Kanser tanılı çocuklarla normal gelişen çocukların tek ve çift görev yürüyüş parametrelerinin karşılaştırılması

Abstract

Amaç: Bu çalışma, kanser tanılı çocuklar ile normal gelişen çocuklar arasındaki tek ve çift görev yürüme parametrelerini karşılaştırmayı amaçladı. Yöntem: Tek ve çift görev koşulları altında 10 metre yürüme testi ile değerlendirilen yürüme parametreleri (yürüyüş hızı, kadans ve çift adım uzunluğu) ve çift görev maliyeti hesaplandı. Karşılaştırmalarda t-testi, Mann-Whitney U ve Pearson ki-kare testleri kullanıldı. Bulgular: Karşılaştırmalı-tanımlayıcı araştırma, yaş ortalaması 12,45±2,71 olan 49 çocuk (14 kız, 35 erkek) ile yapılmıştır. Çalışma katılımcıları kanser tanılı (7 kız, 13 erkek) ve normal gelişim gösteren (7 kız, 22 erkek) çocuklar olmak üzere iki gruptan oluşmaktaydı. Kanser tanılı çocuklar grubu, tek görev koşulu altında daha düşük yürüme hızı (p<0,001) ve kadans (p<0,001) sergiledi. Bilişsel çift görev koşulu altında, kanser tanılı çocuklar grubunun daha düşük yürüme hızı (p<0,001) ve kadansı (p<0,001) vardı. Ayrıca yürüme hızı (p<0,001) ve kadans (p<0,001), motor çift görev koşulunda kanser tanılı çocuklar grubunda daha düşüktü. İki grubun çift adım uzunlukları ve çift görev maliyeti değerleri arasında fark yoktu (p>0,05). Sonuç: Sonuç olarak, çalışma kanser tanılı çocukların tek ve çift görev yürüme parametrelerinde sapma olabileceğini göstermiştir. Kanser tanılı çocuklardaki tek ve çift görev yürüme parametrelerinin değerlendirilmesi, rehabilitasyon ihtiyaçlarının belirlenmesine katkıda bulunacaktır.

Keywords

• kanser
• çocuk
• yürüme analizi
• görev performansı
• rehabilitasyon

Comparison of single-and dual-task gait parameters of children with cancer and typically developing children

Abstract

Purpose: This study aimed to compare single- and dual-task gait parameters between children with cancer (CC) and typically developing children (TDC). Methods: The gait parameters (gait speed, cadence, and stride length) assessed by the 10-meter walking test under single- and dual-task conditions and dual-task cost (DTC) was calculated. The t-test, Mann-Whitney U, and Pearson chi-square tests were used for comparisons. Purpose: This study aimed to compare single- and dual-task gait parameters between children with cancer (CC) and typically developing children (TDC). Methods: The gait parameters (gait speed, cadence, and stride length) assessed by the 10-meter walking test under single- and dual-task conditions and dual-task cost (DTC) was calculated. The t-test, Mann-Whitney U, and Pearson chi-square tests were used for comparisons. Results: The comparative-descriptive study was conducted with 49 children (14 females and 35 males) with a mean age of 12.45±2.71. The study participants consisted of two groups: CC (7 girls, 13 boys) and TDC (7 girls, 22 boys). The CC group exhibited lower gait speed (p<0.001) and cadence (p<0.001) under the single-task condition. Under the cognitive dual-task condition, the CC group had lower gait speed (p<0.001) and cadence (p<0.001). Also, gait speed (p<0.001) and cadence (p<0.001) were significantly lower under the motor dual-task condition in the CC group. There was no difference between the two groups' stride lengths and dual-task cost values (p>0.05). Conclusion: Consequently, the study demonstrated that CC might have a deviation in single- and dual-task gait parameters. Assessments of single- and dual-task gait parameters in CC will contribute to the identification the rehabilitation needs.

Keywords

• cancer
• child
• gait analysis
• task performance
• rehabilitation

References

1. Haddy TB, Mosher RB, Reaman GH. Late effects in long-term survivors after treatment for childhood acute leukemia. Clin Pediatr. 2009; 48:601-608.
2. Wilson CL, Gawade PL, Ness KK. Impairments that influence physical function among survivors of childhood cancer. Children (Basel). 2015; 2:1-36.
3. Olson K, Sands SA. Cognitive training programs for childhood cancer patients and survivors: A critical review and future directions. Child Neuropsychol. 2016;22: 509-536.
4. Beulertz J, Bloch W, Prokop A, et al. Limitations in ankle dorsiflexion range of motion, gait, and walking efficiency in childhood cancer survivors. Cancer Nurs. 2016;39:117-124.
5. Gilchrist L, Tanner L. Gait patterns in children with cancer and vincristine neuropathy. Pediatr Phys Ther. 2016;28:16-22.
6. Wright MJ, Twose DM, Gorter JW. Gait characteristics of children and youth with chemotherapy induced peripheral neuropathy following treatment for acute lymphoblastic leukemia. Gait Posture. 2017;58:139-145.
7. Oberauer K, Göthe K. Dual-task effects in working memory: Interference between two processing tasks, between two memory demands, and between storage and processing. Eur J Cogn Psychol. 2006;18:493-519.
8. Rabaglietti E, De Lorenzo A, Brustio PR. The role of working memory on dual-task cost during walking performance in childhood. Front Psychol. 2019;10:1754.

9. Esmaeili Bijarsari S. A current view on dual-task paradigms and their limitations to capture cognitive load. Front Psychol. 2021;12:648586.
10. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Front Hum Neurosci. 2015;9:225.
11. de Souza FHN, Lisboa AKP, Maia MDFT, et al. Effects of dual task training on gait temporal-spatial parameters of children with autism. Man Ther Posturology Rehabil J. 2017:1-5.
12. Lee SY, Pang BWJ, Lau LK, et al. Cross-sectional associations of housework with cognitive, physical and sensorimotor functions in younger and older community-dwelling adults: the Yishun Study. BMJ Open. 2021;11: e052557.
13. Voss S, Joyce J, Biskis A, et al. Normative database of spatiotemporal gait parameters using inertial sensors in typically developing children and young adults. Gait Posture. 2020;80:206-213.
14. Su HL, Wu LM, Chiou SS, et al. Assessment of the effects of walking as an exercise intervention for children and adolescents with cancer: A feasibility study. Eur J Oncol Nurs. 2018;37:29-34.
15. Gieysztor E, Kowal M, Paprocka-Borowicz M. Gait parameters in healthy preschool and school children assessed using wireless inertial sensor. Sensors. 2021;21:6423.
16. Yazıcı MV, Çobanoğlu G, Yazıcı G. Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-walk) in children with cerebral palsy. Turk J Med Sci. 2022;52:658-666.
17. Fraser SA, Li KZH, Berryman N, et al. Does combined physical and cognitive training improve dual-task balance and gait outcomes in sedentary older adults? Front Hum Neurosci. 2017;10:688.
18. Chen HY, Tang PF. Factors contributing to single-and dual-task timed “up & go” test performance in middle-aged and older adults who are active and dwell in the community. Phys Ther. 2016;96:284-292.
19. Strobach T, Wendt M, Janczyk M. Multitasking: Executive functioning in dual-task and task switching situations. Front Psychol. 2018;9:108.
20. Morgan GA, Griego OV. Easy use and interpretation of SPSS for Windows: Answering research questions with statistics. Psychology Press; 1998.
21. Ospina PA, McComb A, Pritchard-Wiart LE, et al. Physical therapy interventions, other than general physical exercise interventions, in children and adolescents before, during and following treatment for cancer. Cochrane Database Syst Rev. 2021;8:CD012924.
22. Shanmugavadivel D, Liu JF, Ball-Gamble A, et al. Protocol: The Childhood Cancer Diagnosis (CCD) Study: a UK observational study to describe referral pathways and quantify diagnostic intervals in children and young people with cancer. BMJ Open. 2022;12:e058744.
23. Feng J, Wick J, Bompiani E, et al. Applications of gait analysis in pediatric orthopaedics. Curr Orthop Pract. 2016;27:455-464.
24. Oschwald V, Prokop A, Boehme J, et al. Limited walking abilities and impaired ankle dorsiflexion function in children after intense cancer treatment. Klin Padiatr. 2019;231:142-149.
25. Alaniz JL, Tejeda Castellanos X, Sánchez Medina CM, et al. Ankle movement alterations during gait in children with acute lymphoblastic leukaemia with suspected peripheral mononeuropathy. A cross-sectional study. Clin Biomech (Bristol, Avon). 2024:115:106261.
26. Pena GM, Pavão SL, Oliveira MF, et al. Dual-task effects in children with neuromotor dysfunction: a systematic review. Eur J Phys Rehabil Med. 2019;55:281-290.
27. Castellino SM, Ullrich NJ, Whelen MJ et al. Developing interventions for cancer-related cognitive dysfunction in childhood cancer survivors. J Natl Cancer Inst. 2014;106: dju186.
28. Ghai S, Ghai I. Role of sonification and rhythmic auditory cueing for enhancing gait associated deficits induced by neurotoxic cancer therapies: A perspective on auditory neuroprosthetics. Front Neurol. 2019;10:21.
29. Stone JB, DeAngelis LM. Cancer-treatment-induced neurotoxicity-focus on newer treatments. Nat Rev Clin Oncol. 2016;13:92-105.