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-  2019 

Failures in dual

DOI: 10.1177/0269215518788913

Keywords: Assessment,cognitive-motor interference,fall,spinal cord lesion,walking

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Abstract:

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. Six-month prospective study. A rehabilitation center and community hospitals. Independent ambulatory individuals with spinal cord injury. 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. 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). 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

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