WHOM will be doing this testing on stroke survivors to see if it will predict falls in them? AND THEN CREATE EXACT PROTOCOLS TO PREVENT THOSE FALLS? That is what great stroke leadership would be doing if there was ANY stroke leadership at all. Alas, there is NO stroke leadership doing one fucking thing to help survivors. You're on your own to solve stroke before your children and grandchildren have strokes.
Motor Cognitive Dual-Task Testing to Predict Future Falls in Multiple Sclerosis: A Systematic Review
Abstract
Background
Mobility
and cognitive impairments are often associated with increased fall risk
among people with multiple sclerosis (PwMS). However, evidence on the
concurrent assessment of gait or balance and cognitive tasks (dual-task)
to predict falls appears to be inconsistent.
Objective
To summarize the ability of gait or balance dual-task testing to predict future falls among PwMS.
Methods
Seven
databases including PubMed, Embase, Web of Science, Scopus, CINHAL,
SPORTDiscuss, and PsycINFO were searched from inception to May 2022. Two
independent reviewers identified studies that performed a dual-task
testing among adults with multiple sclerosis and monitored falls
prospectively for at least 3 months. Both reviewers also evaluated the
quality assessment of the included studies.
Results
Eight
studies with 484 participants were included in the review. Most studies
(75%) indicated that dual-task testing and dual-task cost did not
discriminate prospective fallers (⩾1 fall) and non-fallers (0 fall) and
were not found as predictors of future falls. However, dual-task cost of
walking velocity (OR = 1.23, 95% CI 0.98-4.45, P = .05) and dual-task of correct response rate of serial 7 subtraction (OR = 1.34, 95% CI 1.04-3.74, P = .02)
were significantly associated with increased risk of recurrent falls
(≥2 falls). Pattern of cognitive-motor interference was also associated
with an increased risk of falling. All studies presented with strong
quality.
Conclusion
The
scarce evidence indicates that dual-task testing is not able to predict
future falls among PwMS. Further research with more complex motor and
cognitive tasks and longer-term fall monitoring is required before
dual-task testing can be recommended as a predictor of future falls in
this population.
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