Changes in gait kinematics of ataxic patients associated with dual task: a comparative study
DOI:
https://doi.org/10.5902/2236583474394Keywords:
Ataxia, Gait, CognitionAbstract
Objective: To compare changes in gait kinematics parameters associated with dual task between ataxic patients and healthy individuals. Methods: Observational study of the analytical and comparative type, with transverse approach. Eight individuals aged 34 to 57 years were evaluated. Participants were divided into two groups, a group of patients with cerebellar ataxia (n = 4) and a healthy control group (n = 4). Firstly, the simple tasks were performed: gait, cognitive task, and cognitive-motor task. Afterwards, the dual tasks were performed, where the gait was associated with the cognitive task and cognitive-motor task. The gait evaluation was done through a three-dimensional gait system and the evaluated variables were velocity, cadence, step width, stride length, stride time and double support time. Results: Changes in the ataxic’s kinematics gait were found compared to the hygid, but without significant difference to most variables. Only the strid length showed a significant difference between the groups during the dual cognitive task. In dual tasks, the ataxic performed worse, with slower gait, larger base, shorter strid and slower double support. Due to performance variation, the dual cognitive-motor task was more impacted on the ataxic's kinematics gait and the healthy group. Final Considerations: There are changes in gait kinematics parameters in hygid and ataxic participants when added a dual task, whether cognitive or cognitive-motor, with greater performance variation in ataxic participants. The study suggests the changes found in gait aims to establish the balance of ataxic participants when inserted a dual task, reducing the chances of falls.
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