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http://hdl.handle.net/10397/89287
| Title: | Association of subsequent falls with evidence of dual-task interference while walking in community-dwelling individuals after stroke | Authors: | Tsang, CSL Pang, MYC |
Issue Date: | 1-Jul-2020 | Source: | Clinical rehabilitation, 1 July 2020, v. 34, no. 7, p. 971-980 | Abstract: | Objective: The aim of this study was to examine the fall predictive value of single-task walking tests and extent of interference observed in dual-task walking tests in ambulatory individuals post stroke. Design: This is an observational study with prospective cohort. Setting: The study was conducted at the university laboratory. Participants: A total of 91 community-dwelling individuals with chronic stroke participated in the study. Main outcome measures: Time required to complete a 10-m walk test with and without obstacle negotiation was measured in isolation and in conjunction with performance of a verbal fluency task (category naming). Fall incidence, circumstances, and related injuries were recorded by monthly telephone calls for 12 months. Results: A total of 91 individuals (mean (SD) age = 62.7 (8.3) years; mean (SD) post-stroke duration = 8.8 (5.3) years) participated in the study; 29 (32%) of them reported at least one fall during the follow-up period, with a total of 71 fall episodes. There was a significant difference in obstacle-crossing time under single-task (mean difference = 8.3 seconds) and dual-task (mean difference = 7.4 seconds) conditions, and also the degree of interference in mobility performance (increased dual-task obstacle-crossing time relative to the single-task obstacle-crossing time; mean difference = 3.3%) between the fallers and the non-fallers (P < 0.05). After adjusting for the effects of other relevant factors, a greater degree of interference in mobility performance remained significantly associated with a decreased risk of falling (adjusted odds ratio = 0.951, 95% CI = 0.907–0.997, P = 0.037). Conclusion: The degree of mobility interference during dual-task obstacle-crossing was the most effective in predicting falls among all the single-task and dual-task walking measure parameters tested. This simple dual-task walking assessment has potential clinical utility in identifying people post stroke at high risk of future falls. |
Keywords: | Cognition Dual-task interference Falls Stroke Walking |
Publisher: | SAGE Publications | Journal: | Clinical rehabilitation | ISSN: | 0269-2155 | EISSN: | 1477-0873 | DOI: | 10.1177/0269215520923700 | Rights: | This is the accepted version of the publication Tsang, Charlotte Sau Lan, and Marco Yiu Chung Pang. “Association of Subsequent1 Falls with Evidence of Dual-Task Interference While Walking in Community-Dwelling Individuals after Stroke.” Clinical Rehabilitation, vol. 34, no. 7, July 2020, pp. 971–980. Copyright © 2020 (The Author(s)). DOI: 10.1177/0269215520923700 |
| Appears in Collections: | Journal/Magazine Article |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| a0590-n45_DT fall_v4.pdf | Pre-Published version | 1.81 MB | Adobe PDF | View/Open |
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