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research article

The effects of dual tasks on gait in children with cerebral palsy

Carcreff, Lena  
•
Fluss, Joel
•
Allali, Gilles
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2019
Gait & Posture

Aim: To assess the gait and cognitive performances of children with cerebral palsy (CP) during dual tasks (DT) in comparison to typically developing (TD) children. Method: This prospective, observational, case-control study included 18 children with CP (7 girls, 11 boys; median age 12 [10:13] years and 19 controls (9 girls, 10 boys; median age 12 [10:13y6mo] years). Performances were recorded during a simple walking task, 5 DT (walking + cognitive tasks with increasing cognitive load), and 5 simple cognitive tasks (while sitting). Gait parameters were computed using an optoelectronic system during walking tasks. Six parameters were selected for analysis by a principal component analysis. Cognitive performance was measured for each cognitive task. The dual-task cost (DTC) was calculated for each DT. Results: Gait performance decreased in both groups as DT cognitive load increased (e.g., walking speed normalized by leg length, in simple task: 1.25 [1.15:1.46] s −1 for CP, 1.53 [1.38:1.62] s −1 for TD; DT with highest load: 0.64 [0.53:0.80] s −1 for CP, 0.95 [0.75:1.08] s −1 for TD). The CP group performed significantly worse than TD group in every task (including the simple task), but DTC were similar in both groups. A task effect was found for the majority of the gait parameters. Interpretation: The reduced gait performance induced by DT may generate underestimated difficulties for children with CP in daily-life situations, where DT are common. This should be considered in clinical assessments.

  • Details
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Type
research article
DOI
10.1016/j.gaitpost.2019.02.014
Web of Science ID

WOS:000464658000026

Scopus ID

2-s2.0-85062863006

PubMed ID

30875601

Author(s)
Carcreff, Lena  
Fluss, Joel
Allali, Gilles
Valenza, Nathalie
Aminian, Kamiar  
Newman, Christopher J.
Armand, Stéphane
Date Issued

2019

Published in
Gait & Posture
Volume

70

Start page

148

End page

155

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMAM  
Available on Infoscience
May 5, 2019
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/156271
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