TY - JOUR
PY - 2016//
TI - Executive dysfunction following a mild traumatic brain injury revealed in early adolescence with locomotor-cognitive dual-tasks
JO - Brain injury
A1 - Cossette, Isabelle
A1 - Gagné, Marie-Ève
A1 - Ouellet, Marie-Christine
A1 - Fait, Philippe
A1 - Gagnon, Isabelle
A1 - Sirois, Katia
A1 - Blanchet, Sophie
A1 - Sage, Natalie Le
A1 - McFadyen, Bradford J.
SP - 1648
EP - 1655
VL - 30
IS - 13-14
N2 - OBJECTIVE: To compare gait parameters between children in early adolescence (EA) with and without a mild traumatic brain injury (mTBI) during dual-task walking (DTW).
METHODS: Children in EA with mTBI (n = 14; six girls) were compared to those without (n = 13; five girls) while walking in different combinations of obstacle avoidance and cognitive dual-tasks. Gait speed and fluidity and their related dual-task costs (DTC) were analysed along with foot clearance and proximity to the obstacle.
RESULTS: No group effects were found for gait speed, proximity or clearance, but were found for fluidity DTC, specifically during the dual Stroop task and when crossing the deeper obstacle. There were also group differences for fluidity during the planning of obstacle avoidance for the narrow obstacle combined with the verbal fluency task and the deep obstacle with no cognitive task. Finally, gait fluidity showed group differences across unobstructed dual-task situations.
CONCLUSIONS: Gait fluidity may be a more sensitive variable than gait speed for revealing executive dysfunction following mTBI in EA. Assessing DTW in level walking also seems to show a potential to reveal executive dysfunctions in this age group. These results provide direction for future research on clinical assessment using DTW post-mTBI in adolescents.
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2016.1200143 ID - ref1 ER -