4.7 Article

Interest of dual-task-related gait changes in idiopathic normal pressure hydrocephalus

Journal

EUROPEAN JOURNAL OF NEUROLOGY
Volume 18, Issue 8, Pages 1081-1084

Publisher

WILEY
DOI: 10.1111/j.1468-1331.2010.03242.x

Keywords

cerebrospinal fluid tapping; dual tasking; executive function; gait disorders; idiopathic normal pressure hydrocephalus

Funding

  1. Swiss National Science Foundation [33CM30-124115]
  2. Swiss National Science Foundation (SNF) [33CM30-124115] Funding Source: Swiss National Science Foundation (SNF)

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Background: Gait disorders in patients with idiopathic normal pressure hydrocephalus (iNPH) share similar characteristics found in pathologies presenting with higher-level gait disorders that have been specifically associated with gait changes during walking while simultaneously performing an attention-demanding task (i.e. dual tasking). The current study assessed the effect of cerebrospinal fluid (CSF) tapping on quantitative gait modification during single and dual tasking in patients with a suspicion of iNPH. Methods: Of 53 patients suspected of iNPH, 18 have been included in this study. Gait analysis during single-and dual-task condition (walking and backward counting) before and after tapping of 40 ml CSF has been performed. Results: Gait speed (P < 0.01) and stride length (P < 0.05) were significantly improved during dual-task conditions after CSF tapping compared to the gait performance before spinal tapping, without such improvement for gait parameters during single-tasking. Conclusion: Dual-tasking condition better reveals gait improvement after CSF tapping than single-tasking in patients suspected of iNPH.

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