TY  - JOUR
PY  - 2019//
TI  - Failures in dual-task obstacle crossing could predict risk of future fall in independent ambulatory individuals with spinal cord injury
JO  - Clinical rehabilitation
A1  - Amatachaya, Sugalya
A1  - Srisim, Kitiyawadee
A1  - Thaweewannakij, Thiwabhorn
A1  - Arrayawichanon, Preeda
A1  - Amatachaya, Pipatana
A1  - Mato, Lugkana
SP  - 120
EP  - 127
VL  - 33
IS  - 1
N2  - OBJECTIVE: To determine whether cognitive-motor interference using ability of dual-task obstacle crossing could predict a risk of fall in 90 ambulatory individuals with spinal cord injury. <br><br>DESIGN: Six-month prospective study. SETTING: A rehabilitation center and community hospitals. SUBJECTS: Independent ambulatory individuals with spinal cord injury. MAIN OUTCOME MEASURES: Subjects were interviewed and evaluated for personal characteristics, dual-task obstacle crossing ability, and functional ability using the 10 Meter Walk Test, Timed Up and Go Test, and Five Times Sit-to-Stand Test. Then they were prospectively monitored for fall data every month for six months in total. <br><br>RESULTS: A total of 90 chronic ambulatory individuals with spinal cord injury with an average age of 52.51 ± 13.43 years, who mostly had mild lesion severity ( n = 71, 79%) and walked with a walking device ( n = 54, 60%) completed in the study. More than one-third of the subjects ( n = 32, 36%) failed in dual-task obstacle crossing. The failures were obviously associated with the fall (unadjusted odds ratio = 7.07, P < 0.002, power = 1.000). <br><br>CONCLUSION: Cognitive-motor interference is important for ambulatory individuals with spinal cord injury, as it could detect those with low functional ability and risk of future falls.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-2155
UR  - http://dx.doi.org/10.1177/0269215518788913
ID  - ref1
ER  -