Effects of dual tasking on postural and gait performances in children with cerebral palsy and healthy children

•DTC decreases with advancing age in healthy children during balance and adults could benefit from dual-tasking for standing.•CP and healthy children were similarly affected by dual-task constraints during standing and walking.•Children with diplegia were more affected by the DT during the postural...

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Bibliographic Details
Published in:	International journal of developmental neuroscience Vol. 79; no. 1; pp. 54 - 64
Main Authors:	Palluel, Estelle, Chauvel, Guillaume, Bourg, Véronique, Commare, Marie-Christine, Prado, Chloé, Farigoule, Vincent, Nougier, Vincent, Olivier, Isabelle
Format:	Journal Article
Language:	English
Published:	United States Elsevier Ltd 01-12-2019 Elsevier BV Elsevier
Subjects:	Adults Attention - physiology Balance Biomechanics Cerebral palsy Cerebral Palsy - physiopathology Child Children Cognition - physiology Cognitive ability Cognitive science Cognitive tasks Dual-tasking Engineering Sciences Female Gait Gait - physiology Hemiplegia Human health and pathology Humans Life Sciences Locomotion Male Mechanics Neuropsychological Tests Neuroscience Paralysis Pediatrics Postural Balance - physiology Posture Posture - physiology Psychomotor Performance - physiology Stroop Dual-tasking Cerebral palsy Children Gait Stroop Posture cerebral palsy gait children dual-tasking posture
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Summary:	•DTC decreases with advancing age in healthy children during balance and adults could benefit from dual-tasking for standing.•CP and healthy children were similarly affected by dual-task constraints during standing and walking.•Children with diplegia were more affected by the DT during the postural task than children with hemiplegia. Simultaneous execution of motor and cognitive tasks is embedded in the daily life of children. 53 children of 7–12 years and 22 adults (study 1), 20 healthy children and 20 children of 7–12 years with cerebral palsy (study 2) performed a Stroop-animal task simultaneously with a standing or a walking task in order to determine the attentional demand of postural control and locomotion. Dual-task cost decreased with advancing age in healthy children during balance. CP and healthy children were similarly affected by dual-task constraints during standing and walking. Children with diplegia were more affected by the DT during the postural task than children with hemiplegia. We found that adults could benefit from dual-tasking for standing. The integrated model of task prioritization might explain our results regarding postural reserve of each population.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0736-5748 1873-474X
DOI:	10.1016/j.ijdevneu.2019.10.008