Gait stability in ambulant children with cerebral palsy during dual tasks

Article Article scientifique Article Gait stability in ambulant children with cerebral palsy during dual tasks eng 2022-06-22 2022-06-22 author Wist Sophie 0000-0003-3673-4404 935256 author Carcreff Léna 0000-0003-0086-4944 844792 author Bruijn Sjoerd M. author Allali Gilles 507314 author Newman Christopher J. 0000-0002-9874-6681 author Fluss Joel Victor 0000-0002-6413-162X 28801 author Armand Stéphane 0000-0001-9144-4982 636265 e0270145 10.1371/journal.pone.0270145 35731795 1932-6203 PMC9216605 https://dx.plos.org/10.1371/journal.pone.0270145 Aim: The aim of this cross-sectional study was to measure the effect of dual tasks on gait stability in ambulant children with cerebral palsy (CP) compared to typically developing (TD) children. Methods: The children of the CP (n = 20) and TD groups (n = 20) walked first without a dual task, then while counting forward and finally while alternatively naming fruits and animals (DTf/a). They then completed the same cognitive exercises while sitting comfortably. We calculated the distance between the foot placement estimator (FPE) and the real foot placement in the anterior direction (DFPEAP) and in the mediolateral direction (DFPEML) as a measure of gait stability, in a gait laboratory using an optoelectronic system. Cognitive scores were computed. Comparisons within and between groups were analysed with linear mixed models. Results: The dual task had a significant effect on the CP group in DFPEAP and DFPEML. The CP group was more affected than the TD group during dual task in the DFPEML. Children in both groups showed significant changes in gait stability during dual tasks. Interpretation: The impact of dual task on gait stability is possibly due to the sharing of attention between gait and the cognitive task. All children favoured a 'posture second' strategy during the dual task of alternatively naming animals and fruits. Children with CP increased their mediolateral stability during dual task. Cerebral Palsy Cross-Sectional Studies Gait Gait Disorders, Neurologic Humans Walking Dewey 616.8 Dewey 617 Dewey 618 57 Département de chirurgie 222 58 Département de pédiatrie, gynécologie et obstétrique 223 61 Département des neurosciences cliniques 226 false 900 Laboratoire de cinésiologie 943 PloS one 17 6 aac7464c-6da9-4a83-90c1-e849edfe90d6 Article (Published version) Public Article-scientifique-from-unpaywall.pdf 1032717 application/pdf CC BY-4.0 ec6fb2cd-f540-445d-909b-86f0e1483813 Supplemental data Public journal.pone.0270145.s001.xlsx 46771 application/vnd.openxmlformats-officedocument.spreadsheetml.sheet 5846f574-8e94-4ed2-814b-153a2da1af8e Supplemental data Public journal.pone.0270145.s002.xlsx 39285 application/vnd.openxmlformats-officedocument.spreadsheetml.sheet openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Gait stability in ambulant children with cerebral palsy during dual tasks	PloS one			2022	182	313

Archive ouverte UNIGE

Wist, Sophie