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Cognitive-motor interference during gait in patients with Multiple Sclerosis: a mixed methods Systematic Review

dc.contributor.authorPostigo-Alonso B.
dc.contributor.authorGalvao-Carmona A.
dc.contributor.authorBenítez I.
dc.contributor.authorConde-Gavilán C.
dc.contributor.authorJover A.
dc.contributor.authorMolina S.
dc.contributor.authorPeña-Toledo M.A.
dc.contributor.authorAgüera E.
dc.date.accessioned2020-09-02T22:25:55Z
dc.date.available2020-09-02T22:25:55Z
dc.date.issued2018
dc.identifier10.1016/j.neubiorev.2018.08.016
dc.identifier.citation94, , 126-148
dc.identifier.issn01497634
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5835
dc.descriptionBackground: Cognitive-motor interference (CMI) has been proposed as a valid marker of daily life impairment in Multiple Sclerosis (MS). The heterogeneity and scarce number of studies regarding CMI in MS has hampered the synthesis of the existing evidence. The present systematic review employed a mixed methods approach with the aim of identifying and describing variables under which CMI is particularly useful to assess patients with MS. Results: MS patients showed significant CMI. The motor variables that were most sensitive in detecting significant CMI were velocity (m/s), cadence (steps/min), and double support (% gait cycle), which was also specific for MS. Among the cognitive tasks, Alternate Alphabet and Serial Subtracting 7 s were sensitive, whereas Verbal Fluency were both sensitive and specific to CMI in MS. Conclusions: CMI should be assessed in MS with a standardised dual task such as the Verbal Fluency task while walking, with measurements of the double support time and the effect on the cognitive task. The clinical usefulness of CMI in the assessment of patients with MS is discussed. © 2018 Elsevier Ltd
dc.language.isoen
dc.publisherElsevier Ltd
dc.subjectCognitive impairment
dc.subjectCognitive-motor interference
dc.subjectDual task
dc.subjectDual-task cost
dc.subjectMultiple sclerosis
dc.subjectcognition
dc.subjectcognitive function test
dc.subjectcognitive-motor interference
dc.subjectdisease marker
dc.subjectdisease severity
dc.subjectgait
dc.subjecthuman
dc.subjectlanguage
dc.subjectmotor system
dc.subjectmultiple sclerosis
dc.subjectneurologic examination
dc.subjectpatient positioning
dc.subjectpriority journal
dc.subjectReview
dc.subjectsensitivity and specificity
dc.subjectsystematic review
dc.subjectvelocity
dc.subjectwalking
dc.subjectmultiple sclerosis
dc.subjectpathophysiology
dc.subjectpsychology
dc.subjectpsychomotor performance
dc.subjectCognition
dc.subjectGait
dc.subjectHumans
dc.subjectMultiple Sclerosis
dc.subjectPsychomotor Performance
dc.titleCognitive-motor interference during gait in patients with Multiple Sclerosis: a mixed methods Systematic Review
dc.typeReview


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