© 2004 BMJ Publishing Group Ltd
EDITORIAL COMMENTARY
Motoric neurorehabilitation
Optimising multi-task performance: opportunities for motoric neurorehabilitation
Correspondence to:
Correspondence to:
Dr M A Hirsch
Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltmore, Massachusetts, USA; mhirsch@jhmi.edu
The stops walking while talking test; a dual task for motoric neurorehabilitation—further complexities of the test?
Keywords: motoric neurorehabilitation; multi-task performance; stroke
| The first 150 words of the full text of this article appear below. |
In their study, Hyndman and Ashburn administered the stops walking while talking test (SWWT) to predict the occurrence of falls (see p 994, this issue).1 Optimising multi-task cognitive and motor performance and targeting individuals who may benefit from therapeutic interventions to improve gait and reduce falls after stroke are important goals of neurorehabilitation. Dual task paradigms, such as walking while talking, can substantially alter motor and cognitive performance in younger and older adults with and without pathology.2,3 The authors’ results are particularly interesting in the light of the possibilities of dual task therapies to prevent falls in persons with brain dysfunction. For example, one study showed that treatment with electromagnet fields improves dual task performance.4 Much time is spent during rehabilitation to improve a patient’s functional gait parameters and few therapies are evidence-based. Evidence-based techniques in motoric neurorehabilitation of gait following stroke often include treadmill training
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- "Stops walking when talking" as a predictor of falls in people with stroke living in the community
- D Hyndman, A Ashburn
J. Neurol. Neurosurg. Psychiatry 2004 75: 994-997.[Abstract] [Full Text] [PDF]
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