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1

Prof, G. S. Ramesh Kumar. "WONDERFEELZ HUMMING WALKING AND COGNITIVE WALKING – MULTIPLE TASK WALKING CONCEPT AND CASE REPORT OF ENGINEERING EMPLOYEE." International Research Journal of Modernization in Engineering Technology and Science 4, no. 5 (2022): 5772–81. https://doi.org/10.5281/zenodo.6613710.

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Stress is handled by variety of ways. Dual Task walking is also one such measure but the concept requires more  clarity.  Operational Definition of Dual Task Walking, Multiple Task Walking are proposed.  Humming walking, Cognitive Walking and Cognitively Controlled walking techniques are clarified operationally.  A variant of Multiple Task Walking systematized by current author is also outlined along with a case report of an engineering employee.  Keywords: Dual Task Walking, Multiple Task Walking, Humming Walking, Cognitive Walking, Cognitively Controlled-Walking.
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Strel’nikova, Ekaterina V., Margarita A. Kashirina та Anna O. Kantserova. "Нейрофизиологические механизмы двойных задач (обзор)". Journal of Medical and Biological Research, № 3 (20 вересня 2024): 368–82. http://dx.doi.org/10.37482/2687-1491-z196.

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This review considers articles studying neural mechanisms of dual (cognitive-motor) tasks in healthy young and older people using electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS). A bibliometric network is presented showing the frequency of keywords (postural balance, gait, walking, neuropsychological tests, attention) used in publications and the associations between these keywords, as well as demonstrating the relevance of applying the cognitive-motor paradigm as a method for studying the neurophysiological mechanisms of dual-tasking. The design of the cognitive
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Raghunadh, N., G. Swathi, and T. Sunil Kumar. "Effectiveness of Dual Task Exercises on Community Ambulation in Hemiparetic Patients." International Journal of Science and Healthcare Research 7, no. 2 (2022): 272–81. http://dx.doi.org/10.52403/ijshr.20220439.

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Background: Stroke is one of the major contributing factors for disability and handicap in adults. Hemiparetic stroke causes weakness of one side of the body and less severe than hemiplegia. Major problem following stroke is loss of walking ability, recovery of community ambulation is a priority goal for most patients. Various approaches in stroke rehabilitation have been studied to improve the walking ability of people with hemiparesis. The dual task is defined as simultaneous production of two tasks one "primary" and one "secondary", for which changes in performance are measured. Using dual-
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Anwar, Yulinar. "Pengaruh Dual-Task Training (Motor-Cognitive) terhadap Keseimbangan Dinamis pada Anak Usia Sekolah." Jurnal Fisioterapi dan Rehabilitasi 3, no. 2 (2019): 77–89. http://dx.doi.org/10.33660/jfrwhs.v3i2.86.

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Background : School-age Children are characterized by agile movements and motor activity coupled with the need to begin exploring the environment so that motor skills are needed. One aspect of motor skills is dynamic balance. Dual-task training (motor-cognitive) is a method of training that combines motor and cognitive tasks. The purpose of this exercise is to activation pattern of circuits in brain to achieve an adaptive system so that automation can be generated which can affect dynamic balance. Methods : this research is experimental quasi with time series design. The sampling technique use
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Nisaruddin, Muslim Khan, Saima Rahman, and Iqra Muslim. "Dual-Task Specific Training or Conventional Physiotherapeutic Interventions, Which one is more Effective?" Journal of Saidu Medical College, Swat 14, no. 2 (2024): 109–14. http://dx.doi.org/10.52206/jsmc.2024.14.2.821.

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Background: Physiotherapeutic interventions play a crucial role in motor re-learning and functional recovery for stroke patients with upper and lower limb motor impairments. Among these interventions, dual-task training (DTT) has demonstrated significant effectiveness in enhancing the functional recovery of stroke patients. Objective: This study aims to compare the effectiveness of DTT and conventional physical therapy in ambulating right-hemiplegic stroke patients.Material and Methods: A randomized control trial (RCT) was conducted at the Department of Rehabilitation Medicine, Saidu group of
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Baek, Chang Yoon, Hyeong Dong Kim, Dong Yup Yoo, Kyoung Yee Kang, and Jang Woo Lee. "Effect of automaticity induced by treadmill walking on prefrontal cortex activation and dual-task performance in older adults." PLOS ONE 18, no. 8 (2023): e0287252. http://dx.doi.org/10.1371/journal.pone.0287252.

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As individuals age, they may experience a decline in gait automaticity, which requires increased attentional resources for the control of gait. This age-related decline in gait automaticity has been shown to contribute to higher prefrontal cortex (PFC) activation and lower dual-task performance during dual-task walking in older adults. This study is to investigate the effect of treadmill walking on PFC activation and dual-task performance in older adults. A total of 20 older adults (mean age, 64.35 ± 2.74 years) and 20 younger adults (mean age, 30.00 ± 3.15 years) performed single- and dual-ta
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Kelly, Valerie E., Alexis J. Eusterbrock, and Anne Shumway-Cook. "The Effects of Instructions on Dual-Task Walking and Cognitive Task Performance in People with Parkinson's Disease." Parkinson's Disease 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/671261.

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Gait impairments are prevalent among people with Parkinson’s disease (PD). Instructions to focus on walking can improve walking in PD, but the use of such a cognitive strategy may be limited under dual-task walking conditions, when walking is performed simultaneously with concurrent cognitive or motor tasks. This study examined how dual-task performance of walking and a concurrent cognitive task was affected by instructions in people with PD compared to healthy young and older individuals. Dual-task walking and cognitive task performance was characterized under two sets of instructions as foll
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Kelly, Valerie E., Alexis J. Eusterbrock, and Anne Shumway-Cook. "A Review of Dual-Task Walking Deficits in People with Parkinson's Disease: Motor and Cognitive Contributions, Mechanisms, and Clinical Implications." Parkinson's Disease 2012 (2012): 1–14. http://dx.doi.org/10.1155/2012/918719.

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Gait impairments in Parkinson's disease (PD) are exacerbated under dual-task conditions requiring the simultaneous performance of cognitive or motor tasks. Dual-task walking deficits impact functional mobility, which often requires walking while performing concurrent tasks such as talking or carrying an object. The consequences of gait impairments in PD are significant and include increased disability, increased fall risk, and reduced quality of life. However, effective therapeutic interventions for dual-task walking deficits are limited. The goals of this narrative review are to describe dual
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Orcioli-Silva, Diego, Rodrigo Vitório, Priscila Nóbrega-Sousa, et al. "Levodopa Facilitates Prefrontal Cortex Activation During Dual Task Walking in Parkinson Disease." Neurorehabilitation and Neural Repair 34, no. 7 (2020): 589–99. http://dx.doi.org/10.1177/1545968320924430.

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Background. Although dopaminergic medication improves dual task walking in people with Parkinson disease (PD), the underlying neural mechanisms are not yet fully understood. As prefrontal cognitive resources are involved in dual task walking, evaluation of the prefrontal cortex (PFC) is required. Objective. To investigate the effect of dopaminergic medication on PFC activity and gait parameters during dual task walking in people with PD. Methods. A total of 20 individuals with PD (69.8 ± 5.9 years) and 30 healthy older people (68.0 ± 5.6 years) performed 2 walking conditions: single and dual t
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10

Edwards, Erin M., Deborah A. Kegelmeyer, Anne D. Kloos, et al. "Backward Walking and Dual-Task Assessment Improve Identification of Gait Impairments and Fall Risk in Individuals with MS." Multiple Sclerosis International 2020 (September 8, 2020): 1–10. http://dx.doi.org/10.1155/2020/6707414.

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Background. Individuals with multiple sclerosis (MS) experience deficits in motor and cognitive domains, resulting in impairment in dual-task walking ability. The goal of this study was to compare performance of forward walking and backward walking in single- and dual-task conditions in persons with MS to age- and sex-matched healthy controls. We also examined relationships between forward and backward walking to cognitive function, balance, and retrospective fall reports. Methods. All measures were collected in a single session. A 2×2×2 mixed model ANOVA was used to compare differences in for
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Wrightson, James G., Emma Z. Ross, and Nicholas J. Smeeton. "The Effect of Cognitive-Task Type and Walking Speed on Dual-Task Gait in Healthy Adults." Motor Control 20, no. 1 (2016): 109–21. http://dx.doi.org/10.1123/mc.2014-0060.

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In a number of studies in which a dual-task gait paradigm was used, researchers reported a relationship between cognitive function and gait. However, it is not clear to what extent these effects are dependent on the type of cognitive and walking tasks used in the dual-task paradigm. This study examined whether stride-time variability (STV) and trunk range of motion (RoM) are affected by the type of cognitive task and walking speed used during dual-task gait. Participants walked at both their preferred walking speed and at 25% of their preferred walking speed and performed a serial subtraction
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Hennah, Charlotte, Geraint Ellis, and Michail Doumas. "Dual task walking in healthy aging: Effects of narrow and wide walking paths." PLOS ONE 16, no. 12 (2021): e0261647. http://dx.doi.org/10.1371/journal.pone.0261647.

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Dual-task walking may lead to gait instability and a higher fall risk in older adults, particularly when walking in a busy city street. Challenging street features such as narrow sidewalks not only discourage walking, but are also likely to be taxing for older adults’ cognitive resources and gait characteristics. The aim of this study was to assess the way older adults’ gait characteristics are affected by walking on a narrow path while performing a challenging cognitive task in lab conditions imitating common urban environments. Nineteen young and eighteen older adults walked on a narrow (40c
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Jor’dan, Azizah J., Brad Manor, Ikechukwu Iloputaife, et al. "Diminished Locomotor Control Is Associated With Reduced Neurovascular Coupling in Older Adults." Journals of Gerontology: Series A 75, no. 8 (2019): 1516–22. http://dx.doi.org/10.1093/gerona/glz006.

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Abstract Background Walking, especially while dual-tasking, requires functional activation of cognitive brain regions and their connected neural networks. This study examined the relationship between neurovascular coupling (NVC), as measured by the change in cerebral blood flow in response to performing a cognitive executive task, and dual-task walking performance. Methods Seventy community-dwelling older adults aged 84 ± 5 years within the Maintenance of Balance, Independent Living, Intellect and Zest in the Elderly (MOBILIZE) Boston Study were divided into LOW (n = 35) and HIGH (n = 35) NVC.
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Agmon, Maayan, Einat Kodesh, and Rachel Kizony. "The Effect of Different Types of Walking on Dual-Task Performance and Task Prioritization among Community-Dwelling Older Adults." Scientific World Journal 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/259547.

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Background. The ability to safely conduct different types of walking concurrently with a cognitive task (i.e., dual task) is crucial for daily life. The contribution of different walking types to dual-task performance has not yet been determined, nor is there agreement on the strategies that older adults use to divide their attention between two tasks (task prioritization).Objectives. To compare the effect of walking in three different directions (forward, backward, and sideways) on dual-task performance and to explore the strategies of older adults to allocate their attention in response to d
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15

Soangra, Rahul, and Thurmon E. Lockhart. "Dual-Task Does Not Increase Slip and Fall Risk in Healthy Young and Older Adults during Walking." Applied Bionics and Biomechanics 2017 (2017): 1–12. http://dx.doi.org/10.1155/2017/1014784.

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Dual-task tests can identify gait characteristics peculiar to fallers and nonfallers. Understanding the relationship between gait performance and dual-task related cognitive-motor interference is important for fall prevention. Dual-task adapted changes in gait instability/variability can adversely affect fall risks. Although implicated, it is unclear if healthy participants’ fall risks are modified by dual-task walking conditions. Seven healthy young and seven healthy older adults were randomly assigned to normal walking and dual-task walking sessions with a slip perturbation. In the dual-task
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Hausdorff, Jeffrey, Nofar Schneider, Marina Brozgol, et al. "Combining tDCS With a Motor-Cognitive Task to Reduce the Negative Impact of Dual-Tasking on the Gait of Older Adults." Innovation in Aging 4, Supplement_1 (2020): 287–88. http://dx.doi.org/10.1093/geroni/igaa057.921.

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Abstract The simultaneous performance of a secondary task while walking (i.e., dual tasking) increases motor-cognitive interference and fall risk in older adults. Combining transcranial direct current stimulation (tDCS) with the concurrent performance of a task that putatively involves the same brain networks targeted by the tDCS may reduce the negative impact of dual-tasking on walking. We examined whether tDCS applied while walking reduces the dual-task costs to gait and whether this combination is better than tDCS alone or walking alone (with sham stimulation). In 25 healthy older adults (a
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17

Etemadi, Yasaman. "Dual task cost of cognition is related to fall risk in patients with multiple sclerosis: a prospective study." Clinical Rehabilitation 31, no. 2 (2016): 278–84. http://dx.doi.org/10.1177/0269215516637201.

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Objective: To examine whether change in cognitive performance during dual task condition compared with a task in isolation, known as dual task cost, is related to fall risk of patients with multiple sclerosis. Design: Prospective cohort. During baseline assessment, data about balance, walking and cognitive performance of patients with multiple sclerosis were collected under a single and dual task condition. The dual task cost was calculated as a percentage of change in parameters from single to dual task conditions. Falls were recorded prospectively for six months and participants were classif
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Donoghue, Orna A., Cara Dooley, and Rose Anne Kenny. "Usual and Dual-Task Walking Speed." Journal of Aging and Health 28, no. 5 (2015): 850–62. http://dx.doi.org/10.1177/0898264315614004.

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19

Lin, Yen-Po, I.-I. Lin, Wei-Da Chiou, et al. "The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease." Healthcare 11, no. 4 (2023): 567. http://dx.doi.org/10.3390/healthcare11040567.

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To safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This study designed cognitive–walking tests that used executive-related cognitive tasks to evaluate patients with early-stage Parkinson’s disease who did not have obvious cognitive deficits. The effect of assigning task prioritization was also evaluated. Sixteen individuals with PD (PD group) a
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Morgan, Sara J., Brian J. Hafner, Deborah Kartin, and Valerie E. Kelly. "Dual-task standing and walking in people with lower limb amputation: A structured review." Prosthetics and Orthotics International 42, no. 6 (2018): 652–66. http://dx.doi.org/10.1177/0309364618785728.

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Background: People with lower limb amputation report the need to concentrate on walking. Dual-task paradigms are often used to study such interactions between cognition and the control of balance and gait in people with lower limb amputation. Objectives: To summarize evidence related to dual-task standing and walking in people with lower limb amputation and discuss implications for future research. Study design: Structured review. Methods: A structured search was completed in PubMed, CINAHL, and Web of Science from database inception to May 2017. Eligible articles were in English, included par
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Xu, Kaiyue, Wenqiang Yu, Shui Yu, Minghui Zheng, and Hao Zhang. "The Detection of Gait Events Based on Smartphones and Deep Learning." Bioengineering 12, no. 5 (2025): 491. https://doi.org/10.3390/bioengineering12050491.

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This study aims to detect gait events using a smartphone combined with deep learning and evaluate the remote effects and clinical significance of this method in different elderly populations and patients with cerebral small vessel disease (CSVD). In total, 150 healthy individuals aged 20–70 years were asked to attach a smartphone to their thighs and walk six gait cycles at self-selected low, normal, and high speeds, using an insole pressure sensor as the reference standard for gait events. A deep learning model was then established using BiTCN-BiGRU-CrossAttention, and two models (TCN-GRU and
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Timmermans, Celine, Melvyn Roerdink, Thomas W. J. Janssen, Carel G. M. Meskers, and Peter J. Beek. "Dual-Task Walking in Challenging Environments in People with Stroke: Cognitive-Motor Interference and Task Prioritization." Stroke Research and Treatment 2018 (2018): 1–8. http://dx.doi.org/10.1155/2018/7928597.

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Cognitive-motor interference may contribute to the risk of falling in people with stroke, as may be the associated phenomenon of inappropriate task prioritization. Examining dual-task walking could provide valuable insights as to how to best evaluate and treat walking in people with stroke. This study aimed to examine the effect of different walking environments on cognitive-motor interference and task prioritization in dual-task walking in people with stroke. Using a repeated-measures design, cognitive-motor interference and task prioritization were assessed in 30 stroke survivors, while walk
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Oh, Chorong. "Single-Task or Dual-Task? Gait Assessment as a Potential Diagnostic Tool for Alzheimer’s Dementia." Journal of Alzheimer's Disease 84, no. 3 (2021): 1183–92. http://dx.doi.org/10.3233/jad-210690.

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Background: A person’s gait performance requires the integration of sensorimotor and cognitive systems. Therefore, a person’s gait may be influenced by concurrent cognitive load such as simultaneous talking. Although it has been known that gait performance of people with Alzheimer’s dementia (AD) is compromised when they attempt a dual-task walking task, it is unclear if using a dual-task gait performance during an AD assessment yields higher diagnostic accuracy. Objective: This study was designed to compare the predictive power for AD of dual-task gait performance in an AD assessment to that
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Orcioli-Silva, Diego, Lucas Simieli, Fabio Augusto Barbieri, Florindo Stella, and Lilian Teresa Bucken Gobbi. "Adaptive Walking in Alzheimer's Disease." International Journal of Alzheimer's Disease 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/674589.

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The aim of this study is to analyze dual-task effects on free and adaptive gait in Alzheimer's disease (AD) patients. Nineteen elders with AD participated in the study. A veteran neuropsychiatrist established the degree of AD in the sample. To determine dual-task effects on free and adaptive gait, patients performed five trials for each experimental condition: free and adaptive gait with and without a dual-task (regressive countdown). Spatial and temporal parameters were collected through an optoelectronic tridimensional system. The central stride was analyzed in free gait, and the steps immed
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Manor, Brad, Junhong Zhou, Azizah Jor'dan, Jue Zhang, Jing Fang, and Alvaro Pascual-Leone. "Reduction of Dual-task Costs by Noninvasive Modulation of Prefrontal Activity in Healthy Elders." Journal of Cognitive Neuroscience 28, no. 2 (2016): 275–81. http://dx.doi.org/10.1162/jocn_a_00897.

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Dual tasking (e.g., walking or standing while performing a cognitive task) disrupts performance in one or both tasks, and such dual-task costs increase with aging into senescence. Dual tasking activates a network of brain regions including pFC. We therefore hypothesized that facilitation of prefrontal cortical activity via transcranial direct current stimulation (tDCS) would reduce dual-task costs in older adults. Thirty-seven healthy older adults completed two visits during which dual tasking was assessed before and after 20 min of real or sham tDCS targeting the left pFC. Trials of single-ta
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Baillargeon, Emma, Anisha Suri, Theodore Huppert, Ervin Sejdic, and Andrea Rosso. "DUAL-TASK CHANGES IN PREFRONTAL ACTIVATION AND GAIT QUALITY IN OLDER ADULTS." Innovation in Aging 6, Supplement_1 (2022): 332. http://dx.doi.org/10.1093/geroni/igac059.1311.

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Abstract We compared the impact of performing dual-task walking on gait quality and prefrontal cortical activation assessed by functional near-infrared spectroscopy (fNIRS). We hypothesized a greater increase in fNIRS averaged over the left prefrontal cortex during dual-task walking would be associated with a greater decrease in gait quality (increased step-time variability; decreased gait speed, cadence, smoothness, and adaptability). In older adults (n=60, 75±5.8 years, 57% female), we quantified the change in fNIRS and gait metrics from single-task walking (even surface) to walking with att
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Veldkamp, Renee, Ilse Baert, Alon Kalron, et al. "Structured Cognitive-Motor Dual Task Training Compared to Single Mobility Training in Persons with Multiple Sclerosis, a Multicenter RCT." Journal of Clinical Medicine 8, no. 12 (2019): 2177. http://dx.doi.org/10.3390/jcm8122177.

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The aim was to compare the effectiveness of dual-task training (DTT) compared to single mobility training (SMT) on dual-task walking, mobility and cognition, in persons with Multiple Sclerosis (pwMS). Forty pwMS were randomly assigned to the DTT or SMT groups. The DTT-group performed dual-task exercises using an interactive tablet-based application, while the SMT-group received conventional walking and balance exercises. Both interventions were supervised and identical in weeks (8) and sessions (20). Nine cognitive-motor dual-task conditions were assessed at baseline, after intervention and at
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Hollman, John H., James W. Youdas, and Desiree J. Lanzino. "Gender Differences in Dual Task Gait Performance in Older Adults." American Journal of Men's Health 5, no. 1 (2009): 11–17. http://dx.doi.org/10.1177/1557988309357232.

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Although attention-dividing dual tasks hinder gait performance in older persons, gender differences in gait have not been examined. The purpose of this study was to examine whether gait performance differs between older men and women during dual task walking. A total of 44 healthy adults (20 men and 24 women) aged 65 years or older participated in the study. Participants walked under normal and dual task (backward spelling) conditions at self-selected speeds. Mean gait speed and stride-to-stride variability in gait speed were quantified with GAITRite ® instrumentation. Whereas gait speed decre
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Beurskens, Rainer, Fabian Steinberg, Franziska Antoniewicz, Wanja Wolff, and Urs Granacher. "Neural Correlates of Dual-Task Walking: Effects of Cognitive versus Motor Interference in Young Adults." Neural Plasticity 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/8032180.

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Walking while concurrently performing cognitive and/or motor interference tasks is the norm rather than the exception during everyday life and there is evidence from behavioral studies that it negatively affects human locomotion. However, there is hardly any information available regarding the underlying neural correlates of single- and dual-task walking. We had 12 young adults (23.8 ± 2.8 years) walk while concurrently performing a cognitive interference (CI) or a motor interference (MI) task. Simultaneously, neural activation in frontal, central, and parietal brain areas was registered using
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Baillargeon, Emma, Theodore Huppert, Caterina Rosano, and Andrea Rosso. "HETEROGENEITY OF PREFRONTAL CORTICAL ACTIVITY DURING WALKING AMONG OLDER ADULTS." Innovation in Aging 7, Supplement_1 (2023): 168–69. http://dx.doi.org/10.1093/geroni/igad104.0551.

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Abstract Higher prefrontal cortical (PFC) activity during simple walking may indicate neural compensation for impaired gait automaticity. On average, older adults have higher PFC activity during walking than younger adults, but the heterogeneity amongst older adults is understudied. We examined PFC activity during simple and dual-task walking in adults aged 65+ (n=173, mean age=72, 62% female). Participants walked quietly and while reciting every-other-letter of the alphabet (dual-task; 4 repsx15 meters). Change in PFC activity from standing was estimated using functional near-infrared spectro
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Wrightson, J. G., and N. J. Smeeton. "Walking modality, but not task difficulty, influences the control of dual-task walking." Gait & Posture 58 (October 2017): 136–38. http://dx.doi.org/10.1016/j.gaitpost.2017.07.042.

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Tao, Weiyuan, Jiawei Chen, Jiahui Peng, and Wenwu Xiao. "Comparing the effectiveness of dual-task and single-task training on walking function in stroke recovery: A systematic review and meta-analysis." Medicine 104, no. 10 (2025): e41776. https://doi.org/10.1097/md.0000000000041776.

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Background: Stroke is a prevalent neurological disease with high morbidity and disability. Single-task walking training has limitations, and dual-task walking training has emerged. Yet, research on the relative effectiveness of dual- and single-task training for stroke patients’ walking function is inconclusive. This study aims to systematically compare the efficacy of dual-task with single-task training interventions on improving walking function among stroke survivors. Methods: A comprehensive search of electronic databases was conducted to identify randomized controlled trials investigating
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Hamilton, F., L. Rochester, L. Paul, D. Rafferty, CP O'Leary, and JJ Evans. "Walking and talking: an investigation of cognitive—motor dual tasking in multiple sclerosis." Multiple Sclerosis Journal 15, no. 10 (2009): 1215–27. http://dx.doi.org/10.1177/1352458509106712.

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Background: Deficits in motor functioning, including walking, and in cognitive functions, including attention, are known to be prevalent in multiple sclerosis (MS), though little attention has been paid to how impairments in these areas of functioning interact. Objectives: This study investigated the effects of performing a concurrent cognitive task when walking in people with MS. Level of task demand was manipulated to investigate whether this affected level of dual-task decrement. Method: Eighteen participants with MS and 18 healthy controls took part. Participants completed walking and cogn
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Sosnoff, Jacob J., Douglas A. Wajda, Brian M. Sandroff, Kathleen L. Roeing, JongHun Sung, and Robert W. Motl. "Dual task training in persons with Multiple Sclerosis: a feasability randomized controlled trial." Clinical Rehabilitation 31, no. 10 (2017): 1322–31. http://dx.doi.org/10.1177/0269215517698028.

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Objective: To determine the feasibility of dual task training in persons with Multiple Sclerosis. Design: Randomized, single-blinded controlled trial. Setting: University research laboratory. Participants: A total of 234 individuals inquired about the investigation. After screening, 20 individuals with multiple sclerosis who self-reported problems with multitasking and were ambulatory volunteered for the investigation. 14 participants completed the post-assessment following the 12-week intervention. Intervention: Participants were randomly assigned to either single task training program which
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Nonnekes, Jorik, Valeria Dibilio, Claudia Barthel, Teodoro Solis-Escalante, Bastiaan R. Bloem, and Vivian Weerdesteyn. "Understanding the dual-task costs of walking: a StartReact study." Experimental Brain Research 238, no. 5 (2020): 1359–64. http://dx.doi.org/10.1007/s00221-020-05817-8.

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Abstract The need to perform multiple tasks more or less simultaneously is a common occurrence during walking in daily life. Performing tasks simultaneously typically impacts task performance negatively. Hypothetically, such dual-task costs may be explained by a lowered state of preparation due to competition for attentional resources, or alternatively, by a ‘bottleneck’ in response initiation. Here, we investigated both hypotheses by comparing ‘StartReact’ effects during a manual squeezing task under single-task (when seated) and dual-task (when walking) conditions. StartReact is the accelera
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Vitorio, Rodrigo, Samuel Stuart, and Martina Mancini. "Executive Control of Walking in People With Parkinson’s Disease With Freezing of Gait." Neurorehabilitation and Neural Repair 34, no. 12 (2020): 1138–49. http://dx.doi.org/10.1177/1545968320969940.

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Background Walking abnormalities in people with Parkinson’s disease (PD) are characterized by a shift in locomotor control from healthy automaticity to compensatory prefrontal executive control. Indirect measures of automaticity of walking (eg, step-to-step variability and dual-task cost) suggest that freezing of gait (FoG) may be associated with reduced automaticity of walking. However, the influence of FoG status on actual prefrontal cortex (PFC) activity during walking remains unclear. Objective To investigate the influence of FoG status on automaticity of walking in people with PD. Methods
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Ozkul, Cagla, Arzu Guclu-Gunduz, Kader Eldemir, et al. "Dual-Task Cost and Related Clinical Features in Patients With Multiple Sclerosis." Motor Control 25, no. 2 (2021): 211–33. http://dx.doi.org/10.1123/mc.2020-0035.

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This study aimed to investigate the dual-task cost of both motor and cognitive performances in patients with multiple sclerosis (PwMS) and in healthy controls and to determine their relationships with clinical features in PwMS. The participants performed motor tasks (postural stability, walking, and manual dexterity) and cognitive tasks (mental tracking and verbal fluency) under single- and dual-task conditions. The results showed that postural stability under dual-task conditions did not change, whereas walking and manual dexterity deteriorated, regardless of the concurrent cognitive task, in
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Kaplan, Rini I., Nishaat Mukadam, Jaimie Girnis, et al. "65 Neuroscience in the Everyday World: Lateralization of Brain Activity During Dual-Task Walking." Journal of the International Neuropsychological Society 29, s1 (2023): 472–73. http://dx.doi.org/10.1017/s135561772300615x.

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Objective:Functional near-infrared spectroscopy (fNIRS) is a non-invasive functional neuroimaging method that takes advantage of the optical properties of hemoglobin to provide an indirect measure of brain activation via task-related relative changes in oxygenated hemoglobin (HbO). Its advantage over fMRI is that fNIRS is portable and can be used while walking and talking. In this study, we used fNIRS to measure brain activity in prefrontal and motor region of interests (ROIs) during single- and dual-task walking, with the goal of identifying neural correlates.Participants and Methods:Nineteen
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Wong, Pei-Ling, Yea-Ru Yang, Shih-Fong Huang, and Ray-Yau Wang. "Effects of Transcranial Direct Current Stimulation Followed by Treadmill Training on Dual-Task Walking and Cortical Activity in Chronic Stroke: A Double-Blinded Randomized Controlled Trial." Journal of Rehabilitation Medicine 55 (March 21, 2023): jrm00379. http://dx.doi.org/10.2340/jrm.v55.5258.

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Objective: To explore the effects of transcranial direct current stimulation followed by treadmill training on dual-task gait performance and contralesional cortical activity in chronic stroke patients.Methods: Forty-five chronic stroke participants were randomized into 3 groups: a bilateral transcranial direct current stimulation and treadmill training group; a cathodal transcranial direct current stimulation and treadmill training group; and a sham transcranial direct current stimulation and treadmill training group for 50 min per session (20 min transcranial direct current stimulation follo
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Bishnoi, Alka, Roee Holtzer, and Manuel E. Hernandez. "Brain Activation Changes While Walking in Adults with and without Neurological Disease: Systematic Review and Meta-Analysis of Functional Near-Infrared Spectroscopy Studies." Brain Sciences 11, no. 3 (2021): 291. http://dx.doi.org/10.3390/brainsci11030291.

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(1) Functional near-infrared spectroscopy (fNIRS) provides a useful tool for monitoring brain activation changes while walking in adults with neurological disorders. When combined with dual task walking paradigms, fNIRS allows for changes in brain activation to be monitored when individuals concurrently attend to multiple tasks. However, differences in dual task paradigms, baseline, and coverage of cortical areas, presents uncertainty in the interpretation of the overarching findings. (2) Methods: By conducting a systematic review of 35 studies and meta-analysis of 75 effect sizes from 17 stud
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Tsang, Charlotte Sau Lan, Doris Yin Kei Chong, and Marco Yiu Chung Pang. "Cognitive-motor interference in walking after stroke: test–retest reliability and validity of dual-task walking assessments." Clinical Rehabilitation 33, no. 6 (2019): 1066–78. http://dx.doi.org/10.1177/0269215519828146.

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Objective: To explore the reliability and validity of a series of dual-task mobility assessments among individuals post-stroke. Design: Observational study with repeated measures. Setting: University laboratory. Participants: Thirty community-dwelling individuals with chronic stroke. Interventions: Not applicable. Main Measures: Each of the two mobility tasks (1-minute level-ground walking with and without obstacle-negotiation) was performed concurrently with each of the eight cognitive tasks (auditory Stroop test, serial subtraction, shopping list recall and category naming at two difficulty
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Gagné, Marie-Ève, Bradford J. McFadyen, Isabelle Cossette, et al. "Alterations in dual-task walking persist two months after mild traumatic brain injury in young adults." Journal of Concussion 3 (January 2019): 205970021987829. http://dx.doi.org/10.1177/2059700219878291.

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Objectives To compare dual-task performance involving different cognitive-locomotor combinations between healthy controls and participants with sub-acute mild traumatic brain injury (mTBI) and to correlate dual-task performances to history of prior head injuries. Methods Eighteen participants having recently sustained mTBI and 15 controls performed nine dual-tasks combining locomotor (level-walking, narrow obstacle, deep obstacle) and cognitive (Stroop task, Verbal fluency, Counting backwards) tasks. Previous history of concussion was also investigated. Results Slower gait speeds were observed
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Leone, Carmela, Francesco Patti, and Peter Feys. "Measuring the cost of cognitive-motor dual tasking during walking in multiple sclerosis." Multiple Sclerosis Journal 21, no. 2 (2014): 123–31. http://dx.doi.org/10.1177/1352458514547408.

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Purposeful, safe locomotion requires higher-level cortical processes, to meet the real-life demands of walking while performing concurrent cognitive tasks (e.g. recalling a shopping list or attending to a conversation). The assessment of walking and a secondary cognitive task under these ‘dual tasking’ conditions may represent a more valid outcome measure in multiple sclerosis (MS), by examining the occurrence and magnitude of the cognitive-motor interference of walking. This topical review provides a state-of-the-art overview of research into dual-tasking during walking in persons with MS, ba
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Brennan, Alexandra C., and Scott P. Breloff. "THE EFFECT OF VARIOUS CELL PHONE RELATED ACTIVITIES ON GAIT KINEMATICS." Journal of Musculoskeletal Research 22, no. 03n04 (2019): 1950011. http://dx.doi.org/10.1142/s0218957719500118.

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Background: With cell phone use and ownership on the rise, daily circumstances often require individuals to divide attentional resources between walking and a cell phone-related task. This division of attention has been found to detrimentally effect task performance, making pedestrian cell phone usage an increasing safety concern. However, most studies have investigated the impact of dual-tasks on situational awareness and few have focused on tasks other than texting. Therefore, this study aimed to investigate the effect of various cell phone-related tasks on lower limb kinematics during walki
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Schniepp, Roman, Raimund Trabold, Alexander Romagna, et al. "Walking assessment after lumbar puncture in normal-pressure hydrocephalus: a delayed improvement over 3 days." Journal of Neurosurgery 126, no. 1 (2017): 148–57. http://dx.doi.org/10.3171/2015.12.jns151663.

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OBJECTIVE The determination of gait improvement after lumbar puncture (LP) in idiopathic normal-pressure hydrocephalus (iNPH) is crucial, but the best time for such an assessment is unclear. The authors determined the time course of improvement in walking after LP for single-task and dual-task walking in iNPH. METHODS In patients with iNPH, sequential recordings of gait velocity were obtained prior to LP (time point [TP]0), 1–8 hours after LP (TP1), 24 hours after LP (TP2), 48 hours after LP (TP3), and 72 hours after LP (TP4). Gait analysis was performed using a pressure-sensitive carpet (GAIT
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McCulloch, K. L., T. E. Shubert, and C. A. Giuliani. "WALKING DUAL TASK PERFORMANCE IN OLDER ADULTS." Journal of Geriatric Physical Therapy 29, no. 3 (2006): 132. http://dx.doi.org/10.1519/00139143-200612000-00041.

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Kreska-Korus, Agnieszka, Nikola Chmura, and Małgorzata Młynarczyk. "Factors infulencing gait in dual-task walking." Egészségtudományi Közlemények 13, no. 1 (2023): 44–53. http://dx.doi.org/10.32967/etk.2023.013.

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Gait with an additional task commonly occurs in everyday life, e.g., simultaneously walking and talking on the phone. The dual-task paradigm (comparison of task performance efficiency under single-task conditions and simultaneous performance of both tasks) has found application in gait research. It is a test that allows assessing the quality of gait in clinical settings but also lets us analyse the quality of gait under the conditions of everyday life. It also allows the identification of people at risk of falling. A review of the available literature and research conducted at the Central Labo
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Morgan, Sara J., Brian J. Hafner, and Valerie E. Kelly. "The effects of a concurrent task on walking in persons with transfemoral amputation compared to persons without limb loss." Prosthetics and Orthotics International 40, no. 4 (2015): 490–96. http://dx.doi.org/10.1177/0309364615596066.

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Background:Many people with lower limb loss report the need to concentrate on walking. This may indicate increased reliance on cognitive resources when walking compared to individuals without limb loss.Objective:This study quantified changes in walking associated with addition of a concurrent cognitive task in persons with transfemoral amputation using microprocessor knees compared to age- and sex-matched controls.Study design:Observational, cross-sectional study.Methods:Quantitative motion analysis was used to assess walking under both single-task (walking alone) and dual-task (walking while
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Kreska-Korus, Agnieszka, Karolina Ryś, and Wiktoria Buczan. "Dual-task walking and falls in the elderly." Egészségtudományi Közlemények 13, no. 1 (2023): 34–43. http://dx.doi.org/10.32967/etk.2023.012.

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Dual-task walking is a common activity in everyday life. The dual-task paradigm is a procedure in experimental psychology that involves examining the performance of two tasks separately and simultaneously, allowing researchers to determine the extent to which different mental abilities compete for information-processing resources in the brain. This information can help identify whether tasks interfere with each other. This study aimed to analyse publications, gather knowledge on gait with an additional task, and determine the impact of dual-task conditions on gait parameters among the elderly.
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Alberts, Jay L., Ryan D. Kaya, Kathryn Scelina, et al. "Digitizing a Therapeutic: Development of an Augmented Reality Dual-Task Training Platform for Parkinson’s Disease." Sensors 22, no. 22 (2022): 8756. http://dx.doi.org/10.3390/s22228756.

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Augmented reality (AR) may be a useful tool for the delivery of dual-task training. This manuscript details the development of the Dual-task Augmented Reality Treatment (DART) platform for individuals with Parkinson’s disease (PD) and reports initial feasibility, usability, and efficacy of the DART platform in provoking dual-task interference in individuals with PD. The DART platform utilizes the head-mounted Microsoft HoloLens2 AR device to deliver concurrent motor and cognitive tasks. Biomechanical metrics of gait and cognitive responses are automatically computed and provided to the supervi
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