Talking While Walking After Concussion: Acute Effects of Concussion on Speech Pauses and Gait Speed
Shu Yang,
No information about this author
Paula Johnson,
No information about this author
C. Hansen
No information about this author
et al.
Neurorehabilitation and neural repair,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 11, 2025
Background
Deficits
in
dual-tasks
(DT)
are
frequently
observed
post-concussion
(ie,
mild
Traumatic
Brain
Injury).
However,
traditional
DT
may
not
be
relevant
to
daily
life.
Walking
while
talking
elicits
costs
healthy
adults
and
is
part
of
Objective
We
investigated
the
effect
concussion
on
walking
with
extemporaneous
speech
explored
relationships
between
acute
symptoms.
Methods
Participants
recent
(<14
days
post-injury)
controls
completed
3
tasks:
single-task
gait
without
speaking
(ST
G
),
S
(DT).
Silent
pauses
audio
reflected
cognitive
performance,
was
quantified
using
inertial
sensors.
used
linear
mixed
models
compare
groups
conditions
associations
self-reported
Results
Both
(n
=
19)
control
18)
exhibited
longer
(
P
<
.001),
slower
speeds
cadence
.001)
during
compared
ST
conditions.
There
were
no
group
differences
or
interactions
for
>
.424).
The
slowed
down
more
than
(group
×
task
.032).
Vestibular
symptoms
strongly
associated
pause
duration
(ρ
.72),
speed
−.75),
−.78).
Conclusions
Extemporaneous
well-practiced
but
challenging
complete
post-concussion.
Strong
outcomes
vestibular-related
suggest
deficits
vary
symptomology.
deleterious
tasks
Language: Английский
Posterior parietal cortex activity during visually cued gait: a preliminary study
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 16, 2025
Abstract
Safe
gait
requires
visually
cued
(VC)
step
adjustments
for
negotiating
targets
and
obstacles.
Effective
rely
on
good
visuospatial
processing.
The
posterior
parietal
cortex
(PPC)
is
implicated
in
processing,
yet
empirical
evidence
limited
the
PPC’s
role
during
humans.
Increased
cortical
control
of
associated
with
higher
variability,
a
marker
performance
fall
risk
among
older
adults.
However,
underpinnings
variability
complex
environments
are
not
well
established.
primary
aim
this
preliminary
study
was
to
assess
PPC
activity
VC
perturbations
(VCP).
A
secondary
determine
how
relates
VCP
gait.
Twenty-one
healthy
young
adults
completed
three
treadmill
conditions
at
preferred
speed:
non-cued
(NC)
gait,
where
stepping
were
presented
regular
pattern,
target
positions
pseudorandomly
shifted.
Functional
near-infrared
spectroscopy
quantified
relative
changes
deoxygenated
oxygenated
hemoglobin
(ΔHbO
2
)
concentrations
PPC.
Inertial
measurement
units
variability.
Moderate
effects
observed
more
positive
ΔHbO
from
NC
both
likely
reflecting
increased
processing
demands.
Stride
time
positively
correlated
suggesting
potential
modulating
temporal
components
Extending
these
findings
will
help
elucidate
adaptability
aging.
Language: Английский
Cerebral Haemodynamic Assessment Following Sport-related Concussion (Mild Traumatic Brain Injury) in Youth and Amateur Rugby Union Players
Sports Medicine - Open,
Journal Year:
2025,
Volume and Issue:
11(1)
Published: May 2, 2025
Abstract
Background
Using
functional
near-infrared
spectroscopy
(fNIRS)
as
an
objective
diagnostic
tool,
we
aimed
to
(1)
compare
fNIRS
measurements
in
adult
and
youth
male
rugby
players
against
controls
over
a
playing
season,
2)
document
the
changes
that
occur
concussed
during
England
Rugby
Football
Union
Graduated
Return-To-Play
programme
(GRTP).
Sixty-seven
participants
(rugby
=
41
(26
adults:
27.5
±
4.4
years;
15
youth:
16.5
0.6
control
26
(11
adult:
30.5
5.2
16.9
0.4
years)
completed
assessments
at
pre,
mid
end-season.
Eight
(five
youth,
three
adult)
sustained
concussions,
Graded
Symptom
Checklist
from
Sport
Concussion
Assessment
Tool
version
5
(SCAT5)
assessment
throughout
GRTP
period.
Mixed
linear
models
were
utilised
assess
effect
of
group
time
on
measures
oxyhaemoglobin
(∆O
2
Hb)
deoxyhaemoglobin
(∆HHb)
performance
tasks.
Typical
Error
(TE)
i.e.,
normal
biological
fluctuation
measurement
error,
was
calculated
identify
‘cut-off’
thresholds
for
identifying
effects
concussion.
Results
There
significant
differences
indices
groups
(
p
<
0.05)
but
no
between
>
0.05).
Seven
out
eight
(87.5%)
showed
greater
than
TE
period
both
∆O
Hb
∆HHb
tasks
these
players’
profiles
had
not
returned
within
‘normal’
levels
All
symptom
severity
number
Conclusion
Current
protocols
alone
are
problematic
there
is
need
more
individualised
approach
concussion
management,
utilising
biomarker
tools
such
fNIRS.
Language: Английский
Talking while Walking After Concussion: Acute effects of concussion on speech pauses and gait speed
Shu Yang,
No information about this author
Paula Johnson,
No information about this author
C. Hansen
No information about this author
et al.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 7, 2024
Deficits
in
dual-tasks
(DT)
are
frequently
observed
post-concussion
(i.e.,
mild
Traumatic
Brain
Injury).
However,
traditional
DT
may
not
be
relevant
to
daily
life.
Walking
while
talking
elicits
costs
healthy
adults
and
is
part
of
Language: Английский
Altered neural recruitment despite dual task performance recovery in athletes with repeat concussion
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 20, 2024
Abstract
Sports-related
concussions
(SRCs)
pose
significant
challenges
to
college-aged
athletes,
eliciting
both
immediate
symptoms
and
subacute
cognitive
motor
function
impairment.
While
most
impairments
resolve
within
weeks,
athletes
with
repeat
SRCs
may
experience
heightened
risk
for
prolonged
recovery
trajectories,
future
musculoskeletal
injuries,
long-term
neurocognitive
deficits.
This
includes
impaired
dual
task
performance
altered
neurophysiology
that
could
persist
across
the
lifespan
elicit
pathophysiology
neurodegeneration.
Thus,
it
is
imperative
improve
our
understanding
of
after
SRC.
study
aimed
investigate
impact
on
associated
neural
recruitment
using
functional
near-infrared
spectroscopy
(fNIRS).
A
total
37
(ages
18-24)
participated
in
this
cross-sectional
observational
study.
Among
these
20
had
a
history
two
or
more
SRCs,
while
17
never
sustained
SRC
served
as
controls.
Participants
completed
Neuroimaging-Compatible
Dual
Task
Screen
(NC-DTS)
fNIRS
measured
frontoparietal
attention
network
primary
sensory
cortices.
Behavioral
analysis
revealed
exhibited
comparable
single
control
athletes.
Additionally,
effects
(DTE),
which
capture
declines
tasks
versus
tasks,
did
not
significantly
differ
between
groups.
Notably,
cohort
longer
time
since
their
last
(mean
=
1.75
years)
than
majority
previous
studies.
Neuroimaging
results
indicated
patterns
multiple
during
tasks.
Specifically,
demonstrated
increased
prefrontal
cortex
(PFC)
activation
compared
controls
(
P
<
0.001,
d
0.47).
Conversely,
same
reduced
PFC
0.29)
(M1)
0.038,
0.16)
activation.
These
findings
emphasize
complex
relationship
history,
performance,
changes
neurophysiology.
demonstrate
behavioral
persistent
alterations
suggest
ongoing
neurophysiological
changes,
possibly
indicating
compensatory
strategies
inefficient
resource
allocation,
even
beyond
symptom
resolution
medical
clearance.
Understanding
support
following
can
inform
return-to-play
decisions,
injury
risk,
function.
Language: Английский
Altered neural recruitment during single and dual tasks in athletes with repeat concussion
Frontiers in Human Neuroscience,
Journal Year:
2024,
Volume and Issue:
18
Published: Dec. 11, 2024
Sports-related
concussions
(SRCs)
pose
significant
challenges
to
college-aged
athletes,
eliciting
both
immediate
symptoms
and
subacute
cognitive
motor
function
impairment.
While
most
impairments
resolve
within
weeks,
athletes
with
repeat
SRCs
may
experience
heightened
risk
for
prolonged
recovery
trajectories,
future
musculoskeletal
injuries,
long-term
neurocognitive
deficits.
This
study
aimed
investigate
the
impact
of
on
dual
task
performance
associated
neural
recruitment
using
functional
near-infrared
spectroscopy
(fNIRS).
A
total
37
(ages
18–24)
participated
in
this
cross-sectional
observational
study,
20
a
history
two
or
more
SRCs,
17
controls
that
had
never
sustained
an
SRC.
Participants
completed
Neuroimaging-Compatible
Dual
Task
Screen
(NC-DTS)
while
frontoparietal
attention
network
primary
sensory
cortices
was
measured
fNIRS.
Athletes
exhibited
comparable
single
control
athletes.
Neuroimaging
results
indicated
altered
patterns
during
tasks.
Specifically,
demonstrated
increased
prefrontal
cortex
(PFC)
activation
tasks
compared
(
p
<
0.001,
d
=
0.47).
Conversely,
tasks,
these
same
reduced
PFC
0.29)
their
activation.
These
findings
emphasize
demonstrate
typical
performance,
persistent
alterations
suggest
ongoing
neurophysiological
changes,
possibly
indicating
compensatory
strategies
inefficient
resource
allocation,
even
beyond
symptom
resolution
medical
clearance.
Language: Английский
Theta oscillations in observers’ temporal cortex index postural instability of point-light displays
Neuroscience,
Journal Year:
2024,
Volume and Issue:
561, P. 107 - 118
Published: Oct. 19, 2024
Language: Английский
Multidimensional relationships between sensory perception and cognitive aging
Frontiers in Aging Neuroscience,
Journal Year:
2024,
Volume and Issue:
16
Published: Dec. 20, 2024
A
growing
literature
suggests
that
declines
in
sensory/perceptual
systems
predate
cognitive
aging,
and
furthermore,
they
are
highly
predictive
for
developing
Alzheimer's
disease
related
dementias
(ADRD).
While
vision,
hearing,
olfaction,
vestibular
function
have
each
been
shown
to
be
ADRD,
their
causal
relations
declines,
how
interact
with
other
remains
clarified.
Currently,
there
is
substantial
debate
whether
fail
early
progression
contributions
load
and/or
social
isolation
or
simply
coincident
due
aging.
At
the
same
time,
any
of
these
senses
requires
compensation,
can
strain
neural
processes
impact
activities
daily
living,
including
engagement,
quality
life,
risk
falls.
In
this
perspective
piece,
we
review
illustrates
different
relationships
between
systems,
aging
ADRD.
We
suggest
broadly
administered
precise
assessment
functions
could
facilitate
detection
ADRD
pave
way
intervention
strategies
help
reduce
multifaceted
improve
everyday
functioning
as
people
age.
Language: Английский