DUAL TASK PERFOR MANCE BETWEEN ADULTS AND ELDERLY POS T STROKE PATIENTS

A. Sasaki, E. Pinto, Mayra Castro de Matos Sousa, Maiana Monteiro, J. Oliveira-Filho, Argemiro D'Oliveira Júnior
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Abstract

Objective: Studies that assessed motor performance comparing healthy adults and old, shown agerelated differences in several parameters. It is not known whether these differences remain evident when people are under stroke condition. Our aim was to describe clinical and functional characteristics and to compare a dual task performance between older and younger post stroke individuals. Methods: We evaluated hemiparetic patients with independent gait between August/2011 and August/2012. The following scales/tests were applied: NIH Stroke Scale (NIHSS), Modified Barthel Index (mBI), Timed Up and Go Test (TUG) and TUG with cognitive task (TUGcog). X2, Fisher tests or Mann Whitney U test were used when appropriated. Results: Amongst 92 participants 54.3% were adults and 45.7% were elder adults. Adults and elder adults presented similar characteristics, although statistical difference was observed at instruction level (P = .01), hypertension (P= .02), verbal fluency (P < .01) and delta time for TUGcog (P < .01). Conclusion: Individuals post stroke in this study presented slightly clinical and functional differences, but it was possible to observe that older need more time to perform multitasking. Probably, age alone is not an important factor in differentiating independent stroke patients. However, postural instability, in elderly patients, should be evaluated more carefully taking into account the attentional demands, since dual task is used in many activities of daily life.
成人与老年脑卒中后患者的双重任务表现
目的:比较健康成人和老年人运动表现的研究显示,在几个参数上存在年龄相关的差异。目前尚不清楚这些差异在人们中风时是否仍然明显。我们的目的是描述临床和功能特征,并比较老年和年轻中风后个体的双重任务表现。方法:对2011年8月至2012年8月间具有独立步态的偏瘫患者进行评估。采用NIH脑卒中量表(NIHSS)、修正Barthel指数(mBI)、Timed Up and Go Test (TUG)和TUG with cognitive task (TUGcog)。X2,适当时采用Fisher检验或Mann Whitney U检验。结果:92名参与者中54.3%为成年人,45.7%为老年人。成人和老年人表现出相似的特征,但在教学水平(P= 0.01)、高血压(P= 0.02)、语言流畅性(P < 0.01)和TUGcog的delta时间(P < 0.01)方面存在统计学差异。结论:本研究中卒中后个体表现出轻微的临床和功能差异,但可以观察到老年人需要更多的时间来执行多任务。可能,年龄本身并不是区分独立脑卒中患者的重要因素。然而,由于双重任务在许多日常生活活动中使用,因此在评估老年患者的体位不稳定性时应考虑到注意力需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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