Towards a comprehensive framework for complex walking tasks: Characterization, behavioral adaptations, and clinical implications in ageing and neurological populations.
Study Goal
The researchers aimed to identify and characterize complex walking situations, understand behavioral adaptations in ageing and neurological populations, and report clinical applications of complex walking.
Results Summary
The study found that complex walking tasks, especially when combined with cognitive tasks, place greater strain on attentional resources, leading to declines in walking or cognitive performance. It highlights complex walking's potential for early detection of cognitive impairments and falls, as well as its value in cognitive-motor rehabilitation.
Population
Ageing and neurological populations
Effective Dosage
Not available
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
complex walking tasks | increase | attentional resources | ageing and neurological populations | - | require more attentional resources than simple walking | #1 |
complex walking tasks | decrease | walking performance | ageing and neurological populations | - | significantly impact walking performance | #2 |
combining complex walking tasks with a cognitive assignment | increase | attentional resources | - | - | places even greater strain on attentional resources | #3 |
combining complex walking tasks with a cognitive assignment | decrease | walking and/or cognitive performance | - | - | resulting in a more pronounced decline in walking and/or cognitive performance | #4 |
Complex walking tasks, including change of direction, patterns and rhythms, require more attentional resources than simple walking and significantly impact walking performance, especially among ageing and neurological populations. More studies have been focusing on complex walking situations, with or without the addition of cognitive tasks, creating a multitude of walking situations. Given the lack of a clear and extensive definition of complex walking, this narrative review aims to identify and more precisely characterize situations and related tests, improve understanding of behavioral adaptations in ageing and neurological populations, and report the clinical applications of complex walking. Based on the studies collected, we are proposing a framework that categorizes the different forms of complex walking, considering whether a cognitive task is added or not, as well as the number of distinct objectives within a given situation. We observed that combining complex walking tasks with a cognitive assignment places even greater strain on attentional resources, resulting in a more pronounced decline in walking and/or cognitive performance. This work highlights the relevance of complex walking as a simple tool for early detection of cognitive impairments and risk of falls, and its potential value in cognitive-motor rehabilitation. Future studies should explore various complex walking tasks in ageing and neurological populations, under varied conditions in real-life or in extended virtual environments.