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The effects of cognitive loading on balance control in patients with multiple sclerosis

NEGAHBAN H; MOFATEH R; ARASTOO AA; MAZAHERI M; YAZDI MJ; SALAVATI M; MAJDINASAB N
GAIT POSTURE , 2011, vol. 34, n° 4, p. 479-484
Doc n°: 156431
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.gaitpost.2011.06.023
Descripteurs : AE3 - SEP, DF11 - POSTURE. STATION DEBOUT

The aim of this study was to compare the effects of concurrent cognitive task
(silent backward counting) on balance performance between two groups of multiple
sclerosis (MS) (n=23) and healthy (n=23) participates. Three levels of postural
difficulty were studied on a force platform, i.e. rigid surface with eyes open,
rigid surface with eyes closed, and foam surface with eyes closed. A mixed model
analysis of variance showed that under difficult sensory condition of foam
surface with eyes closed, execution of concurrent cognitive task caused a
significant decrement in variability of sway velocity in anteroposterior
direction for the patient group (P<0.01) while this was not the case for healthy
participants (P=0.22). Also, the variability of sway velocity in mediolateral
direction was significantly decreased during concurrent execution of cognitive
task in patient group (P<0.01) and not in healthy participants (P=0.39).
Furthermore, in contrast to single tasking, dual tasking had the ability to
discriminate between the 2 groups in all conditions of postural difficulty. In
conclusion, findings of variability in sway velocity seem to confirm the
different response to cognitive loading between two groups of MS and healthy
participants.
CI - Copyright (c) 2011 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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