Exploring cognitive motor interference in multiple sclerosis by the visual Stroop test.

Abstract:

BACKGROUND:The dual task paradigm (the simultaneous performance of motor and cognitive task) is used in a laboratory setting to evaluate walking impairments that affect patients' daily lives. Although promising, it is poorly standardized and neither the cognitive task nor the motor task have been validated in a matched healthy control group (HC) for multiple sclerosis (MS). OBJECTIVE:Our aim was to set up a standardized instrument to evaluate cognitive motor interference in MS using the interference test par excellence: the stroop colour word test (SCWT). METHODS:Patients with MS and HC underwent 3D gait analysis with a dual task protocol, using the SCWT as a cognitive task. Gait performance impairment during the dual task was evaluated by dual task cost (DTC). A MANOVA was used to verify the effect of status (MS, HC) on DTC, calculated for the spatiotemporal parameter of the gait. RESULTS:In MS, the DTC was higher for the following gait parameters: speed (p = .013), cadence (p = .004), stride time (p = .005) stance phase (p < .001), and swing phase duration (p = .032). CONCLUSION:DTC is present in MS and HC, but the motor cost in MS is higher. The present work provides a useful and validated basis for future studies about cognitive motor interference in MS.

authors

Coghe G,Pilloni G,Zucca E,Porta M,Corona F,Frau J,Fenu G,Lorefice L,Marrosu MG,Pau M,Cocco E

doi

10.1016/j.msard.2018.02.026

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

8-11

eissn

2211-0348

issn

2211-0356

pii

S2211-0348(18)30079-8

journal_volume

22

pub_type

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