therefore, the present study aimed to compare the standing balance of 36 active female dancers (18 to 25 years of age) who had performed Indian classical dance for a minimum of 10 years with 36 healthy age-matched women not involved in regular physical activity. Balance was evaluated in static and dynamic conditions of single and dual-limb stance on a force plate using center-of-pressure trajectory and the Star Excursion Balance Test (SEBT). Dancers demonstrated better balance on both instrumented and non-instrumented outcome variables: wide base of support with eyes open and with eyes closed; for 30-second single limb stance with eyes open and with eyes closed; for 13-second dual task in single limb stance; and for 22-second dual task in wide base of support. The SEBT revealed significantly better balance performance of dancers in the three directions tested: anterior, posteromedial, and posterolateral. There was also a strength component of the study on which the dancers achieved significantly higher scores than controls for the three muscle groups tested (gastrocsoleus, gluteus medius, and quadriceps), which can be attributed to their training. These findings can be used to recommend classical dance training to achieve the dual purpose of deriving better balance and stronger bodies and maintaining the Indian dance heritage.


2009 ◽  
Vol 90 (2) ◽  
pp. 314-319 ◽  
Author(s):  
Ana Cristina R. Camargos ◽  
Fátima Rodrigues-de-Paula-Goulart ◽  
Luci F. Teixeira-Salmela

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