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Posture-cognition interaction during quiet standing in patients with knee osteoarthritis

NEGAHBAN H; KARIMI M; GOHARPEY S; MEHRAVAR M; NAMNIK N
PHYSIOTHER THEORY PRACT , 2015, vol. 31, n° 8, p. 540-546
Doc n°: 176351
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2015.1065024
Descripteurs : DF11 - POSTURE. STATION DEBOUT, DE553 - GONARTHROSE

The aim of this study was to determine the effects of cognitive task (silent
backward counting) on postural control in patients with knee osteoarthritis (OA)
(n = 25) as compared with asymptomatic controls (n = 25). Static postural control
during quiet standing was assessed under different conditions including: (1)
rigid surface-open eyes; (2) rigid surface-closed eyes; (3) foam surface-open
eyes; and (4) foam surface-closed eyes. Dependent variables were center of
pressure (COP) parameters and cognitive score. The results of this study showed
that for most COP parameters, the patients with knee OA had greater postural sway
than asymptomatic control subjects. Moreover, while cognitive loading affects
postural sway in dual-task compared to single-task conditions, the pattern of
change was not different between the two groups. Cognitive loading caused
decreased postural sway in both groups. Future studies should select patients
with more disability, choose more attention demanding cognitive tasks, and expose
the subjects to dynamic balance situations to further explore the effect of cognitive loading on postural performance in this specific patient population.

Langue : ANGLAIS

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