Association between Balance Confidence and Cognitive-Motor Interference in Stroke Patients – Pilot Study

P. Roshan, R. Rai, S. Sethulekshmi
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Abstract

Background: Functional community ambulation demands the ability to accomplish both mobility andcognitive tasks at the same time (dual-tasking). When gait and cognitive deficits are done concurrently,this is referred to as cognitive-motor interference. Some hypothesis says that Individuals with lowbalance confidence would have higher cognitive-motor interference, indicating a behavioral changeduring dual-task settings. The purpose of this study is to see if cognitive-motor interference is linked tostroke patients’ confidence in their balance.Methodology: The participants in this pilot trial were sub-acute and chronic community-dwelling strokesurvivors. The MFES questionnaire assessed balance confidence. Participants completed four 10-meterwalking trails to evaluate Cognitive-Motor Interference. Two of the walking trails were performedwithout any additional tasks, while the other two were completed with a concurrent cognitive challenge.Conclusion: A total of 30 people participated in this study, with a mean age of 64±7.7 years. Pearsoncorrelation discovered a statistically significant (p=<0.05) negative correlation (r=-0.202) betweenbalance confidence and CMI. This study found that balance confidence is not associated with cognitivemotor interference in stroke patients
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脑卒中患者平衡信心与认知运动干扰的关系——初步研究
背景:功能性社区活动需要同时完成活动和认知任务的能力(双任务)。当步态和认知缺陷同时发生时,这被称为认知运动干扰。一些假说认为,平衡性自信心低的人会有更高的认知运动干扰,这表明在双重任务环境下行为发生了变化。这项研究的目的是观察认知运动干扰是否与中风患者对平衡的信心有关。方法学:该试点试验的参与者是亚急性和慢性社区居住中风幸存者。MFES问卷评估平衡置信度。参与者完成了四条10米的步道,以评估认知运动干扰。其中两条步道在没有任何额外任务的情况下进行,而另外两条步道在同时进行认知挑战的情况下完成。结论:本研究共纳入30例患者,平均年龄64±7.7岁。pearson相关发现平衡置信度与CMI呈显著负相关(r=-0.202), p=<0.05。本研究发现,平衡自信与脑卒中患者的认知运动干扰无关
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