PTOtherJournal of neuroengineering and rehabilitation2017

Frontal brain activation changes due to dual-tasking under partial body weight support conditions in older adults with multiple sclerosis.

Gioella Chaparro, Julia M Balto, Brian M Sandroff and 4 others

PMID 28662727

WHAT IT FOUND

Partial body weight support in a single session increased frontal brain activity during walking and talking.

Walking speed was not shown to improve, and walking while talking became more demanding with support.

Key findings

01Frontal brain activity was higher during walking and talking than during walking alone, and higher with partial body weight support than with no support.

02Walking while talking was more demanding with partial body weight support for walking speed, stride time, and stride frequency, and stride length decreased by 7%.

03People with MS showed higher frontal brain activity than healthy older adults while walking and talking without support.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The MS group had 10 people and the healthy group had 12, so the results are small and may not represent older adults with MS. The groups were not matched: the MS group was younger and had lower physical function scores, which could affect brain activity. Support conditions were given in a fixed order, with no support before partial support, so learning or familiarisation could have influenced the results. This was a single session, not a training programme, so it cannot show lasting benefit or reduced falls. The treadmill was self-paced and the support system was new to participants, so higher brain activity may reflect novelty or learning rather than easier walking. Only the frontal brain region was measured, while walking involves many brain regions. Many statistical tests were run, so some positive findings could be false positives.

The easy way to misread this

Do not conclude that partial body weight support improves walking while talking or reduces falls in older adults with multiple sclerosis. This was a single-session brain-activity study, not a treatment trial, and walking while talking was more demanding with support, so the finding may reflect novelty rather than benefit.

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