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Dual-Task Tandem Gait and Average Walking Speed in Healthy Collegiate Athletes.
- Source :
-
Clinical Journal of Sport Medicine . May2019, Vol. 29 Issue 3, p238-244. 7p. - Publication Year :
- 2019
-
Abstract
- Objectives: To (1) examine the association between a commonly used concussion test, tandem gait, in single/dual-task conditions with single-task and dual-task average walking speed, (2) characterize the prevalence of tandem gait false positives, and (3) develop a normative reference range of dual-task tandem gait times. Design: Cross-sectional study. Setting: Two NCAA collegiate athletic facilities. Independent Variables: Athletes completed the tandem gait test and a gait evaluation in single/dual-task conditions during a preseason examination. Main Outcome Measures: Associations between tandem gait times and average walking speeds were evaluated using multiple linear regression models. Various tandem gait test time pass/fail cutoffs were calculated to examine false-positive rates. Results: Among the 171 participants (103 men, 19.8 ± 1.2 years of age), dual-task tandem gait completion times were independently associated with dual-task average walking speed [β = −4.018; 95% confidence interval (CI), −7.153 to −0.883], but single-task associations were not found. Male gender was associated with faster tandem gait times in both single-task (β = −0.880, 95% CI, −1.731 to −0.029) and dual-task conditions (β = −2.225, 95% CI, −3.691 to −0.759). A pass/fail cutoff threshold of 14 seconds resulted in a 2% false-positive rate for single-task tandem gait, while it resulted in a 29% false-positive rate during dual-task tandem gait. Conclusions: Average walking speed and dual-task tandem gait represent objective measures that are useful in concussion management. While a single-task tandem gait cutoff of 14 seconds seems appropriate for males, adjustments may be necessary based on sex and alternate pass/fail criteria may be appropriate for dual-task tandem gait. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1050642X
- Volume :
- 29
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Clinical Journal of Sport Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 139196388
- Full Text :
- https://doi.org/10.1097/JSM.0000000000000509