journal article·2020-03-13Open access

Effects of a Dual-Task Paradigm and Gait Velocity on Dynamic Gait Stability during Stair Descent

Qipeng Song, Wei Sun, Cui Zhang, Min Mao, Li Li

Applied Sciences· Volume 10· Issue 6

Abstract

Falls during stair negotiation have become one of the leading causes of accidental death. The effects of a concurrent cognitive or manual dual-task paradigm on dynamic gait stability remain uncertain. How much dynamic gait stability is influenced by gait velocity is also not clear. A total of 16 healthy young females descended a staircase under three different walking conditions: descend stairs only (single task), descend stairs while performing subtraction (cognitive dual-task), and descend stairs while carrying a glass of water (manual dual-task). An eight-camera Vicon motion analysis system and a Kistler force plate embedded into the third step of the staircase were used synchronously to collect kinematic and kinetic data. Gait velocity decreased and dynamic gait stability increased with both cognitive and manual dual-task conditions. The center of mass–center of pressure inclination angle increased with gait velocity but decreased with the manual dual-task condition compared to the single-task condition. Changes in gait velocity caused by the dual-task paradigm can partially explain the effects of dual-task dynamic gait stability. The influence of gait velocity should be considered in the assessment of dual-task effects.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Balance, Gait, and Falls Prevention · Injury Epidemiology and Prevention · Traffic and Road Safety

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

School of Kinesiology and Health Science, Shandong Sport University, Jinan 250102, China

Department of Health Sciences and Kinesiology, Waters College of Health Professions, Georgia Southern University, Statesboro, GA 30460, USA

Shandong Institute of Sport Science, Jinan 250102, China

Department of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

School of Kinesiology, Shanghai University of Sport, Shanghai 2000438, China

Funding

Key Technology Research and Development Program of Shandong · National Natural Science Foundation of China · China Scholarship Council

References (41)

Show source-provided references
1. Quantifying stair gait stability in young and older adults, with modifications to insole hardness10.1016/j.gaitpost.2014.05.009 ↗
2. The effects of blurring vision on medio-lateral balance during stepping up or down to a new level in the elderly10.1016/j.gaitpost.2004.08.006 ↗
3. Risk factors for falls among elderly persons living in the community10.1056/NEJM198812293192604 ↗
4. Effects of lower-limb muscular fatigue on stair gait10.1016/j.jbiomech.2015.10.004 ↗
5. Dynamic stability control in younger and older adults during stair descent10.1016/j.humov.2012.05.003 ↗
6. Texting during stair negotiation and implications for fall risk10.1016/j.gaitpost.2017.09.004 ↗
7. Tai Chi Training may Reduce Dual Task Gait Variability, a Potential Mediator of Fall Risk, in Healthy Older Adults: Cross-Sectional and Randomized Trial Studies10.3389/fnhum.2015.00332 ↗
8. Changes in step-width during dual-task walking predicts falls10.1016/j.gaitpost.2010.03.012 ↗
9. Effect of dual task type on gait and dynamic stability during stair negotiation at different inclinations10.1016/j.gaitpost.2015.09.009 ↗
10. Effects of dual-tasking on control of trunk movement during gait: Respective effect of manual- and cognitive-task10.1016/j.gaitpost.2013.05.025 ↗
11. Gait parameter risk factors for falls under simple and dual task conditions in cognitively impaired older people10.1016/j.gaitpost.2012.06.024 ↗
12. The effects of an attentional demand tasks on standing posture control10.2114/jpa.24.215 ↗
13. On the functional integration between postural and supra-postural tasks on the basis of contextual cues and task constraint10.1016/j.gaitpost.2010.09.003 ↗
14. Effects of Tai Chi Exercise on body stability among the elderly during stair descent under different levels of illumination10.1080/15438627.2017.1282363 ↗
15. Balance control during stair negotiation in older adults10.1016/j.jbiomech.2006.11.001 ↗
16. A Comparison of the Center of Pressure during Stair Descent in Young and Healthy Elderly Adults10.1589/jpts.21.129 ↗
17. Centre of mass motion during stair negotiation in young and older men10.1016/j.gaitpost.2006.11.202 ↗
18. Effects of gait speed on the body’s center of mass motion relative to the center of pressure during over-ground walking10.1016/j.humov.2017.06.004 ↗
19. The dynamic balance of the children with cerebral palsy and typical developing during gait. Part I: Spatial relationship between COM and COP trajectories10.1016/j.gaitpost.2008.11.007 ↗
20. Effects of belt speed on the body’s center of mass motion relative to the center of pressure during treadmill walking10.1016/j.gaitpost.2016.09.030 ↗
21. Control of the motion of the body’s center of mass in relation to the center of pressure during high-heeled gait10.1016/j.gaitpost.2012.12.015 ↗
22. Influence of light handrail use on the biomechanics of stair negotiation in old age10.1016/j.gaitpost.2008.01.014 ↗
23. Detection of gait instability using the center of mass and center of pressure inclination angles10.1016/j.apmr.2005.11.033 ↗
24. Comparison of body’s center of mass motion relative to center of pressure between treadmill and over-ground walking10.1016/j.gaitpost.2017.02.003 ↗
25. Age and height effects on the center of mass and center of pressure inclination angles during obstacle-crossing10.1016/j.medengphy.2007.12.005 ↗
26. Improved determination of dynamic balance using the centre of mass and centre of pressure inclination variables in a complete golf swing cycle10.1080/02640414.2015.1076572 ↗
27. Slip, trip and fall accidents: Relationship to building features and use of coroners’ reports in ascribing cause10.1016/S0003-6870(00)00052-1 ↗
28. Different motor tasks impact differently on cognitive performance of older persons during dual task tests10.1016/j.clinbiomech.2013.05.011 ↗
29. Time-of-day influences on static and dynamic postural control
30. Long-term Tai Chi practitioners have superior body stability under dual task condition during stair ascent10.1016/j.gaitpost.2018.08.008 ↗
31. Effects of long-term wearing of high-heeled shoes on the control of the body’s center of mass motion in relation to the center of pressure during walking10.1016/j.gaitpost.2014.01.007 ↗
32. At similar angles, slope walking has a greater fall risk than stair walking10.1016/j.apergo.2011.07.004 ↗
33. Ground reaction forces during stair locomotion in pregnant fallers and non-fallers10.1016/j.clinbiomech.2013.11.020 ↗
34. Dual-Task Does Not Increase Slip and Fall Risk in Healthy Young and Older Adults during Walking10.1155/2017/1014784 ↗
35. Effects of instructed focus and task difficulty on concurrent walking and cognitive task performance in healthy young adults10.1007/s00221-010-2429-6 ↗
36. The role of executive function and attention in gait10.1002/mds.21720 ↗
37. Human treadmill walking needs attention10.1186/1743-0003-3-19 ↗
38. The influence of cognitive load and walking speed on gait regularity in children and young adults10.1016/j.gaitpost.2014.10.013 ↗
39. Changes in the activity of the cerebral cortex relate to postural response modification when warned of a perturbation10.1016/j.clinph.2008.02.015 ↗
40. Balance Problems and Fall Risks in the Elderly10.1016/j.pmr.2017.06.006 ↗
41. Age affects the attentional demands of stair ambulation: Evidence from a dual-task approach10.2522/ptj.20080187 ↗